THIS is with reference to the report “Three more cases of poliovirus take year’s tally to 55” (Nov 25). The report is deeply concerning and reflects poorly on the state of health for children in Pakistan. The alarming surge in polio cases underscores the inefficacy of the current vaccination programme, though it has yielded some positive results. The polio cases rose dramatically from three in 2022 to six in 2023 and now 55 in 2024. The year is not yet over, mind you. Mainstream and social media reports indicate that some vaccination workers mark children’s fingers without vaccine administration and, thus, leave thousands of children unvaccinated. This dangerous practice undermines the entire programme and may lead to an even greater rise in cases. Environmental samples show alarming data, with over 400 positive traces of the virus detected, which suggests that the actual number of cases may be far higher than reported. The constant movement of people across the country, including infected children, only exacerbates the spread of the virus. Given Pakistan’s large population and inadequate sanitation system, including open sewers and substandard cleanliness in many communities, an effective and genuine mass vaccination campaign is the only way forward towards eradicating polio. Without decisive action, the situation will become increasingly difficult to control. One potential solution could be to enlist college and university students to assist in the vaccination drive, as this role requires commitment and integrity. Additionally, in the more challenging northern regions of the country, where access is difficult, the government may deploy army personnel to support vaccination efforts. We must win this battle against polio, no matter how hard it is. With sincerity and due dedication, Pakistan can, and should, eradicate polio once and for all.