Polio eradication2016 update

Joseph M Reardon, MDDistrict PolioPlus Chair, Raleigh/Durhamwith thanks to Greg Landry, JD; Rotary District 6200

• Brief History of Polio Eradication

• Current Statistics

• 2015 Successes

• Current Challenges

• Web of Eradication

• 2016 Needs

• Why we must succeed: Vaccine-resistant polio

AGENDA

Polio Eradication is Rotary’s Signature

• Smallpox eradication timeline from

start to finish: 19581979

• 1955: Salk & Sabin vaccines

• 1985: Rotary, CDC, Pan-American

Health Organization start to rid

Western Hemisphere of polio

• 1988: WHO expands the initiative

globally

• 2003: Setbacks in Nigeria

• 2013: Getting on track

Ordinary Challenges

Eradication is cost-effective

Cost-Effectiveness = ____Total Cost____

Years of life saved

Intervention Cost-Effectiveness

Chemo for adolescent lymphoma $2,000-$3,000/yr of life

C-sections $300-400/yr of life

Combined measles / tetanus / diphtheria vaccines, etc

$10-400/yr of life

Polio eradication Up-front cost / ∞ = ~$0 per yr of life saved

0

2

4

6

8

10

12

14

16

18

20

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

Po

lio c

ases

(th

ou

san

ds)

PolioPlus ProgressLast wild

poliovirus

type 2 in

the world

Last wild

poliovirus

type 3 in

the world

2016 Polio Cases as of Jan 27

0

1

2

3

4

2015 Cases 2016 Cases

Endemic Countries Non-Endemic Countries

ZERO

2016 Updates

• We are making progress.

– No polio in Africa, no more type 2 or 3 virus

• We have better tools.

– Better case tracking, environmental surveillance

– National & Supplemental Immunization Days

– Unprecedented vaccination agreements with the Taliban

• We have new challenges.

– 2015 Afghanistan/Pakistan Earthquake

Source: Daily Pioneer, India

2016: Elimination of Oral Polio Vaccine

April 2016: All countries

using injectable vaccineGoing Away: Oral Vaccine

The Last Frontier

Web of Eradication

Vaccine Efficacy

Cold Chain

Logistics

Refugee Health

Maternal & Child Survival Drone

War

Public Relations / Confidence

Peacemaking

Preventing Transmission

Eradication

Water and Sanitation

TribalWar

Economic Development

Funding Gap

Funding Gap

0

2

4

6

8

10

12

14

16

18

20

2014 2015

$ (

Mill

ion

s)PolioPlus Contributions

Ways to Support Polio Eradication

**Contributions ARE eligible for Paul Harris Fellowship!!

• Members from every club in the District on the Committee!

• District-level leadership opportunity (and no in-person meeting requirements!)

• Email the Chair to join or find us on directory-online.com

Raleigh / Durham Area PolioPlus Committee

Karen Kratz

Web Site

Joe Reardon, MD

Chair

Vandana Dake

Vice-Chair

PDG Leigh Hudson

Chair-Elect

Dilshad Jaff, MD

Club Outreach

www.rotarypolioprint.com

Every Last Child

The advocacy, energy &

generosity of every

Rotarian is essential to

reach 'every last child'.

Concerning outbreaks on the horizon…

Vaccine-Resistant Poliomyelitis

“Robustness against serum

neutralization of a poliovirus type 1

from a lethal epidemic of poliomyelitis

in the Republic of Congo in 2010”

• 45% mortality

• Those who died were already

vaccinated