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Will Pakistan ever be able to eradicate polio?
Health workers have begun a campaign to vaccinate 9.5 million children against polio in 41 districts in Pakistan this week. This latest round of a national vaccination drive will include Islamabad and focus particularly on areas where polio-positive sewage samples have been found.
The anti-polio drive will be launched in 16 districts of Balochistan, 11 districts of Khyber Pakhtunkhwa, eight districts of Sindh, and five districts of Punjab, according to local media.
Despite major efforts to eradicate the disease in Pakistan, six cases of the highly infectious virus have already been reported this year. Further hampering the drive, vaccination teams and medical professionals have faced harassment and even physical attacks in some parts of Pakistan.
Pakistan’s PM Shehbaz Sharif, however, said the government “remains steadfast” in its aim to eradicate polio after a meeting with American billionaire philanthropist Bill Gates in Islamabad last week.
How serious a problem is polio in Pakistan?
Pakistan is one of only two countries in the world where polio is still endemic, the other being neighbouring Afghanistan, according to the World Health Organization (WHO).
The highly contagious viral disease largely affects children under the age of five. Children infected by poliovirus can suffer paralysis and in some cases death.
The South Asian nation launched a vaccination programme as part of its Polio Eradication Programme in 1994. Officials say the country used to report more than 20,000 cases annually.
Despite administering more than 300 million doses of the oral vaccine annually and spending billions of dollars, the disease is still rife across Pakistan.
This year, four vaccination campaigns targeting more than 43 million children have already been undertaken as authorities claim they are in the “last mile” of their fight against polio in the country of 235 million people.
How many cases have been reported in Pakistan?
Since 2015, Pakistan has reported 357 polio cases, including six this year. One of the victims, a two-year-old boy, died in May.
Officials said all of this year’s cases belong to the YB3A cluster, which they said originated in Afghanistan, where four cases have been reported this year.
In addition to human cases, wild poliovirus type 1 (WPV1) has frequently been detected in environmental samples taken across the country. This year, WPV1 has been found in 45 of Pakistan’s 166 districts.
How does Pakistan run its polio immunisation campaigns?
Nationwide immunisation campaigns involving more than 350,000 health workers are run in phases with vaccine desks set up at health centres and health workers going door to door. The campaigns are organised by the government-run National Emergencies Operation Center (NEOC), which has been tasked with running Pakistan’s Polio Eradication Programme.
Field workers go door to door over the course of a specified number of days, vaccinating children under the age of five.
Vaccines are also administered at land and air borders, including to adults, and on motorways connecting major cities across the country.
What are the issues facing the polio campaign?
Resistance to the polio immunisation drive grew in Pakistan after the CIA, a United States spy agency, organised a fake hepatitis vaccination drive to track al-Qaeda leader Osama bin Laden, who was killed in 2011 in Pakistan by US special forces.
Misinformation linked to religious beliefs has also been spread, claiming that the vaccine contains traces of pork and alcohol, which are forbidden in Islam.
Disinformation, agenda-driven campaigns, myths, community boycotts and mistrust in the government have also been factors behind refusals. But officials said government campaigns are helping change bad perceptions.
Health authorities in Pakistan have listed seven districts where polio is “endemic”. All seven are in the northwest, in Khyber-Pakhtunkhwa province. Officials said the security situation has been the biggest obstacle in reaching the target population in the province bordering Afghanistan.
In addition to the security situation, health officials say a target population that moves from one place to another, which may be carrying the YB3A variant, has proven to be a challenge.
Why have health workers and security officials been targeted?
Health workers and security officials accompanying them have been harassed, ridiculed, taunted, threatened and even targeted physically.
At least 102 polio field workers, officials and security personnel have been killed, including at least six in campaigns carried out this year.
In recent years, the Pakistan Taliban has killed dozens of health workers and members of the security forces involved in polio campaigns. But officials believe the reason for the violence is not the polio programme alone.
“Over the last few years, it is not the polio programme that is targeted, but unfortunately, the targets are the security personnel guarding the teams because, given the security situation in some parts of the country, they become soft targets when they are in the community,” Dr Hamid Jafari, the WHO’s director of polio eradication, told Al Jazeera.
What other issues affect the health workers?
Low pay, salary delays, lack of assistance and compassion, and tough working conditions are some of the other issues facing the field workers.
Some health workers told Al Jazeera they get paid as little as 1,360 rupees per day (about $5) for at least eight hours of work. Catch-up days when they go out in the field after the end of the campaign to vaccinate children who were missed are not paid, they said.
In addition, some polio survivors now working on the campaign do not receive help with transport or health benefits despite their conditions, leaving them to walk in poor weather and tough terrain to carry out their work.
Some staff lamented the lack of pay parity, saying people working with international organisations involved in the campaign are paid much more.
What is the outlook for the polio eradication campaign?
Dr Shahzad Baig, who was the NEOC chief until May, told Al Jazeera that the aim was to make Pakistan polio-free by 2026.
“That is our target at the moment,” he said before he was replaced.
However, after a Technical Advisory Group meeting organised by the WHO that took place in Qatar in May, there are increasing concerns over the “deteriorating situation of the disease” in the country, according to a report by Pakistan’s Dawn newspaper.
A Pakistani official quoted in the report said that at the meeting, “We faced an embarrassing situation as all the gains made by Pakistan in 2021 have been lost and the virus has re-emerged in three blocks.”
Health officials, however, remain hopeful, given that the number of positive cases has decreased significantly over the past five years – from 147 in 2019 to six so far this year.
“The programmes in Pakistan and Afghanistan are very mature and have learned a lot,” Jafari said.
“Despite changes in government and security situations, these programmes have evolved, adapted and adjusted. And that’s why they have a level of population immunity that you’re not seeing outbreaks of paralytic polio cases.
“It’s not a widespread problem across Pakistan. It’s not even a widespread geographic problem. It is now a matter of getting to these final, hard-to-reach populations. When you start reaching these populations, progress happens very fast.”
-U43648517271Shc-1440x752@IlSole24Ore-Web.jpg?r=1170x507&ssl=1 "War breaking news. Trump postpones decision: nothing after two hours in Situation Room")
Iran, Trump shares draft agreement with Israel and other allies
US President Donald Trump has circulated the draft peace agreement for the war with Iran among allies, including Israel, while attempts are underway to prevent new ceasefire violations from escalating and derailing any agreement. Meanwhile, in an effort to accelerate negotiations, Pakistan’s Foreign Minister, Mohammad Ishaq Dar, will be in Washington today to meet with his US counterpart, Marco Rubio.
Yesterday, Tehran targeted a US air base in Kuwait after Washington struck what it called an Iranian drone operation near the Strait of Hormuz, highlighting the fragility of the situation as both negotiating parties refuse to give in on the final points of disagreement. On Wednesday, Trump’s cabinet was scheduled to discuss the deal, but Axios – which reported on the terms of the deal reached – reported that the US president needed a few more days to reflect on the eventual go-ahead.
Direct military negotiations between Israel and Lebanon start today at the Pentagon
The first direct meeting between Lebanese and Israeli military delegations opens today at the Pentagon as part of the negotiations promoted by the United States after the truce that came into effect, at least on paper, in mid-April. The talks take place while Israel intensifies raids and bombardments in Lebanon, including the southern suburbs of Beirut. The Jewish state has issued several forced displacement orders to Israeli civilians in Nabatiye and Tyre, the two main Lebanese cities in the south of the country. Beirut’s armed forces come to the table with a position defined by President Joseph Aoun, who is considered close to the United States: a complete ceasefire, an end to Israeli operations, withdrawal from the occupied areas in the south, and increased army deployment along the border. Beirut also demands the release of Lebanese prisoners, the return of displaced persons, and international support for reconstruction. The meeting follows two previous negotiating sessions held in Washington on 14 and 15 May, which led to the extension of the ‘truce’ for 45 days. The United States, engaged in large-scale negotiations with Hezbollah supporter Iran, is aiming to strengthen direct military coordination between the two sides. In this sense, a new political round at the State Department is scheduled for 2 and 3 June. However, the most delicate knot remains on the table: Israel claims the right to conduct preventive operations against threats considered imminent, a formula contested by Beirut and at the centre of internal Lebanese tensions. At the same time, Washington continues to exert pressure on the Hezbollah disarmament dossier, while the Shiite movement reiterates its rejection of direct negotiations and continues its operations against the Israeli occupation forces in southern Lebanon. According to data gathered from Lebanese sources, more than 4,500 Israeli violations, more than 5,500 homes destroyed, and direct or indirect Israeli military control over more than 65 locations in South Lebanon have been recorded since the start of the mid-April ‘truce’.
Emir Qatar hears Trump, ‘priority to political and diplomatic solutions’
Qatar’s Emir Tamim bin Hamad Al Thani has asked US President Donald Trump to “prioritise political and diplomatic solutions” in the Middle East, in the context of negotiations between Washington and Tehran for a possible agreement. The request came during a phone call between the two leaders, during which international efforts to reduce tensions in the region were addressed. This was reported by the Qatari state agency Qna. Al Thani emphasised ‘the need to prioritise political and diplomatic solutions, as well as dialogue between all parties, to consolidate regional security and stability and avoid further tensions and escalation’. Washington meanwhile confirmed an agreement in principle with Iran to extend the 60-day truce and guarantee shipping in the Strait of Hormuz, but the understanding remains pending Trump’s approval and has not yet been confirmed by Tehran.
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Israeli and Lebanese military delegations opened Pentagon-mediated talks Friday morning in Washington, launching a new U.S.-brokered security coordination track aimed at preventing renewed escalation along the Israel–Lebanon border and shoring up a fragile ceasefire reached in mid-April.
A State Department official told Fox News Digital that, “As we have continuously stated, the only path to lasting peace is through direct negotiations between the two sovereign governments.”
The discussions mark a shift from diplomatic negotiations into direct military coordination, with talks expected to focus on ceasefire enforcement, border stability, Israeli withdrawal from parts of southern Lebanon and the role of the Lebanese Armed Forces in containing Hezbollah.
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Michael Needham, counselor for the U.S. Department of State, U.S. Ambassador to the United Nations Mike Waltz, Secretary of State Marco Rubio, U.S. Ambassador to Lebanon Michel Issa, Lebanese Ambassador to the U.S. Nada Hamadeh Moawad, and Israeli Ambassador to the U.S. Yechiel Leiter pose for a photo before a meeting at the State Department in Washington, D.C., on April 14, 2026. (Jacquelyn Martin/AP Photo)
The talks come weeks after a U.S.-brokered ceasefire first reached during the broader regional conflict tied to the U.S.–Iran war. While large-scale fighting has eased, Israeli forces continue operating inside parts of southern Lebanon and Hezbollah maintains drone and rocket capabilities, keeping tensions high along the border.
The ceasefire was extended on May 15 for another 45 days, creating pressure on both sides to show progress before the current arrangement expires.
But analysts say the central question overshadowing the talks is whether Lebanon can realistically curb Hezbollah’s military power without risking internal collapse.
“This will be the first meeting between representatives of the militaries since the start of the negotiation process between Lebanon and Israel,” Ahmed Sharawi, a research analyst at the Foundation for Defense of Democracies think tank, told Fox News Digital.
Representing Lebanon in the talks is Lebanese Armed Forces (LAF) commander Gen. Rodolphe Haykal, who previously served as commander of the Lebanese Armed Forces in southern Lebanon, an area where Hezbollah maintains a strong presence. Hezbollah is the Iran-backed Lebanese terrorist organization designated by the United States as a foreign terrorist organization.
“What we should expect is talks regarding de-confliction and what the expectations are for the LAF in terms of the broader disarmament plan against Hezbollah’s weapons,” he said.
Sharawi said the chances of a broader breakthrough remain limited so long as Hezbollah remains heavily armed and politically entrenched inside Lebanon.
“The biggest obstacle here is that the Lebanese state is yet to present a feasible plan to disarm Hezbollah,” he said.
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But analysts say the central question overshadowing the talks is whether Lebanon can realistically curb Hezbollah’s military power without risking internal collapse. (Ibrahim AMRO / AFP via Getty Images)
He pointed to the terms of the November 2024 ceasefire agreement, which placed responsibility for disarming Hezbollah on the Lebanese state.
“We are yet to see the confiscation of one single bullet from Hezbollah,” Sharawi said.
He also warned that Hezbollah’s deep support among Lebanon’s Shiite population complicates any attempt to move toward normalization with Israel.
“There’s a fear of a civil war,” he said. “That also accounts for the Lebanese state’s unwillingness to disarm Hezbollah.”
The talks opened as Prime Minister Benjamin Netanyahu signaled Israel intends to maintain military pressure on Hezbollah despite the negotiations.
Sharawi argued the Trump administration nevertheless appears determined to push the process forward as part of a broader effort to weaken Iranian influence in the region.
“The reason behind these meetings is that President Trump is really trying to push for a peace agreement between Israel and Lebanon,” he said. “Peace between these two countries could really undermine Hezbollah and its influence in Lebanon.”
WALTZ SAYS TRUMP HAS CREATED ‘BEST CHANCE IN OUR LIFETIME’ TO BREAK HEZBOLLAH’S GRIP ON LEBANON
Churches in the southern Lebanese town of Rmeish remained standing throughout the conflict, as residents say the community resisted Hezbollah attempts to launch rockets from the area. (Jusoor News)
Israeli analysts similarly described the talks less as a breakthrough and more as a strategic signal aimed at Hezbollah.
“The war between us and Hezbollah is continuing,” Yossi Kuperwasser, senior project manager at the Jerusalem Institute for Strategy and Security and former head of the Research Division of Israeli Military Intelligence, told Fox News Digital.
“There is no doubt the Lebanese government does not have a monopoly on the use of force in Lebanon,” he said.
‘OVERBLOWN’ REPORTS ON ISRAEL–LEBANON NORMALIZATION RISK HINDERING BORDER TALKS BEFORE THEY BEGIN: OFFICIAL
IDF troops discovered a Hezbollah weapons cache near a UNIFIL post in southern Lebanon in 2024. (IDF Spokesman’s Unit)
Kuperwasser said expectations for an immediate diplomatic breakthrough should remain low, but argued the talks themselves send an important political message.
“The purpose of these talks is first and foremost to send a message to Hezbollah and also to the Americans,” he said. “Both sides are prepared to sit together against Hezbollah and signal that they are moving, even if slowly, toward normalization between Israel and Lebanon.”
He argued Hezbollah has been weakened politically and militarily by the ongoing conflict and by growing frustration among Lebanese civilians displaced by the fighting.
“For years Hezbollah portrayed itself as the defender of Lebanon,” Kuperwasser said. “Now many Lebanese see Hezbollah as responsible for the suffering Lebanon is experiencing.”
Kuperwasser added that while Israel supports strengthening the Lebanese army, Beirut fears direct confrontation with Hezbollah could ignite another civil war.
“The Lebanese government fears military action against Hezbollah would lead to civil war,” he said. “That fear shapes everything.”
The talks also come amid mounting domestic pressure inside Israel, where critics of Netanyahu have accused the government of pursuing containment rather than decisive military victory against Hezbollah.
Speaking Friday during a visit to Israel’s northern front, Netanyahu said Israeli forces had crossed the Litani River and were operating across multiple parts of Lebanon.
“We are operating in Beirut, in the Bekaa Valley, across the entire front and striking Hezbollah hard,” Netanyahu said.
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A woman holds her dog as she walks past burned cars a day after an Israeli airstrike in Beirut, Lebanon, on April 9, 2026. (Emilio Morenatti/AP)
Meanwhile, Lebanon’s leadership is attempting to balance growing American pressure with fears of internal instability and renewed sectarian conflict.
Neither the Israeli Embassy in Washington nor the Lebanese Embassy in Washington immediately responded to requests for comment. The Pentagon did not have anything to add when asked to comment.
The United Nations has confirmed it placed Israel on a blacklist of countries suspected of committing sexual violence against civilians, and pushed back on accusations made by Israel regarding its inclusion.
The list, part of a “conflict-related sexual violence” report released on Friday, prompted Israel’s foreign ministry to say it would sever all ties with UN Secretary-General Antonio Guterres.
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Last August, the UN cited “credible information” regarding sexual violence committed by Israeli security forces against Palestinian detainees in prisons and other detention centres, and said UN inspectors had been denied access to the facilities.
“We invited the representative of the UN to come to Israel to check those ridiculous allegations. They chose not to come,” Israel’s UN Ambassador Danny Danon posted on X on Thursday.
“I never received an iota of information on measures taken by the government of Israel on implementation of the preventive measures,” Pramila Patten, the UN official who authored the report, told reporters on Friday at a briefing at the UN’s New York headquarters.
“I have made several requests in writing, and sometimes during meetings, for details about initial steps, including the issuance of orders of command information on access and information on accountability measures, but I did not get any response on the substantive aspect of the preventive measures,” she added.
Patten did confirm that there had been an invitation from Israel, but referred also to disagreements about the scope of the visit and related issues of access and cooperation, and said it ultimately had to be suspended due to Israel’s war on Gaza.
‘Multiple incidents’ in Gaza and occupied West Bank
This year’s report said that in 2025 “the United Nations verified multiple incidents of conflict-related sexual violence, including as a form of torture, inflicted against 14 men, seven women, nine boys and one girl from the Gaza Strip and the [occupied] West Bank.”
It said 13 of the attacks happened last year, and 18 in 2023 and 2024.
“Violations consisted of rape, including with objects, gang rape, attempted rape, physical violence to the genitals, instances of targeted shooting of the genitals, touching of breasts and genitals, strip and cavity searches conducted without apparent security justification, forced nudity and threats of rape,” it said.
“Rape and gang rape, in some cases repeated, were perpetrated against nine victims, the majority Palestinians from Gaza,” it said, adding that perpetrators included Israeli armed and security forces. The assaults occurred primarily during detention and interrogation in several sites, including military camps, at checkpoints and during Israeli military operations in the Occupied Palestinian Territory.
It said survivors included journalists and human rights defenders and in some cases, the violations were filmed or photographed, including one case of rape.
The report added that sexual violence against female detainees included mostly threats of rape, forced nudity, unwanted touching, and humiliating or degrading strip searches without justification, while men and boys were targeted with rape, attempted rape and violence to the genitals.
This resulted in five male victims suffering severe rectal bleeding or swelling for multiple days or weeks, it added.
Russia added to list alongside Israel
The latest UN report also contains harrowing descriptions of abuses at the hands of Russia’s military after “findings of continued patterns of sexual violence documented”.
The UN human rights monitoring mission in Ukraine had verified 310 cases of conflict-related sexual violence perpetrated by Russian armed and security forces.
It said the cases, including rape, gang rape, genital mutilation, electric shocks and beatings to the genitals, injured 280 men, 26 women and four girls.
The report’s annex lists 77 parties deemed responsible for patterns of conflict-related sexual violence, including 62 non-state actors.
New additions include three non-state armed groups operating in the Democratic Republic of the Congo.
Nearly 10,000 cases of conflict-related sexual violence were recorded worldwide last year – more than double the previous year’s figure, the report said.
Being added to the list does not automatically carry specific punitive measures such as sanctions, although public naming and shaming can cause significant reputational damage for the states involved, and those repeatedly listed are barred from UN peacekeeping operations.
Patten said the increase in cases of conflict-related sexual violence verified by the United Nations marks a very disturbing trend that was still only the “very tip of the iceberg”.
“This number can be attributed to the fact that we are going through a time when we have a record number of extremely violent conflicts, and the fact that perpetrators are feeling emboldened by a context of impunity, where this crime is almost cost-free,” she said.
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