The world nearly beat polio. But fake records, an imperfect vaccine and missteps aided its comeback

August 8, 2025

Globe showing the Indian Ocean and surrounding countries

(AP) – Afghanistan and Pakistan remain the only countries where transmission of polio — which is highly infectious, affects mainly children under 5, and can cause irreversible paralysis within hours — has never been interrupted. The worldwide campaign has focused most of its attention and funding there for the past decade.

But in its quest to eliminate the disease, the Global Polio Eradication Initiative has been derailed by mismanagement and what insiders describe as blind allegiance to an outdated strategy and a problematic oral vaccine, according to workers, polio experts and internal materials obtained by The Associated Press. (Read More)