Tuesday, April 30, 2019

Mass Panic, Propaganda, And Mobs: How An Anti-Polio Drive Came To A Screeching Halt In Pakistan



Frud Bezhan
It started with rumors of children fainting or vomiting after they received a vaccination against the polio virus in a village in Pakistan's northwestern province of Khyber Pakhtunkhwa.
Then clerics at local mosques in the region blared warnings through loudspeakers, ordering parents not to let health workers immunize their children against the deadly disease.
Meanwhile, anti-vaccination propaganda videos rapidly went viral on social media, with one claiming children had been "poisoned" by the drops.
Rumors originating from a suburb of the provincial capital, Peshawar, then claimed that children were dropping dead after receiving the vaccine.
As the rumors spread, thousands of panicked parents rushed their children by car, motorcycle, and foot to major hospitals in the city, forcing the stunned health facilities to declare emergencies.
Panic then turned into anger, with one mob burning down a local medical clinic in a Peshawar suburb.
The rumors turned out to be wildly exaggerated. Health officials said only several children out of the 25,000 rushed to hospitals were suffering from vomiting or stomach pain; there were no deaths.
The dramatic events of April 22 highlighted the major obstacles to eradicating polio in Pakistan, one of only three countries, along with Afghanistan and Nigeria, that suffer from the disease, a childhood virus that can cause paralysis or death.
Authorities arrested members of the mob that burned down the clinic and detained those behind the propaganda videos. The health minister went on television in a plead to parents to convince them that the vaccines were safe.
But the damage was done. The mass panic halted the April 23-25 immunization drive in Khyber Pakhtunkhwa, dealing a fresh blow to ongoing efforts to finally eliminate the disease from the deeply religious and conservative South Asian nation.
Many residents of the poor, largely rural Khyber Pakhtunkhwa have long been suspicious of the vaccine, with conservative Islamic clerics and militants claiming it is a Western conspiracy to harm or sterilize children.
Meanwhile, on April 27, Pakistani health officials announced they had suspended the anti-polio drive across the entire country following the killings of a health worker and two policemen escorting vaccination teams.
'A Nightmare'
Riaz Khan was at work in Peshawar when he received a call from friends living in the Mashokhel suburb of the city.
"They said some children have died there after taking the vaccine," he said. "I got so scared for my children that I couldn't even think about the authenticity of the news."
The 35-year-old hurried home to his children, who had received the vaccination that day, and rushed them to the hospital. "At the hospital, the doctors told me that there was nothing wrong with my kids," Khan said.
Muhammad Asim, an official at the Lady Reading Hospital, one of three major health facilities in the city, described what he said was "a nightmare."
"For the last 15 years, we have been through many emergencies because of bomb blasts and terrorism-related casualties, but this was a nightmare," he said.
Asim said the 500-bed hospital was overwhelmed with around 5,000 children and their families in the first 12 hours after the rumors spread."They literally choked our system," he said, adding that the three major hospitals in Peshawar were flooded with more than 25,000 children within 24 hours.
"All our doctors and nurses were trying to assure the worried parents that nothing had happened to their kids," he said. "We put announcements by well-known doctors on social media to calm the people, but it was like no one was ready to hear or believe it. I personally asked hundreds of kids and they told me that they are feeling just normal."
'It Backfired'
Dr. Shabeer Ahmad, a coordinator of the anti-polio campaign at the provincial health department, said they had decided to add Vitamin A to the polio vaccine to help malnourished children.
He said if taken on an empty stomach, Vitamin A can cause vomiting or stomach pain.
Ahmad said this happened to a few children in Mashokhel, where he said angry parents set fire to a local health clinic that was administering the vaccines. Nobody was hurt in the blaze.

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