Polio Cases Surge in Afghanistan with 42 Reports in 2026
As World Polio Day is observed, Afghanistan and Pakistan face significant challenges in eradicating polio, with rising cases and ongoing transmission.
Afghanistan reported 42 polio cases in 2026, doubling from 2025.
Pakistan saw a decline in cases, reporting six this year compared to 31 last year.
Political instability and vaccination gaps hinder eradication efforts in both countries.
On World Polio Day, Afghanistan and Pakistan continue to grapple with the persistent threat of polio, with Afghanistan emerging as a critical concern this year. The country has recorded 42 cases of wild poliovirus type 1 in 2026, a significant increase from the 21 cases reported throughout 2025. In contrast, Pakistan has reported six cases, a notable decrease from 31 in the previous year. Together, the two nations have documented 48 cases so far this year, slightly lower than the 52 cases reported in all of 2025.
The resurgence of polio in these regions follows a troubling trend. In 2023, both countries reported only 12 cases, but the total surged to 99 in 2024, underscoring the fragility of the progress made against the virus. Environmental samples continue to detect wild poliovirus, indicating that the virus is still circulating in areas without reported paralysis cases. This highlights the urgent need for comprehensive vaccination efforts to reach every child, especially in high-risk areas plagued by insecurity and mistrust.
Dr. Sunil Sareen, a pediatrician, emphasized that political instability and uneven vaccination coverage have severely hampered efforts to immunize children in vulnerable regions. He noted that even a small number of unvaccinated children can contribute to the spread of the disease. The World Health Organization (WHO) has warned that if eradication efforts fail, polio could lead to 200,000 new cases annually worldwide within a decade, with the virus already detected in sewage samples as far away as Germany.
The global initiative to eradicate polio began in 1988, leading to a dramatic decline in cases worldwide. However, Afghanistan and Pakistan remain the last strongholds of the virus, with both countries needing to address the gaps in vaccination coverage. The WHO committee has identified critical areas of ongoing transmission, particularly in southern Afghanistan and parts of Pakistan, where access to vaccination remains limited. The movement of people between these countries further complicates eradication efforts, as returnees may carry the virus back into Afghanistan.
Looking ahead, the Global Polio Eradication Initiative faces funding challenges, with a 30% budget cut for 2026. Despite this, organizations like Rotary and the Gates Foundation have pledged significant financial support. Experts stress the importance of sustained funding, community engagement, and innovative vaccination strategies to combat the virus and prevent its resurgence in neighboring countries, including India, which must maintain high immunization rates to mitigate the risk of reintroduction.

