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ISLAMABAD, PESHAWAR, KARACHI: The World Health Organization (WHO) and Pakistani officials have identified “immunity gap” as a key factor behind the resurgence of polio in the country, as Pakistan on Friday reported its 49th case this year from the southwestern Balochistan province.
Polio is a highly contagious disease that can cause irreversible paralysis, particularly in young children, and remains incurable, posing a persistent threat as long as the virus is not eradicated.
Most cases in Pakistan have emerged from the conflict-hit Khyber Pakhtunkhwa and Balochistan provinces. Along with neighboring Afghanistan, Pakistan remains one of the last two countries in the world where polio is endemic. After significant progress in reducing cases, Pakistan has seen a resurgence since late 2018, underscoring the fragility of earlier gains.
Health officials explain that an “immunity gap” occurs when a large segment of the population lacks sufficient resistance to the poliovirus, leaving communities vulnerable to infection and outbreaks despite immunization efforts.
“The ongoing transmission and resurgence of the poliovirus was largely attributed to a widespread immunity gap that has developed over time,” WHO spokesperson Maryam Younas told Arab News.
She attributed this “to a compromised campaign quality because of security-related challenges, community resistance, boycotts and demands of local communities, suboptimal routine immunization coverage and internal displacement of mobile and migrant populations.”
Younas added high-quality vaccination campaigns were needed to bridge the immunity gap, highlighting that the WHO had organized back-to-back large-scale campaigns in September and October that vaccinated around 45 million children.
“These will follow another campaign in December to effectively plug the immunity gap,” she said. “The mobile and migrant populations were redefined and mapped with revitalized focus on their vaccination.”
Health officials from the restive Khyber Pakhtunkhwa and Balochistan provinces also echoed the same concerns, saying that immunity gaps played a major role in the resurgence of poliovirus.
KP’s Special Health Secretary Abdul Basit said the provincial government was undertaking efforts to “plug remaining immunity gaps” from the region by ensuring timely immunization of children.
A tribal elder from South Waziristan, Malik Anwar Wazir, told Arab News the increasing number of polio cases raised question about the government’s polio eradication efforts. He termed the decades of infighting and unrest in parts of KP and tribal areas responsible for “inconsistent health care initiatives.”
“Mass exodus or displacement of families because of militancy hinder vaccination drives,” he added. “Most of the families in the tribal belt and parts of KP move for safer areas due to constant war, which creates problems for full immunization dose.”
Dr. Aftab Kakar, a health official in Balochistan, said international donors funding Pakistan’s polio eradication program had expressed concerns and given the authorities in the province new targets to prevent poliovirus transmission by June 2025.
“After being declared a polio-free province for almost years, we received the first transmission of poliovirus from Kandahar [Afghanistan] in September 2023,” he said. “If our children were immunized and well nourished, the virus would not have survived and spread all over the province.”
This year, 24 polio cases have been reported in Balochistan, 13 in Sindh, 10 in Khyber Pakhtunkhwa and one each in Punjab and the federal capital, Islamabad. In the early 1990s, Pakistan recorded approximately 20,000 cases annually, but the number dropped to eight in 2018, six in 2023 and only one in 2021.
Pakistan’s polio eradication program, launched in 1994, has significantly reduced the number of cases over the years. However, the country continues to face major challenges, including militancy, with polio workers frequently targeted in attacks, particularly in the northwestern Khyber Pakhtunkhwa province.
The program has adapted to address climate disasters, such as floods, but continues to experience disruptions. Additionally, there are gaps in supplementary immunization activities, particularly in areas where the virus remains active.

BUENOS AIRES, Argentina: The usual suspects abstained from voting on a seemingly uncontroversial United Nations resolution that denounced violence against women and girls on Thursday — Iran, Russia, North Korea.
But the country casting the sole vote against the nonbinding resolution, drafted by France and the Netherlands, took the world by surprise. It was Argentina, long considered one of Latin America’s most socially progressive countries.
Unleashing an avalanche of criticism across the political spectrum on Friday, the ‘no’ vote by Buenos Aires marked the latest in a series of dramatic foreign policy shifts under President Javier Milei, the most right-wing leader in Argentina’s 41 years of democracy.
It comes just days after Milei, an outspoken climate change skeptic, abruptly called Argentina’s negotiators home from the UN climate summit in Baku, Azerbaijan, stirring concerns that the radical economist might seek to emulate former US President Donald Trump in withdrawing Argentina entirely from the 2015 Paris climate agreement.
Not only has Milei transformed Argentine foreign policy in line with the United States and Israel, his government has also taken fringe positions on the global stage that fly in the face of the liberal, rules-based international order.
“It’s a big break with standard Argentine foreign policy, which has long been oriented toward making Argentina an integrated part of the Global South,” said Richard Sanders, a global fellow at the Woodrow Wilson International Center for Scholars and former State Department official in the region. “It’s a definitely a significant change in how Argentina relates internationally.”
Argentina’s vote at the UN Thursday recalled a similar clash last month when Argentina became the only member of all the Group of 20 nations to sign onto a statement adopting language about gender equality.
“Argentina votes alone, against the rest of humanity,” the conservative party of former President Mauricio Macri, an ally of Milei’s government, wrote on social media platform X Friday.
Another centrist party, the Unión Cívica Radical, joined the chorus of local condemnation.
“By fighting imaginary cultural battles we end up isolated from the world,” said Senator Martín Lousteau, president of the centrist party.
Lousteau denounced Argentina’s UN vote opposing an end to gender violence as a “disgrace.” Top official Guillermo Francos defended the decision, saying “neither commitments nor treaties will solve the issue of gender violence.”
Nearly a year into his presidency, the former Argentine TV pundit remains erratic and idiosyncratic in the global spotlight, in striking similarity to Trump. Milei became the first foreign leader since the US election to meet Trump, albeit informally, late Thursday at the president-elect’s private Mar-a-Lago club in Florida.
In a congratulatory phone call with Trump earlier this week, Miei’s spokesperson reported that Trump told the Argentine leader: “You’re my favorite president.” Trump has not confirmed the claim.
The Argentine presidency on Friday proudly released a stream of photos from Mar-a-Lago featuring Milei in a sharp suit beaming alongside Trump and tech billionaire Elon Musk, with whom Milei has also publicly cultivated a bromance over their shared contempt for “wokeness,” gender issues and socialism.
In November 2023, an angry Argentine electorate fed up with sky-high inflation, debt defaults and bank runs handed the outsider a sweeping mandate to carry out an overhaul of Argentina’s crisis-stricken economy.
But along with Milei’s libertarian crusade has come a series of cultural battles — both at home, where the president eliminated Argentina’s women’s and environment ministries and scrapped the national anti-discrimination institute, as well as abroad, where Milei has sought to fashion himself as a far-right icon, raising the hackles of key allies like Brazil and Spain.
“Milei got into the presidency on the basis of his clearly stated libertarian views, it was all about the economy,” Sanders said. “But these other views are nothing he kept hidden.”
Tensions over Milei’s culture war escalated this month. When Argentina voted at the UN in favor of ending the American economic embargo against Cuba on Oct. 30, Milei fired then-Foreign Minister Diana Mondino over what he called her “unforgivable mistake” and swiftly replaced her with Gerardo Werthein, a wealthy businessman who had been Buenos Aires’ ambassador to the US.
This weekend, Milei and Werthein plan to meet Trump again at the Conservative Political Action Conference in Orlando, Florida.
Experts say that Milei hopes to cash in on his friendship with Trump to help crisis-stricken Argentina secure a much-needed infusion cash infusion from the International Monetary Fund, to which Argentina owes over $44 billion. The US is the fund’s largest shareholder.
In recent weeks, Milei’s shock dismissal of Argentina’s top diplomat — a polished political performer who frequently worked to mend diplomatic relations strained by Milei’s profanity-laden fights with traditional allies — has sent shivers through Argentina’s diplomatic ranks.
Milei has vowed to purge his foreign ministry of so-called “traitors to the country” who have strayed from his stance, which includes rejecting the “Pact for the Future” adopted by the UN in September that promotes climate action, female empowerment and the regulation of artificial intelligence.
Local media has reported the forced resignations of at least seven diplomats in recent weeks who were perceived as critical of the president’s Trump-like attacks on the collective philosophy of the UN Milei accuses such multilateral forums of restricting members’ freedom.
Argentina’s left-leaning Peronist movement — which has dominated the country’s politics for decades — was seething Friday, with lawmakers aghast at what they saw as the unraveling of hard-won social gains like Argentina’s breakthrough legalization of abortion in 2020 and recent efforts to curb fossil fuels.
“For you, freedom is violence,” said Mayra Mendoza, a prominent Peronist politician on Friday, addressing Milei.
The libertarian has called abortion “murder,” climate change a “socialist lie” and the UN a “leviathan with multiple tentacles.”