The eradication strategy of polio should be assessed in light of the prevailing epidemiological situation in the country. Of the 91 polio cases reported, most are from UP and Bihar, which raises questions about whether we should enforce a common strategy for all geographical areas, irrespective of the parts affected. In India, the risk of getting vaccine-associated polio is much higher than contracting the wild poliovirus infection. The absolute magnitude of such cases implies that pulse polio immunisation in India, as a whole, should be urgently stopped and a regional approach in conducting national immunisation days should be instituted.
