📄 Extracted Text (2,054 words)
From: Andrea Pfanzelter
To: Jeff Epstein <Jeeva
Subject: Fwd: Polio Update Pakistan
Sent: Friday, November 8, 2013 2:58:32 AM
FYI
Latest report from Nasra on Pakistan
Andrea.
Andrea Pfanzelter
Director IPI Vienna
International Peace Institute
Freyung 3
1010 Vienna
Begin forwarded message:
From: Nasra Hassan
Date: 07. November 2013 20:32:07 GMT 5:30
To: Te 'e Rod-Larsen Andrea Pfanzelter
, Bettina Kemp
let io a e a is n
Terje, IPI is undertaking daily monitoring & is in regular contact with interlocutors. Here is a brief update
on the present situation, which shows some improvement over the past summer months — however, the
droning to death of Pak Taliban's topmost leader on 1 Nov 2013 will bring consequences (including on
the polio eradication programme PEP) on which I will send you a separate update in due course:
1. Increase in cases: both in the tribal belt as well as in adjacent settled areas, in some towns and slums
— especially among tribal families displaced by conflict (thus missing out on vaccination) — but also a few
cases sneaking into previously 'clean" areas. Parental refusal rates, especially in remote scattered
communities, have also increased over 2012.
2. Some success/softening in Taliban position: Despite those increases, and after strenuous efforts by
IPI and others, and completely under the radar, there has been a "softening" in the Taliban position, i.e.
they are not making pronouncements against polio vaccination and are often looking the other way,
though they do refer to 'spies" entering sensitive Taliban havens under the guise of anti-polio health
workers (there is some truth to this, a charge also levied against NGOs, details later). There is
confirmation of families carrying drops to banned areas but often without the required temperature
storage.
NB: Although Balochistan Province health authorities announced on World Polio Day that there have so
far been no recorded cases — 4 in 2012 vs. 73 in 2011 — a bit of scepticism over the steep drop is in
orde139
7224
Unull,"FetchLimit",null,"FetchOffset",0,"com.apple.coreduetknowledge",nullflignposte,"knowledge-
agent","DeleteObjects",null,null,0.000235133004025556,"knowledge-
agent","Fusion","Interval",9223372036854775807,"apfs"),[null,"FetchLimit",null,"FetchOffset",5000,"com.
apple.coreduet knowledge",null,"signpost","knowledge-
agent","DeleteObjects",null,null,0.000689639011397958,"knowledge-
agent","Fusion","Interval",4000,"apfs"llnull,"FetchLimit",null,"FetchOffset",10000,"com.apple.coreduet.kn
owledge",null,"signpost","coreduetd","DeleteObjects",null,null,0.000694154005032033,"coreduetd","Fusio
EFTA_R1_00057445
EFTA01756190
n","Interval°,40007apfsipull,TetchUmit'inull,"FetchOffser,10000,-com.apple.coreduetknowledge",null
:signposr7coreduete:DeleteObjecte,null,null,0.00068900897167623,-coreduetd7Fusion",1ntervar,4
000:apfelpull:FetchLimirinull,TetchOffser,10000:com.apple.coreduetknowledge,null,"signpost","c
oreduetcrDeleteObjects",nullnull,0.000790718011558056,"coreduetd"."Fusion-,1nterval",4000:apfe],[
null-FetchLiminnull,TetchOffser,07com.apple.coreduet.knowledgen,null,"signpost","knowledge-
agennteleteObjecte,null,null.0.000303946988424286,"knowledge-
agent7Fusion7Intervar,92233720368547758077apfninull,"FetchLimir,null,"FetchOffserj:com.appl
e.coreduet.knowledge",null,"signposr,"knowledge-
agent","DeleteObjecte,null,null.0.00072380097117275,"knovAedge-
agent","Fusion-Interval",40007apfslinull:FetchLiminnull,"FetchOffser,10000,"com.apple.conaduet.kn
owledges,null'signposr,"knowledge-agent","DeleteObjecte,nullnull0.000686891027726233,"knowledge-
agent","Fusion7Interval",40007apfslpuleFetchLiminnull,"FetchOffser,10000,"com.apple.coreiduetkn
owledge",nulesignposr,"knowledge-agenr:DeleteObjecte,nullenull,0.000691198976710439,"knowledge-
agent,"Fusion","Interval",4000,-apfeMnull,"FetchLimir,null,"FetchOffser,10000,"com.apple.coreduet.kn
owledge,nullesignposr,"knowledge-agennteleteObjecte,null,null,0.00122247403487563,-knowledge-
agent7Fusion7Interval",40007apfeMnull,"FetchLiminnull,"FetchOffser,1000,-com.apple.coreduet.kno
wledge",null7signposts,"consduetd7DeleteObjecte,null,null,0.000743475975468755:coreduetd7Fusion
","Interval",40007apfs-jinull,TetchLimirinull,TetchOffser,Vcom.apple.coreduet.knowledge",nuIrsign
posr,"knowledge-agennteleteObjecte,nullnull,0.00116754497867078:knowledge-
agenr:Fusion7Interval",4000,-apfeMnuleFetchLiminnuleFetchOffser,07com.apple.coreduetknowle
dge.null7signposr7coreduetd","DeleteObjects",null,nu11,0.0012714599724859,"coreduete,"Fusion"inte
rval".4000,-apfe],[null,"ffetchLiminnuleretchOffset",100007com.apple.coreduet.knowledgen.null,"signp
ost","coreduete,"DeleteObjecte,null,null,0.000743867014534771,"coreduetd","Fusion7Interval",40007a
pfslinull,"FetchLimir,null,"FetchOffser,10000,*com.apple.coreduetknowledge,nulVsignpost7coredue
td","DeleteObjecte,nullnull,0.000718322989996523,-coreduetd7Fusion7Interval",4000,-apfslpull:Fe
tchLimir,null,"FetchOffser,100007com.apple.coreduaknovAedge",null:signposr,scoreduetd","Delete0
bjecte,nullnull,0.0007479043975448132:coreduetd","Fusion7Intervar,4000,-apfsMull,TetchUmirinul
I,"FetchOffser,30000,"com.apple.coreduet.knowledger,null,"signposr,"coreduete,"DeleteObjecte,null,n
u11,0.0006940779858261387coreduetd","Fusion-,Interval",40007apfslpull,"FetchLiminnull,"FetchOffset
",5000,-com.apple.coreduel.kncnvIedge",null,"signpost","coreduetd","DeleteObjects",nullnull,0.00070093
19961071017coreduetd",-Fusiorrinterval",4000,flapfelpuleFetchLimir,null,TetchOffser,4000,-com.
apple.coreduet.knowledgew,nulesignposr7coreduetcr,"DeleteObjecte,nullnull,0.00076466501923278,%
oreduetcr,"Fusions,"Interval",40007apfninuleFetchLiminnull,"FetchOffser,100007com.apple.coredue
t.knowtedge",null7signpost","knowledge-
agent","DeleteObjecte,null,null0.000707225990481675,"knowledge-
agents,"Fusion7Interval",4000,-apfslpull,"FetchLiminnull,"FetchOffser,4007com.apple.coreduakno
wledge",nulesignpost7coreduetd7DeleteObjects-,null,null,0.000691658002324402,"coreduetd","Fusion
",'Intervar,4000,"apfellnull,"FetchLimir,nuleretchOffser,50007com.apple.coreduet.knowledge",null,"s
ignposr7knowledge-agenntleleteObjects",null,null,0.00111970503348857,-knowledge-
agent","Fusion7Intervar,4000,flapfeMnull,"FetchLiminnull,"FetchOffser,10000,"com.apple.corecluet.kn
owledge",null,"signposCcoreduetd","DeleteObjecte,null,null,0.000696906005032361,"coreduetd","Fusio
n","Interval",40007apfe],[null,TetchLiminnull,"FetchOffser,10007com.apple.coreduet.knowledge",null,
"signposCcoreduete,"DeleteObjects",null,null,0.000694567977916449,-coredueter,"Fusion7Interval",4
000,-apfellnuleFetchLimirinull,-FetchOffser,5000:com.apple.coreduetknowledge",null:signposr,"co
reduetd",teleteObjects",null,nu11,0.000875323021318763,"coreduetd7Fusion-intervar,40007apfe]p
ull,TetchLimir,null,"FetchOffser,07com.apple.coreduetknowledge,null7signposr,"coreduetd","Delete
Objectemullmull.0.000439500989159569:coreduetd","Fusion","Interval",07apfslpull,TetchLiminnull,"
FetchOffser,10000:tom.apple.coreduetknowledge,null7signpost7coreduete,"DeleteObjectemullinull
.0.000828112009912729,"coreduete,"Fusion",intervar,4000,-apfellnuleFetchLiminnull,TetchOffser
,l,"com.apple.coreduet.knowledge,nulesignposr:coreduetd7DeleteObjecte,null,null,0.000707037979
736924,-coreduete,"Fusion7Interval",4000,"apfslpull,"FetchliminnuleFetchOffser,5000,"com.apple
.coreduetknowledge,null,"signposr:coreduetcr,teleteObJecte,null,null.0.000686506973579526:cored
uetd",*Fusion7Intervar,4000,"apfe],[null,"FetchLimit",null,TetchOffser,100000,-com.apple.coreduetkn
owledge",null,"signposr,"coreduetd","DeleteObjecte,null,null,0.00117365305777639,-coreduetd7Fusion
","Intervar A000,"apfslpull,TetchLimirinull,"FetchOffser,10000,"comapple.coreduetknowledgemmull,
"signposCknowledge-agents,"DeleteObjecte,null,null,0.000689495995175093,"knowledge-
EFTA_R1_00057446
EFTA01756191
agent","Fusion","Interval",4000,"apfej,[null,"FetchLimir,null,"FetchOffset",10000,"com.apple.coreduet.kn
owledge",null,"signpost","knowledge-agent","DeleteObjects",null,null,0.00145933404564857,"knowledge-
agent","Fusion","Interval",4000,"apfe],[null,"FetchLimir,null,"FetchOffset",10000,"com.apple.coreduet.kn
owledge",nulesignposr,"coreduetd","DeleteObjects",null,null,0.000749322003684938,"coreduetd","Fusio
n","Intervar,4000,"apfs"],[null,"FetchLimir,null,"FetchOffser ,5000,"com.apple.coreduet.knowledge",null,
"signpost","coreduetd","DeleteObjects",null,null,0.000790101999882609,"coreduetd","Fusion","Intervar,4
000,"apfs"],[null,"FetchLimirmull,"FetchOffset",10000,"com.apple.coreduet.knowledge",null,"signpost","c
oreduetd","DeleteObjects",null,null,0.00082408997695893,"coreduetd","Fusion",1ntervar,4000,"apfej,[n
ull,"FetchLimit",null,WetchOffser,10000,"com.apple.coreduet.knowledge",nuIrsignpost","knowledge-
agent","DeleteObjects",nultnull,0.000685187987983227,"knowledge-
agent","Fusion","Interval",4000,"apfs"],[null,"FetchLimir,null,"FetchOffser,l,"com.apple.coreduet.knowle
dge",null,"signpost","coreduetd","DeleteObjects",null,null,0.000670176988933235,"coreduetd","Fusion","I
nterval",4000,"apfs"1,[null,"FetchLimir,null,"FetchOffser,0,"com.apple.coreduet.knowledge",null,"signpos
t","knowledge-agent",*DeleteObjects",null,null,0.0745852142572403,"knowledge-
agent","Fusion","Interval",4000,"apfse],[null,"FetchLimir,null,"FetchOffser,10000,"com.apple.coreduet.kn
owledge",null,"signpost","coreduetd","DeleteObjects",null,null,0.000875925004947931,"coreduetd","Fusio
n","Intervar,4000,"apfsl,[null,"FetchLimit",null,"FetchOffser,0,"com.apple.coreduet.knowledge",null,"sig
nposr,"coreduetd","DeleteObjects",null,null,0.00116479001007974,"coreduetd","Fusion","Interval",4000,"
apfs"],[null,"FetchLimit",null,"FetchOffser,10000,"com.apple.coreduet.knowledge",null,"signpost","coredu
etd","DeleteObjects",null,null,0.000769827980548143,"coreduetd","Fusion","Interval",4000,"apfs"],(null,"F
etchLimir,null,"FetchOffser,100,"com.apple.coreduet.knowledge",nulesignpost","knowledge-
agent","DeleteObjects",null,null,0.000873990007676184,"knowledge-
agent","Fusion","Interval",4000,"apfsTnull,"FetchLimir,null,"FetchOffset",100,"com.apple.coreduet.kno
wledge",nuIrsignpost","coreduetd",-DeleteObjects",null,null,0.000686855986714363,"coreduetd","Fusion
","Interval",4000,"apfsejlnull,"FetchLimit",null,"FetchOffset",10000,"com.apple.coreduet.knowledge",null,
"signpost","coreduetd","DeleteObjects",null,null,0.000713646004442126,"coreduetd","Fusion","Interval",4
000,"apfs"],[null,"FetchLimir,null,"FetchOffser,10000,"com.apple.coreduet.knowledge",nuIrsignpost","c
oreduetd","DeleteObjects",nultnull,0.000730499974451959,"coreduetd","Fusion7Interval",4000,"apfs"],(
null,"FetchLimir,null,"FetchOffset",500,"com.apple.coreduet.knowledge",null,"signpost","knowledge-
agent","DeleteObjects",nulinull,0.000746532983612269,"knowledge-
agent","Fusion","Interval",4000,"apfsellnull,"FetchLimir,null,"FetchOffset",10000,"com.apple.coreduet.kn
owledge",nulesignpost","coreduetd","DeleteObjects",nullnull,0.000933423987589777,"coreduetd","Fusio
n","Interval",4000,"apfsl,[nuleFetchLimir,null,"FetchOffser ,10000,"com.apple.coreduet.knowledge",null
,"signpost",-coreduetcr,"DeleteObjects",null,null,0.000730770989321172,"coreduetd","Fusion","Intervar,
4000,"apfs"],[null,"FetchLimit",null,"FetchOffset",0,"com.apple.coreduet.knowledge",nulesignpost","know
ledge-agent","DeleteObjects",null,null,0.00190135696902871,"knowledge-
agent","Fusion","Interval",4000,"apts"],[null,"FetchLimir,null."FetchOffset",0,"com.apple.coreduet.knowle
dge",null,"signpost","coreduetd","DeleteObjects",null,null,0.000724743003956974,"coreduetd","Fusion7I
nterval",4000,"apfslit color="#000000"><font face="Times New
Roman"> </font></font></span></p><font color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">3.<span> </span><b>Attacks
on health teams</b>: have also decreased (to repeat, not all were aimed at the
anti-polio programme but had other reasons, such as targeting of the police,
security or pro-govt militia personnel accompanying the health workers,
especially the last-mentioned).</font></font></span></p><font color="#000000" face="Times New
Roman">
</font><p style="margin:Ocm Ocm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt" class="MsoNormal"><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">4.<span> </spannb>Pak
EFTA_R1_00057447
EFTA01756192
Army role</b>: In addition, the<span>
</span>Pakistan Army has been helping PEP but keeping this strictly under
wraps, with no info appearing in the press, so as not to give the Pakistan
Taliban any reason to undertake media-tique retaliatory action. </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormal'><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">5.<span> </span><b>Taliban
ban</b>: The FATA Health Secretariat (covering the tribal areas) is encouraging
a <i>jirga<A> (group of tribal elders and other influentials) in North
Waziristan to get the "good" Taliban to rescind their ban. </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p) style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">6.<span> </span><b>Support
by senior politicians</b>:<span> </span>including
the Prime Minister, have made official statements underlining the importance of
PEP, especially in connection with World Polio Day — these are valuable in
keeping the official health structures focussed on polio, but have little
effect on the Pak Taliban. </font></font></span></p><font color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">7.<span> </span><b>Govt
talks with Taliban</b>: despite media reports to the contrary, and despite what
the Prime Minister has stated, these talks have not yet begun, although there
are a number of parallel processes underway — now a complete (temporary) stop
follows the assassination of the Taliban leader.<span> </span></font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">8.<span> </span><b>Continuing
problems<b>:</font></font></span></p<font color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt 54pt" class="MsoNormal"><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(i)<span style="line-height:normattont-
familyAquaTimes New Roman";font-style:normal:font-variant:normal;font-weight:normal:font-size-
adjust:none:font-
stretch:normal"> AnbspAnbspAnbspAnbspAnbspAnbspAnbspAnbspAnbspAnbspAnbspAnbs
p;
</span></span><u><span lang="EN-GEr>Corruption</span></u><span lang="EN-GB">:<span>
EFTA_R1_00057448
EFTA01756193
</span>eg. in Sind province, a health team refused
to administer drops until their 3-month backlog of salaries was paid. "Ghost"
kids, teams (latter also called "dummy teams"), vehicles continue. Similar in
education services, eg. "ghost schools", also called "shadow sch000ls" exist
but are better known and documented because these are permanent structures.
</span></font></font></p><font color="#000000" face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt 54pt" class="MsoNormal"><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(ii)<span style="line-height:normal;font-
family:"Times New Roman":font-style:normal;font-variant:normatfont-weight:normal:font-size-
adjust:none:font-
stretch:normal"> AnbspAnbsp;  AnbspAnbsp;  Anbsp;&nbs
P;
</span></span><u><span lang="EN-GB">Mis-reporting/under-reporting</span></u><span lang="EN-
GB">: figures of children covered continue to be too positive &
self-serving; different health structures give differing figures. </span></font></font></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt 54pt" class="MsoNormal"><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(iii)<span style="line-height:normal;font-
family:"Times New Roman":font-style:normal;font-variant:normal;font-weight:normal:font-size-
adjust:none:font-
stretch:normal"> AnbspAnbspAnbsp;  AnbspAnbspAnbspAnbsp;
</span></span><u><span lang="EN-GB">Expired/poor quality vaccines</span></u><span lang="EN-
GB">: these rumours refuse to go away, and disgruntled health staff have
leaked this info.</span></font></font></p><font color="#000000" face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt 54pt" class="MsoNormal"><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(iv)<span style="line-height:normal;font-
family:"Times New Roman":font-style:normal;font-variant:normal;font-weight:normal:font-size-
adjust:none;font-
stretch:normal"> AnbspAnbsp;  Anbsp;
</span></span><u><span lang="EN-GB">Inaccessibility</span></u><span lang="EN-GB">:
although this is a really major problem, it is invariably under-played and
contributes a great deal to children being missed.</span></font></font><p><font color="#000000"
face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt 54pt" class="MsoNormal"><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(v)<span style="line-height:normal;font-
family:"Times New Roman":font-style:normal:font-variant:normal:font-weight:normal:font-size-
adjust:none:font-
stretch:normal"> AnbspAnbsp;  Anbsp; : &nbs
P;
</span></span><u><span lang="EN-GB">Routine immunization</span></u><span lang="EN-GB">: still
suffers from lack of attention &: resources (which continue
to be focused on polio). </span></font></font></p><font color="#000000" face= Times New Roman">
</font><p style="margin:Ocm Ocm Opt 54pt" class="MsoNormal"><font color="1/000000"><font
face="Times New Roman"><span lang="EN-GB">(vi)<span style="line-height:normal;font-
family:"Times New Roman":font-style:normatfont-variant:normal;font-weight:normatfont-size-
adjust:none:font-
stretch:normal"> Anbsp; Anbsp;  AnbspAnbspAnbsp;
</span></span><u><span lang="EN-GB">Parental refusal</span></u><span lang="EN-GB">:
now cropping up in locations outside the Taliban area of influence as well:
many of these refusals are in remote areas where the public info campaign does
not reach (no electricity, so no TV/radio etc.). </span></font></font></p><font color="#000000"
EFTA_R1_00057449
EFTA01756194
face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt 54pt" class="MsoNormar><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(vii)<span style="line-height:normal:font-
family:"Times New Roman";font-style:normal;font-variant:normal;font-weight:normal;font-size-
adjust:none;font-stretch:normar>
</span></span><u><span lang="EN-GB">Transit points</span></u><span lang="EN-
GB">:<span> </span>to cover kids in vehicles, sounds simple and
should work but small problems eg. lack of intra-departmental lack of
coordination & cooperation get in the way.</span></font></font></p><font color="#000000"
face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt 54pt" class="MsoNormar><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(viii)<span style="line-height:normal;font-
family:"Times New Roman";font-style:normal:font-variantmormal;font-weight:normal;font-size-
adjust:none;font-stretch:normar> :&nbsk  :
</span></span><u><span lang="EN-GB">Mobility & volatility</span></u><span lang="EN-
GB">:<span> </span>Because of a great deal of
intra-Pak and cross-border mobility by affected groups such as Afghan refugees,
internally-displaced families, and migrant labour, vaccination coverage can be
volatile and change quickly from one season to the next.<span>8inbsp;
</span></span></font></font></p><font color="#000000" face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt 54pt" class="MsoNormar><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(ix)<span style="line-height:normal;font-
family:"Times New Roman";font-style:normal;font-variant:normal;font-weight:normal;font-size-
adjust:none;font-
stretch:normal"> &nbSP;
</span></span><u><span lang="EN-GB">Flaws in PEP</span></u><span lang="EN-
GB">:<span> </span>criticism is beginning to be voiced publicly
by health staff in provinces/areas other than the Taliban-controlled areas,
i.e. in Punjab and elsewhere — this can have a positive outcome in that
'militant violence"<span> </span>and "security" cannot
be used as sole excuses!<span> </span></span></font></font></p><font color="#000000"
face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><font color="#000000"><font face="Times
New Roman"><b><span lang="EN-GB"><span> </span>9.<span> </span>Measures:
Examples of additional concrete
measures, i</span></b><span lang="EN-GB">n addition to those outlined in the May 2013
internal mission Report: </span></font></font></p><font color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt 54pt" class="MsoNormar><font color="0/000000"><font
face="Times New Roman"><span lang="EN-GB">(i)<span style="line-height:normal:font-
family:":Times New Roman&quokfont-style:normal;font-variant:normal:font-weight:normatfont-size-
adjust:none;font-
stretch:normal"> &nbs
p; :8inbsp:
EFTA_R1_00057450
EFTA01756195
</span></span><u><span lang="EN-GB">Community involvement/responsibility:</span></u><b><span
lang="EN-GB"> </span></b></font></font></p><font color="#000000" face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt 54pt" class="MsoNormar><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(ii)<span style="line-height:normal;font-
family:"Times New Roman";font-style:normal;font-variant:normal;font-weight:normal;font-size-
adjust:none:font-
stretch:normal"> &nbs
P;
</span></span><u><span lang="EN-GB">Passport & ID issuance/renewal</span></u><span
lang="EN-GB">: make polio vaccination of children a required
document.</span></font></font></p><font color —"#000000" face="Times New Roman->
</font><p style="margin:Ocm Ocm Opt 54pt" class="MsoNormar><font color="#000000"><font
face="Times New Roman"><span lang="EN-GB">(iii)<span style="line-height:normal;font-
family:":Times New Roman";font-style:normatfont-variant:normal;font-weight:normal;font-size-
adjust:none;font-
stretch:normal">
</span></span><u><span lang="EN-GB">Ditto visas</span></u><span lang="EN-GB">:
should not be difficult to get Western & other countries, esp. the Gulf, to
introduce, especially for Hajj & Umra.</span></font></font></p><font color="#000000"
face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt" class="MsoNormar><font color="#000000"><font face="Times
New Roman"><i><span lang="EN-GB">NB</span></i><span lang="EN-GB">:<span> </span>ln
some cases eg. tribal areas, this will
not work as, but should be feasible in other areas. </spann/font></font></p><font color="#000000"
face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">10. <b>SyrialPakistan angle</b>: Syria has been
free of the polio virus since 1999, but in recent months cases have been
reported in north-east Syria with WHO stating that there is laboratory proof
that viruses isolated in Palestine & Egypt originated from Pakistan.<span> </span>While a
genetic analysis of the Syrian polio
virus is not yet complete and while it is probable, it cannot yet be stated
with certainty that the transmission came from Pakistan. If this turns out
indeed to be the case,<span> </span>as is likely, it
will be (as in sw China) another case of polio transmission &
re-transmission caught up in the morass of jihadist militancy &
movements.<span> </span></font></font></span></p><font color="#000000"
face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm Ocm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">11.<b> Afghanistan & border areas: </b>With
elections & troop withdrawals both scheduled for 2014 and increasing Afghan
Taliban militant activity, it is likely that the national polio eradication
programme will suffer. Eg. abduction of polio workers has been reported this
EFTA_R1_00057451
EFTA01756196
year.<span> </span>So far the official support by
Mullah Omar for polio vaccination (with the condition that it be coordinated
with them in areas under their influence and a "safe passage" letter obtained
and that no "foreigners" be involved) has been instrumental in good anti-polio
coverage —<span> </span>although Afghanistan, too,
suffers from many of the problems found in Pakistan (corruption,
mis/under-reporting etc).<span> </span>However, as
of 2014, various parallel events & developments are likely to have a
negative effect on PEP:</font></font></spann/p><Iont color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormal"><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormal"><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">(a) the attention of the Karzai regime is
already focused more on its own continued survival;</font></font></span></p><font color="#000000"
face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">(b) attention & resources diverted to
political, financial and security issues considered more essential at this
stage than PEP;</font></font></span></p><font color="#OO0000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt"><span lang="EN-GB"><font color="#000000" face="Times New
Roman">(c) power struggles not only between the
Afghan Taliban and other armed groups, but also among the latter.</font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman">12. <b>Next steps</b>: IPI visit being planned
for 25 November 2013, and further to the May "next steps":, <i>inter alia<M> : (i) to follow-up
on issues outlined
in May internal mission report as well as in this interim Update; (ii) analyse
impact of events & developments between May and now; (iii) review and
examine outcomes of first visit visit & contacts established; (iv) get update
on security issues which affect PEP; (v) set up additional, new parallel
"channels': and (vi) initiate preliminary research on
Afghanistan.<span>
</span></font></font></span></p><font color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt" class="MsoNormar><span lang="EN-GB"><font
color="#000000"><font face="Times New Roman"> </font></font></span></p><font
color="#000000" face="Times New Roman">
</font><p style="margin:Ocm 0cm Opt"><span lang="EN-GB"><font color="#000000"><font face="Times
New Roman">End.<span>
</span></font></font></span></p><font color="#000000" size="3" face="Times New Roman">
</font></div>
</div></blockquote></body></html>
EFTA_R1_00057452
EFTA01756197
ℹ️ Document Details
SHA-256
4712da7d46e504e4b501a49de9d1457dd080b398a6f9999ef787f04398a5c617
Bates Number
EFTA01756190
Dataset
DataSet-10
Document Type
document
Pages
8
Comments 0