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PARALLEL DILEMMAS: POLIO TRANSMISSION AND POLITICAL VIOLENCE IN NORTHERN NIGERIA

Published online by Cambridge University Press:  23 July 2014

Elisha P. Renne
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Abstract

Nigeria is one of three countries where polio continues to be endemic. In northern Nigeria, areas with low levels of polio immunization due to persistent parental opposition as well as implementation and infrastructural problems have contributed to wild poliovirus transmission. Furthermore, political violence associated with Islamic groups opposed to the federal government has also hampered the conclusion of the Global Polio Eradication Initiative (GPEI) efforts. This violence, which began in Borno State and has spread to other parts of northern Nigeria, occurs precisely where poliovirus transmission continues. These two related aspects – parallel dilemmas of low immunization and political violence – confound the conclusion of GPEI efforts in Nigeria. This situation also raises ethical questions both about the final stages of eradication efforts and about military actions to contain ongoing violence. The Nigerian government's attempts to suppress opposition to the polio eradication campaign by threatening non-compliant parents with arrest and by closing down media outlets may frighten some parents into compliance but can also breed resentment and resistance, just as military and police activities, such as house-to-house sweeps and widespread arrests, may encourage sympathy for Islamic insurgents. This situation suggests that the possible solution of one problem – the ending of wild poliovirus transmission – depends upon a solution of the other, i.e. the cessation of violent anti-government activities.

Résumé

Le Nigeria est l'un des trois pays dans lesquels la poliomyélite reste endémique. Dans certaines régions du nord du Nigeria, la faiblesse du taux d'immunisation contre la poliomyélite, résultant d'une opposition parentale persistante ainsi que de problèmes de mise en œuvre et d'infrastructure, a contribué à une transmission du poliovirus sauvage. De plus, la violence politique associée aux groupes islamiques opposés au gouvernement fédéral a également entravé la conclusion des efforts de l'Initiative mondiale pour l’éradication de la poliomyélite (IMEP). Cette violence, qui a débuté dans l’État de Borno avant de gagner d'autres parties du nord du Nigeria, survient précisément là où la transmission du poliovirus persiste. Ces deux aspects liés, dilemmes parallèles de faible immunisation et de violence politique, empêchent l'IMEP de mener à bien ses efforts au Nigeria. Cette situation soulève également des questions éthiques sur les dernières étapes des efforts d’éradication, mais aussi sur les actions militaires engagées pour contenir la violence persistante. Les tentatives du gouvernement nigérian de réprimer l'opposition à la campagne d’éradication de la poliomyélite en menaçant d'arrêter les parents réfractaires et en fermant des organes de presse peuvent amener certains parents à se soumettre par la peur, mais aussi engendrer du ressentiment et de la résistance, tout comme les activités de l'armée et de la police, telles que fouilles maison par maison et arrestations massives, peuvent inciter à la sympathie pour les insurgés islamiques. Cette situation suggère que la solution possible d'un problème, à savoir mettre un terme à la transmission du poliovirus, dépend d'une solution de l'autre, à savoir la cessation des activités violentes contre le gouvernement.

Type
Polio politics
Information
Africa , Volume 84 , Issue 3 , August 2014 , pp. 466 - 486
Copyright
Copyright © International African Institute 2014 

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References

REFERENCES

Abbah, T. and Odunlami, T. (2013) ‘Day we wept while on dialogue assignment – chairman, presidential committee’, Sunday Trust, 8 December <http://www.sundaytrust.com.ng>, accessed 8 December 2013.Google Scholar
Adamu, L. (2011) ‘Polio returns with menace in Kano’, Weekly Trust, 5 November <http://www.weeklytrust.com.ng>, accessed 5 November 2011.Google Scholar
Adamu, L. and Ahmadu-Suka, M. (2013) ‘Hundreds of children hit by measles in Kano’, Daily Trust, 4 March <http://www.dailytrust.info>, accessed 14 February 2013.Google Scholar
Adamu, L. and Yaya, H. (2013) ‘Journalists deny inciting attack on polio workers’, Daily Trust, 14 February <http://www.dailytrust.info>, accessed 14 February 2013.Google Scholar
Agence France (2013) ‘Nigeria: military raid destroys villages and kills rebels, witnesses say’, The New York Times, 25 December.Google Scholar
Aliyu, R. (2008) ‘Kano records low interest in immunization’, Daily Trust, 25 June <http://www.dailytrust.info>, accessed 25 June 2008.Google Scholar
Amnesty International (2012) Nigeria Trapped in the Cycle of Violence. London: Amnesty International.Google Scholar
Amnesty International (2014) Nigeria: more than 1,500 killed in armed conflict in north-eastern Nigeria in early 2014. London: Amnesty International.Google Scholar
Anonymous (2012) ‘The popular discourses of Salafi radicalism and Salafi counter-radicalism in Nigeria: a case study of Boko Haram’, Journal of Religion in Africa 42 (2): 118–44.Google Scholar
Audu, O. (2013) ‘Nigeria: thousands of Nigerian refugees in Niger set to return amid fear’, Premium Times, 7 July <http://allafrica.com/stories/201307081788.html>, accessed 22 July 2013.Google Scholar
Babadoko, S. (2003) ‘Sharia body wants polio vaccination suspended’, Daily Trust, 28 July <http://www.dailytrust.info>.Google Scholar
Bashir, M. (2013) ‘Military: end near for Boko Haram’, Daily Trust, 27 March <http://www.dailytrust.info>.Google Scholar
BBC World News (2012) ‘Nigerians living in poverty rise to nearly 61%’, BBC World News, 13 February <http://www.bbc.co.uk/news/world-africa-17015873>, accessed 13 February 2012.,+accessed+13+February+2012.>Google Scholar
BBC World News (2013a) ‘Nigeria crisis: Boko Haram attack Maiduguri airbase’, BBC World News, 2 December <http://www.bbc.co.uk/news/world-africa-25187142>, accessed 4 December 2013.,+accessed+4+December+2013.>Google Scholar
BBC World News (2013b) ‘Nigeria insurgents attack Bama military barracks’, BBC World News, 20 December <http://www.bbc.co.uk/news/world-africa-25472369>, accessed 20 December 2013.,+accessed+20+December+2013.>Google Scholar
Bradley, P. (2000) ‘Should childhood immunization be compulsory?’ in Bradley, P. and Burls, A. (eds), Ethics in Public and Community Health. London: Routledge.Google Scholar
Centers for Disease Control and Prevention (CDC) (2011) ‘The polio eradication family mourns its own’, Global Polio Eradication Initiative website, 7 September <http://www.polioeradication.org>, accessed 11 September 2011.,+accessed+11+September+2011.>Google Scholar
Centers for Disease Control and Prevention (CDC) (2013) ‘Polio this week – as of 17 April 2013’, Global Polio Eradication Initiative website <http://www.polioeradication.org/Dataandmonitoring/Poliothisweek.aspx>, accessed 18 April 2013.,+accessed+18+April+2013.>Google Scholar
Centers for Disease Control and Prevention (CDC) (2014a) ‘Polio this week – as of 12 February 2014’, Global Polio Eradication Initiative website <http://www.polioeradication.org/Dataandmonitoring/Poliothisweek.aspx>, accessed 13 February 2014.,+accessed+13+February+2014.>Google Scholar
Centers for Disease Control and Prevention (CDC) (2014b) ‘Polio this week – as of 18 June 2014’, Global Polio Eradication Initiative website <http://www.polioeradication.org/Dataandmonitoring/Poliothisweek.aspx>, accessed 22 June 2014.,+accessed+22+June+2014.>Google Scholar
Chothia, F. (2013) ‘Profile: who are Nigeria's Ansaru Islamists?’, BBC Africa, 11 March <http://www.bbc.co.uk/news/world-africa-21510767>, accessed 18 April 2013.Google Scholar
Cooke, J. and Tahir, F. (2012) Polio in Nigeria: the race to eradication. Washington DC: Center for Strategic and International Studies.Google Scholar
Daily Trust (2013) ‘Borno to set up primary health care agency’, Daily Trust, 22 July <http://www.dailytrust.info>, accessed 22 July 2013.,+accessed+22+July+2013.>Google Scholar
Danjuma, L. (2013) ‘Polio: Dangote rewards immunised families’, Daily Trust, 9 July <http://www.dailytrust.info>, accessed 9 July 2013.Google Scholar
Dugger, C. and McNeil, D. Jr. (2006) ‘Rumor, fear and fatigue hinder final push to end polio’, The New York Times, 20 March.Google Scholar
Feilden Battersby Analysts (FBA) (2005) The State of Routine Immunization Services in Nigeria and Reasons for Current Problems. Bath: FBA Health Systems Analysts <http://www.technet21.org/>, accessed 15 August 2005.,+accessed+15+August+2005.>Google Scholar
Fenner, F., Henderson, D. A., Arita, I., Jezek, Z. and Ladnyi, I. D. (1988) Smallpox and its Eradication. Geneva: World Health Organization.Google Scholar
Frishman, A. (2009) ‘Major reason for Nigerian boycott of polio vaccine’, Health Affairs 28 (6): 1860.Google Scholar
Ghinai, I., Willott, C., Dadari, I. and Larson, H. (2013) ‘Listening to the rumours: what the northern Nigeria polio vaccine boycott can tell us ten years on’, Global Public Health 8 (10): 1138–50.Google Scholar
Greenough, P. (1995) ‘Intimidation, coercion, and resistance in the final stages of the South Asian smallpox eradication campaign, 1973–1975’, Social Science & Medicine 41 (5): 633–45.Google Scholar
Hamagam, A. (2013) ‘Anti-polio vaccine campaigners face 10 years in jail’, Daily Trust, 6 September <http://www.dailytrust.info>, accessed 6 September 2013.Google Scholar
Ibrahim, Yahaya (2013a) ‘Tears in Maiduguri as women demand their children's whereabouts’, Daily Trust, 10 November <http://www.dailytrust.info>, accessed 10 November 2013.Google Scholar
Ibrahim, Yahaya (2013b) ‘Boko Haram: Borno residents ask FG to be sincere’, Daily Trust, 23 December <http://www.dailytrust.info>, accessed 23 December 2013.Google Scholar
Ibrahim, Yusha'u (2013) ‘No road, no polio vaccination, Saraya community vows’, Daily Trust, 7 September <http://www.dailytrust.info>, accessed 7 September 2013.Google Scholar
Idris, H. and Ibrahim, Y. (2011) ‘Borno drugs store set ablaze’, Daily Trust, 3 June <http://www.dailytrust.info>.Google Scholar
Idris, H., Matazu, H., Anwar, K., Mohammed, A., Sule, I., Saleh, A. and Hassan, T. (2013) ‘2014 budget: N/East govs dismiss FG's N2bn initiative’, Daily Trust, 25 December <http://www.dailytrust.info>, accessed 25 December 2013.Google Scholar
IRIN (2011) ‘Nigeria: jail threat for polio vaccination refuseniks’, IRIN, 11 August <http://www.irinnews.org/Report/93480/NIGERIA-Jail-threat-for-polio-vaccination-refuseniks>, accessed 1 May 2013.,+accessed+1+May+2013.>Google Scholar
Isuwa, S. (2013) ‘Kaduna engages police, SSS during polio immunization exercises’, Weekly Trust, 2 May <http://www.weeklytrust.com.ng>, accessed 2 May 2013.Google Scholar
Krishi, A. and Sule, I. (2013) ‘Reps approve emergency rule extension in 3 states’, Daily Trust, 21 November <http://www.dailytrust.info>, accessed 21 November 2013.Google Scholar
Last, M. (2008) ‘The search for security in northern Nigeria’, Africa 78 (1): 41–63.Google Scholar
Last, M. (2012) From Dissent to Dissidence: the genesis and development of reformist Islamic groups in northern Nigeria. NRN Working Paper No. 5. Oxford: Nigeria Research Network.Google Scholar
Leo, R. (2011) ‘“Preventive medicine is the way to go” – Pate’, Daily Trust, 20 September <http://www.dailytrust.info>, accessed 20 September 2011.Google Scholar
Leo, R. (2013) ‘TB, HIV/AIDS, Malaria Fund: global fund warns Nigeria’, Weekly Trust, 4 May <http://www.weeklytrust.com.ng>, accessed 4 May 2013.Google Scholar
Leo, R. and Okafor, J. L. (2012) ‘Weighty effects of birth control on polio eradication’, Daily Trust, 10 July <http://www.dailytrust.info>.Google Scholar
Leo, R. and Okafor, J. L. (2013) ‘Japan donates N443 m for child health’, Daily Trust, 19 March <http://www.dailytrust.info>.Google Scholar
Leonard, L. (2011) ‘Working “off the record”: polio eradication and state immunity in Chad’, Critical Public Health 21 (3): 257–71.Google Scholar
Lubeck, P. (2011) ‘Nigeria: mapping a Shari‘a restorationist movement’ in Hefner, R. (ed.), Shari‘a Politics: Islamic law and society in the modern world. Bloomington IN: Indiana University Press.Google Scholar
Mac-Leva, F. (2011) ‘Politicians hiding under Boko Haram to cause mischief’, Daily Trust, 18 August <http://www.dailytrust.info>, accessed 18 August 2011.Google Scholar
Magashi, A. (2013) ‘Exit of Dr Ali Muhammad Pate: pros and cons’, Daily Trust, 30 July <http://www.dailytrust.info>, accessed 30 July 2013.Google Scholar
Magone, C. (2011) ‘Public (health) relations’ in Magone, C., Neuman, M. and Weissman, B. (eds), Humanitarian Negotiations Revealed: the MSF experience. London: C. Hurst.Google Scholar
Masquelier, A. (2012) ‘Public health or public threat? Polio eradication campaigns, Islamic revival, and the materialization of state power in Niger’ in Dilger, H., Kane, A. and Langwick, S. (eds), Medicine, Mobility, and Power in Global Africa. Bloomington IN: Indiana University Press.Google Scholar
McNeil, D. Jr. (2013) ‘Gunmen kill Nigerian polio vaccine workers in echo of Pakistan attacks’, The New York Times, 9 February.Google Scholar
Mudashir, I. (2013) ‘Boko Haram: US urges Nigeria to look beyond law enforcement’, Daily Trust, 5 April <http://www.dailytrust.info>.Google Scholar
Muhammad, R. (2013) ‘Govt entices parents to allow polio immunization’, Daily Trust, 19 November <http://www.dailytrust.info>, accessed 19 November 2013.Google Scholar
Musa, H. (2012) ‘Kwankwaso fires polio officials over corruption’, Daily Trust, 8 October <http://www.dailytrust.info>, accessed 8 October 2012.Google Scholar
Musa, N. (2006) ‘56 Borno communities reject polio vaccines’, The Guardian, 23 October <http://www.ngrguardiannews.com/news/article32>, accessed 23 October 2006.Google Scholar
NAN (2013) ‘US wants Jonathan to fast-track Northeast devt plan’, Daily Trust, 19 December <http://www.dailytrust.info>, accessed 19 December 2013.,+accessed+19+December+2013.>Google Scholar
Nasiru, S., Aliyu, G., Gasasira, A., Aliyu, M., Zubair, M., Mandawari, S., Waziri, H., Nasidi, A. and El-Kamary, S. (2012) ‘Breaking community barriers to polio vaccination in Northern Nigeria: the impact of a grass roots mobilization campaign (majigi)’, Pathogens and Global Health 106 (3): 166–71.Google Scholar
National Population Commission (NPC), Nigeria, and ICF International (2013) ‘2013 Nigeria demographic and health survey: preliminary report’ <http://www.measuredhs.com>, accessed 1 February 2014.,+accessed+1+February+2014.>Google Scholar
National Primary Health Care Development Agency (NPHCDA) (2006) ‘9th Meeting of the Expert Review Committee (ERC) on Polio Eradication in Nigeria’, Abuja, 14–15 March.Google Scholar
National Primary Health Care Development Agency (NPHCDA) (2007) ‘12th Meeting of the Expert Review Committee (ERC) on Polio Eradication and Routine Immunization in Nigeria’, Abuja, 3–4 May.Google Scholar
Nossiter, A. (2013a) ‘Massacre in Nigeria spurs outcry over military tactics’, The New York Times, 30 April.Google Scholar
Nossiter, A. (2013b) ‘In Nigeria, more attacks on militants’, The New York Times, 18 May.Google Scholar
Nossiter, A. (2013c) ‘Killing people without asking who they are’, The New York Times, 6 June.Google Scholar
Obadare, E. (2005) ‘A crisis of trust: history, politics, religion and the polio controversy in Northern Nigeria’, Patterns of Prejudice 39 (3): 265–84.Google Scholar
Okafor, J. (2013) ‘Polio: at the crossroads between medicine and faith’, Daily Trust, 26 March <http://www.dailytrust.info>.Google Scholar
Olugbode, M. (2012) ‘Borno pays deceased Boko Haram leader's family N100 million’, This Day, 10 January <http://www.thisdaylive.com/articles/borno-pays-deceased-boko-haram-leader-8217-s-family-n100m/106784/>, accessed 14 January 2012.Google Scholar
Omoniyi, T. (2012) ‘Routine immunization for infants: still a battle royale’, Daily Trust, 4 June <http://www.dailytrust.info>, accessed 7 June 2012.Google Scholar
Renne, E. (2010) The Politics of Polio in Northern Nigeria. Bloomington IN: Indiana University Press.Google Scholar
Renne, E. (2012) ‘Polio in Nigeria’, History Compass 10 (7): 496–511 <http://onlinelibrary.wiley.com/doi/10.1111/j.1478-0542.2012.00859.x/abstract>, accessed 1 December 2013.Google Scholar
Sa'idu, I. (2012a) ‘Zaria's week of bomb blasts’, Weekly Trust, 6 October <http://www.weeklytrust.com.ng>, accessed 6 October 2012.Google Scholar
Sa'idu, I. (2012b) ‘JTF on house-to-house search in Zaria’, Daily Trust, 12 October <http://www.dailytrust.info>, accessed 12 October 2012.Google Scholar
Sa'idu, I. (2013) ‘Anti-polio vaccine professor alleges harassment’, Daily Trust, 5 April <http://www.dailytrust.info>.Google Scholar
Schmitt, E. (2013) ‘State Dept. calls group in Nigeria terrorists’, The New York Times, 14 November.Google Scholar
Sunday Trust (2013a) ‘NBC suspends radio license’, Sunday Trust, 24 February <http://www.sundaytrust.com.ng>, accessed 24 February 2013.,+accessed+24+February+2013.>Google Scholar
Sunday Trust (2013b) ‘Bayelsa and Ijora terrorists’ den’, Sunday Trust, 31 March <http://www.sundaytrust.com.ng>..>Google Scholar
Taylor, S. (2009) ‘Political epidemiology: strengthening socio-political analysis for mass immunisation – lessons from the smallpox and polio programmes’, Global Public Health 4 (6): 546–60.Google Scholar
Thompson, D. and Foege, W. (1968) ‘Faith Tabernacle smallpox epidemic, Abakaliki, Nigeria’. World Health Organization Library, file WHO/SE/68.3. Geneva: World Health Organization.Google Scholar
Umar, I., Ibrahim, H., Bashir, M., Idris, H. and Mac-Leva, F. (2009) ‘The story behind “Boko Haram”, sect leader died in action – police’, Sunday Trust, 1 August <http://www.dailytrust.info>, accessed 1 August 2009.Google Scholar
Vanguard (2013) ‘Nigeria: attack on health workers – police arrest three journalists in Kano’, Vanguard, 11 February <http://www.vanguardngr.com>, accessed 12 February 2013.,+accessed+12+February+2013.>Google Scholar
Wakili, I. and Mukhtar, A. (2013) ‘Jonathan to amnesty c'ttee: perform magic’, Daily Trust, 24 April <http://www.dailytrust.info>, accessed 24 April 2013.Google Scholar
Wakili, I., Hassan, T. and Idris, H. (2013) ‘President declares state of emergency … fighter jets, troops moved to Borno, Yobe, Adamawa’, Daily Trust, 15 May <http://www.dailytrust.info>, accessed 15 May 2013.Google Scholar
Walsh, D. and McNeil, D. Jr. (2012) ‘Female vaccination workers, essential in Pakistan, become prey’, The New York Times, 20 December.Google Scholar
Washington Post (2009) ‘Nigeria and Pfizer near deal on child deaths’, Washington Post, 3 April.Google Scholar
World Health Organization (WHO) (2012) Polio's Last Stand?: Report of the Independent Monitoring Board of the Global Polio Eradication Initiative. Geneva: World Health Organization <http://www.polioeradication.org>, accessed November 2012.,+accessed+November+2012.>Google Scholar
World Health Organization (WHO) (2013a) Seventh Report – May 2013: Independent Monitoring Board of the Global Polio Eradication Initiative. Geneva: World Health Organization <http://www.polioeradication.org>, accessed 6 June 2013.,+accessed+6+June+2013.>Google Scholar
World Health Organization (WHO) (2013b) Polio Eradication & Endgame Strategic Plan, 2013–2018: executive summary. Geneva: World Health Organization <http://www.polioeradication.org>, accessed 13 February 2014.,+accessed+13+February+2014.>Google Scholar