<p><strong>Dream of Polio Free Pakistan - when will it become a reality?</strong></p>

Pakistan is one of the two endemic countries for polio, reporting co-circulation WPV1 and cVDPV2. classified by International Health Regulations (IHR) as a state infected with Wild Poliovirus type 1 (WPV1) circulating Vaccine derived poliovirus 2 (cVDPV2) potential risk international spread. We describe an ongoing outbreak in North Waziristan district southern Khyber Pakhtunkhwa (KP) province last documented The first case was month April 2022, after more than year polio free status. Since then, 20 cases total have been reported, which 87 percent had never received OPV through essential immunization. Major reasons might be responsible Pakistan’s failure eradication including governance issues, lack health facilities, low routine immunization, or refusal security threat to immunization staff, extensive public movement, presence reservoirs/zones border regions Afghanistan. struggle against further fuelled COVID-19 pandemic brought standstill immunizations. Global Polio Eradication stems from reintroduction emergence vaccine (cVDPV) polio-free countries. Hence, control cVDPV2 transmission concern.