Pakistan launches final nationwide polio drive of 2025 to vaccinate 45 million children

A health worker administers polio drops to a child for vaccination on the first day of a nationwide week-long poliovirus eradication campaign in Karachi on October 13, 2025. (AFP/File)
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Updated 11 December 2025
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Pakistan launches final nationwide polio drive of 2025 to vaccinate 45 million children

  • Campaign comes as Pakistan records 30 polio cases this year, one of only two countries where virus is endemic
  • Health minister urges parents to welcome vaccinators as insecurity, misinformation hinder eradication efforts

ISLAMABAD: Pakistan on Thursday launched its final polio vaccination campaign of the year, with Health Minister Mustafa Kamal administering drops to children under five as part of a nationwide effort to reach 45 million children, the country’s polio program said.

The Dec. 15–21 drive is part of Pakistan’s decades-long struggle to eliminate wild poliovirus. Pakistan and neighboring Afghanistan are the only two countries where the virus remains endemic, keeping global eradication efforts at risk.

Pakistan has reported 30 polio cases so far this year. The incurable and highly infectious virus can cause lifelong paralysis and can only be prevented through repeated oral vaccinations and routine immunization, health officials say.

“I want to take this opportunity to speak directly to parents and caregivers. When our polio vaccinator knocks at your door, I urge you to welcome them in and ensure that every child under five in your house receives two drops of this essential vaccine,” the polio program quoted Health Minister Kamal as saying.

“I also urge you to advocate for vaccination in your families and communities and create a welcoming environment for our vaccinators.”

The new campaign comes days after Pakistan conducted a nationwide measles, rubella and polio vaccination drive from Nov. 17–29, which targeted 22.9 million children across 89 high-risk districts.

Pakistan recorded 74 polio cases in 2024, a steep rise from six in 2023 and just one in 2021, underscoring the volatility of eradication efforts in a country where misinformation, vaccine hesitancy and political instability have repeatedly disrupted progress.

Violence has also hampered the program. Polio teams and their security escorts have been attacked frequently by militants and religious hard-liners in parts of northwestern Khyber Pakhtunkhwa and southwestern Balochistan. Officials say continued security threats, coupled with natural disasters such as recent flooding, pose major obstacles to reaching every child.

Pakistan has drastically reduced polio prevalence since the 1990s, when annual cases exceeded 20,000. By 2018, the number had fallen to eight. But health authorities warn that without consistent access to children, particularly in high-risk, underserved region, eradication will remain out of reach.


IMF warns against policy slippage amid weak recovery as it clears $1.2 billion for Pakistan

Updated 11 December 2025
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IMF warns against policy slippage amid weak recovery as it clears $1.2 billion for Pakistan

  • Pakistan rebuilt reserves, cut its deficit and slowed inflation sharply over the past one year
  • Fund says climate shocks, energy debt, stalled reforms threaten stability despite recent gains

ISLAMABAD: Pakistan’s economic recovery remains fragile despite a year of painful stabilization measures that helped pull the country back from the brink of default, the International Monetary Fund (IMF) warned on Thursday, after it approved a fresh $1.2 billion disbursement under its ongoing loan program.

The approval covers the second review of Pakistan’s Extended Fund Facility (EFF) and the first review of its climate-focused Resilience and Sustainability Facility (RSF), bringing total disbursements since last year to about $3.3 billion.

Pakistan entered the IMF program in September 2024 after years of weak revenues, soaring fiscal deficits, import controls, currency depletion and repeated climate shocks left the economy close to external default. A smaller stopgap arrangement earlier that year helped avert immediate default, but the current 37-month program was designed to restore macroeconomic stability through strict monetary tightening, currency adjustments, subsidy rationalization and aggressive revenue measures.

The IMF’s new review shows that Pakistan has delivered significant gains since then. Growth recovered to 3 percent last year after shrinking the year before. Inflation fell from over 23 percent to low single digits before rising again after this year’s floods. The current account posted its first surplus in 14 years, helped by stronger remittances and a sharp reduction in imports. And the government delivered a primary budget surplus of 1.3 percent of GDP, a key program requirement. Foreign exchange reserves, which had dropped dangerously low in 2023, rose from US$9.4 billion to US$14.5 billion by June.

“Pakistan’s reform implementation under the EFF arrangement has helped preserve macroeconomic stability in the face of several recent shocks,” IMF Deputy Managing Director Nigel Clarke said in a statement after the Board meeting.

But he warned that Islamabad must “maintain prudent policies” and accelerate reforms needed for private-sector-led and sustainable growth.

The Fund noted that the 2025 monsoon floods, affecting nearly seven million people, damaging housing, livestock and key crops, and displacing more than four million, have set back the recovery. The IMF now expects GDP growth in FY26 to be slightly lower and forecasts inflation to rise to 8–10 percent in the coming months as food prices adjust.

The review warns Pakistan against relaxing monetary or fiscal discipline prematurely. It urges the State Bank to keep policy “appropriately tight,” allow exchange-rate flexibility and improve communication. Islamabad must also continue raising revenues, broadening the tax base and protecting social spending, the Fund said.

Despite the progress, Pakistan’s structural weaknesses remain severe.

Power-sector circular debt stands at about $5.7 billion, and gas-sector arrears have climbed to $11.3 billion despite tariff adjustments. Reform of state-owned enterprises has slowed, including delays in privatizing loss-making electricity distributors and Pakistan International Airlines. Key governance and anti-corruption reforms have also been pushed back.

The IMF welcomed Pakistan’s expansion of its flagship Benazir Income Support Program, which raises cash transfers for low-income families and expands coverage, saying social protection is essential as climate shocks intensify. But it warned that high public debt, about 72 percent of GDP, thin external buffers and climate exposure leave the country vulnerable if reform momentum weakens.

The Fund said Pakistan’s challenge now is to convert short-term stabilization into sustained recovery after years of economic volatility, with its ability to maintain discipline, rather than the size of external financing alone, determining the durability of its gains.