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LONDON — For the first time ever, the World Health Organization on Monday declared the spread of polio an international public health emergency that could grow in the next few months and unravel the nearly three-decade effort to eradicate the crippling disease.

The agency described current polio outbreaks across at least 10 countries in Asia, Africa and the Middle East as an “extraordinary event” that required a coordinated international response. It identified Pakistan, Syria and Cameroon as having allowed the virus to spread beyond their borders, and recommended that those three governments require citizens to obtain a certificate proving they have been vaccinated for polio before traveling abroad.

“Until it is eradicated, polio will continue to spread internationally, find and paralyze susceptible kids,” said Dr. Bruce Aylward, who leads WHO’s polio efforts.

Critics, however, questioned whether Monday’s announcement would make much of a difference, given the limits faced by governments confronting not only polio but armed insurrection and widespread poverty.

“What happens when you continue whipping a horse to go ever faster, no matter how rapidly he is already running?” said Dr. Donald A. Henderson, who led the WHO’s initiative to get rid of smallpox, the only human disease ever to have been eradicated.

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