In Conversation with Dr. Robert Redfield: Part I – CDC’s Commitment to the Polio Endgame
Oct 4, 2018
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Dr. Robert Redfield, CDC Director, discusses the complexities of the polio endgame and CDC's significant contributions. Topics include hurdles in eradicating polio, sustaining global initiatives, and preserving assets for future health efforts.
CDC played a crucial role in polio vaccine development, contributing to the eradication in the US.
Transitioning to killed virus vaccines and eliminating wild-type polio virus are key in the endgame.
Deep dives
The CDC's Role in Polio Eradication Efforts
The Centers for Disease Control and Prevention has been actively involved in the fight against polio since the 1950s. CDC played a critical role in vaccine development, working with renowned scientists like Dr. Jonas Salk and Albert Sabin. The CDC's participation in large-scale vaccine trials and data analysis contributed significantly to the eventual elimination of polio in the United States in 1979. Subsequently, CDC became a key partner in the Global Polio Eradication Initiative alongside organizations like WHO, UNICEF, and Rotary International. Today, with only a few cases remaining worldwide, CDC continues to be pivotal in the final stages of eradicating polio.
Challenges of the Polio Endgame
The endgame of polio eradication involves addressing the persistence of wild-type and vaccine-derived polio viruses. Efforts are focused on halting transmission and eliminating the presence of these viruses in the environment. CDC emphasizes the need to remain vigilant until polio is completely eradicated, including transitioning from live virus vaccines to killed virus vaccines. Challenges include managing vaccine-derived cases and ensuring no new cases or environmental samples of polio variants for three consecutive years. The complexity of the endgame requires sustained dedication and substantial investments to achieve the ultimate goal of global polio eradication.
Sustaining Support for Polio Eradication
Dr. Redfield expresses confidence in the United States and other key partners to maintain their commitment to eradicating polio. Despite competing health challenges like measles and meningococcus, sustaining political and financial support for polio eradication remains crucial. The Global Polio Eradication Initiative has built valuable public health infrastructure and capacity for global immunization. Ensuring the preservation and sustainability of these assets post-eradication is essential for future disease prevention initiatives. Dr. Redfield stresses the importance of not diverting focus prematurely to other diseases, emphasizing the need to stay resolute in achieving the goal of a polio-free world.
In this episode of Take as Directed, we are joined by Dr. Robert Redfield, Director of the Centers for Disease Control and Prevention (CDC). Since assuming his position as CDC Director in March of this year, Dr. Redfield has led the effort to enhance the CDC’s role in the continuing polio endgame. In part one of our two-part conversation, he discusses the complexities of the polio endgame, and shares what he believes to be the CDC’s most significant contributions to this global effort. Hosted by J. Stephen Morrison
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