0

100

200

300

400

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Polio

cas

es (t

hous

ands

)

Polio Eradication Progress

Last wild

poliovirus

type 2 in

the world

PolioPlus is born!

Philadelphia, 1988

India

Nigeria

19882006

Polio Eradication Progress

Problems

4 countries never stopped polio

>40 countries had importations

World Health Assembly Resolution 2008

'Requests the Director General to develop a new strategy to eradicate poliomyelitis…'. Independent evaluation

New tactics assessed

New vaccines evaluated

New Tactics in Nigeria: engaging sub-national & local leaders

June: Sultan of Sokoto constitutes Polio Committee

February: Nigeria's state Governors sign'Abuja Commitments on Polio'

Rotariansin action for

Polio Plus!

Nigeria High-Level Advocacy, 2009

New Tactics in India: reaching children in central Bihar in 2009

2008-9

0

50000

100000

150000

200000

250000

300000

Ma

y'0

7

De

c'0

7

Ma

y'0

8

Ma

r'0

9

Ma

y'0

9

Au

g'0

9

No

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c'0

9

Ja

n'1

0

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b'1

0

SIA Rounds

No

. o

f fi

eld

hu

t cl

ust

ers

Increased human resources, logistic & microplanning

District-planning WorkshopKabul, Afghanistan

June 2010

Rotary'sPolioPlusin action!

New bivalent OPV (bOPV): 2009-10

71%

49%

86%

53%

0

10

20

30

40

50

60

70

80

90

100

tOPV bOPV tOPV bOPV

Pro

tec

tio

n a

fte

r 2

do

se

s (

%)

Type 1 Type 3

1st bOPV campaignAfghanistan

16 December 2009

New Polio Strategic Plan

2010-12

Polio cases last 12 months

Polio cases last 4 months

Data at WHO/Geneva as of 29 September 2010

Strategic Plan: Impact (12 & 4 months)

Year to date comparison, 2009-10

Rotariansin action for

Polio Plus!

PolioPlus funds were KEY to progress in Africa

West & Central Africa:19-country synchronized NID that is

stopping that outbreak

Horn of Africa: technical assistance that was fundamental to stopping

that outbreak

Nigeria: operations costs that were key to the recent

collapse in cases

Rotariansin action forPolioPlus!

India Reservoir Areas

PolioPlus funds were KEY to progress in Asia

India: paid for field operations & external monitors, both key to recent progress in UP & Bihar

AFG & PAK: supported 1st use of the new 'bivalent' OPV

Tajikistan: allowed 1st response to the new outbreak

Consequences of failing to finishTajikistan Outbreak at 29 September 2010

SIARound 1

SIARound 2

SIARound 3

SIARound 4

The new Strategic Plan is already stopping polio

globally.

New Support for PolioPlus

UN Secretary-General 'Days of Tranquility'

US President ObamaCollaboration with the Organization of Islamic Conference (OIC)

Mr Bill Gates Advocacy & Financing

Rotary is at the center of the largest, international health effort in history:

PolioPlus!

Many Nigerian children are still unvaccinated & the poliovirus

will find them if you don't!

Data at 29 Sept 2010

Pakistan & Afghanistan

The good news• district-specific plans• Karachi & Quetta progress• environmental sampling• FATA/KPK Crisis Task Force

District-planning WorkshopKabul, Afghanistan

June 2010

KARACHI (3 highest risk towns: Gadapp, Baldia

& Gulshan-e-Iqbal)

CENTRAL KP/FATAKhyber, Bajour, Mohmand &

Peshawar

QUETTA BLOCKQuetta, Pishin & Killa

Abdullah

Persistent Transmission Zones

Sindh

Balochistan

District / Agency /

Town

Jan SNIDs

FebNIDs

MarSNIDs

Apr NIDs

May SNIDs

JulNIDs

Karachi 3 highest risk towns

Baldia 86 90 82 95 90 90Gulshan 91 93 96 96 95 97Gadap 72 91 91 90 91 97

Quetta block

Quetta 80 91 91 92 92 92Killa Abd. 86 83 88 89 87 90Pishin 88 93 91 91 92 91

Central KP-FATA*

Khyber 45 40 39 41 41 40Bajour 46 46 65 75 83 83Mohmand 75 74 78 79 78 80Peshawar 92 93 88 95 95 96

Milestone 3: Pakistan & AfghanistanThe Damage

• 57% of districts affected• 17 million people moving• health/public infrastructure

The Polio Risks• campaigns interrupted• flood route: from FATA/KPK reservoir to polio-free districts• huge movements of people from infected to polio-free areas

Gov't of Pakistan Response

• added OPV to emerg measles rds

• expanded Sept SNID to NID

• establish FATA-specific strategy• direct military talks for access

• local Days of Tranquility

• engage ICRC & IFRC

• expand dialogue w local NGOs

• engage local parliamentarians

NIDs Sep/Oct 2010Phase I (27-29 Sep) Phase II (11-13 Oct)

Phase 1 tOPV

Phase 1 bOPV

Phase 2 bOPV(measles roundSept + mOPV1)

Rotarians are even more essential to get to the finish line!!

Rotarians were essential to get to the last hurdle in polio eradication

"No Nigerian wants their child to be paralysed for life."

Minister of Health, Nigeria, May 2008

'Eradication attacks inequities & provides

the ultimate in social justice.'Dr Bill Foege

Former Director, CDC

New Tactics in India: reaching children in central Bihar

2009

'Today, I declare the war against polio in Chad'

H.E. the President of Chad M. Idress Deby6 March 2010

Saudi Arabia knows this! Requires proof of OPV for all

travellers from Nigeria.

Our joint task

Better Vaccines

August 2009President Zardari of Pakistan accepts

Rotary Award & pledges to finish polio

His Excellency the President of Cote d'IvoireSigns Rotary's 'Kick Polio Out of Africa' Ball