Comment: The authors mis-use the word

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The authors mis-use the word

The authors mis-use the word "extra" at for English language speakers. He does not mean, in "excess of" by this word. He simply means that there were 47,500 reported cases of AFP -- wild polio, vaccine-induce polio, and numerous other infections and diseases that result in weakened response. He does not cite a source for the number, although I'm not inclined to find fault with it as the WHO numbers for 2012, the only ones I could find, were 61,000.

The authors' assertion that the rise in reported AFP cases is "directly proportional" to doses of oral vaccines is being debated among the folks in the field. As the authors acknowledge in the Journal piece, much of the observed increase is attributed to the growing surveillance system -- the if-you-build-it-they-will-report-it-phenomena. Another part of it comes from a trade off India made when it embarked on this fast-and-cheap-fix eradication program. India knew and U.S. philanthropists knew that oral vaccines are inherently more risky. That's why the U.S. and other wealthy countries inject their children rather than dose our children. But the cost of supplying intravenous vaccines was about five times as much. In other words, you could save five times more children from polio by using oral vaccines. Even knowing the trade-offs, that some will die as a result, what sort of person would not proceed?

Only the person who is so mentally-encumbered as to not see the human suffering behind the numbers that no longer tally the suffering and injured. The sources you cited, were so mentally-encumbered they chose to ignore the 4,611 who did not suffer polio as a result of cheap and easy oral vaccines for the 180 who may have.

The entire reason for the sources you provided to put forth their articles was a piece that, in fact, was all for more vaccines. The authors are simply worried about the transition period. They are worried that now that India is polio free, and thus expected by the WHO to transition from cheap oral vaccines to more expensive intravenous vaccines so that it can focus on protecting the small percentage who contract oral-vaccine polio, it will fail. The authors are complaining about the U.S Government and the Gates Foundation and Rotary International eradicating wild polio and leaving India to deal with a tiny bit of vaccine-induced polio on it's own.