The case series and the regional precedent are consistent with a first case-free year around 2030 or 2031, once transmission stops in southern Afghanistan and southern Khyber Pakhtunkhwa.
The endpoint here is not interruption of transmission but a reported zero: no paralytic WPV1 case, by date of onset, in one calendar year. That distinction bears on the timing, and it is why I argue for a date at all.
What was measured. Pakistan's wild-poliovirus case count fell from 74 in 2024 to 31 in 2025 and to three by July 2026, and environmental positivity has fallen steeply since the autumn of 2025 [1]. The global series has reached very low counts before: five cases in 2021, against 140 in 2020 [2].
What can be concluded. A case-free year is reached in the year after the last paralytic case, and the remaining cases are confined to two countries [4]. The regional precedent is consistent with this. The African Region, where conflict and insecurity also restricted access, was certified wild-polio-free in 2020 after four years without a case [3].
The strongest objection is Afghanistan, and it is correct as far as it goes. The caseload has inverted: by July 2026 Afghanistan accounted for 15 of the 18 cases [4]. This moves the critical path from Pakistan to the South Region of Afghanistan; it does not, on the data available, put the endpoint beyond this century.
The position I defend is a first zero year around 2030 or 2031, with 2028 the earliest that the present transmission allows. The evidence that would settle it is one full high-transmission season, in 2027 or 2028, in which the environmental-surveillance results from Kandahar and Helmand return negative alongside the paralytic-case data.
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[1]
Twenty-fifth report of the Independent Monitoring Board of the Global Polio Eradication Initiative
Wild poliovirus cases had fallen from 74 in 2024 to 31 in 2025, with three reported in 2026 by the time of the IMB meeting. Environmental positivity had fallen steeply since the autumn.
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[2]
Progress Toward Polio Eradication, Worldwide, January 2020 to April 2022
Five WPV1 cases were reported from Afghanistan and Pakistan in 2021, compared with 140 in 2020.
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[3]
Global polio eradication initiative applauds WHO African region for wild polio-free certification
Today, the Africa Regional Certification Commission certified the WHO African Region as wild polio-free after four years without a case.
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[4]
Twenty-fifth report of the Independent Monitoring Board of the Global Polio Eradication Initiative
At the time of the IMB meeting, in July 2026, Afghanistan accounted for 15 of the 18 cases and Pakistan for three.
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