Dr. Chris EliasPresident, Global Development Program

November 6, 2013

POLIO UPDATEROTARY CLUB OF SEATTLE

WORLD POLIO DAY PRESENTATION

James BirchOctober 18, 2014

OUR HISTORY

Bill and Melindaread an article about rotavirus.

They officially create the foundation.

1998 2000 2006 2008

Bill joins Melinda full-time at the foundation.

Warren Buffett decides to give Berkshire Hathaway stock.

OVERVIEW OF BILL & MELINDA GATES FOUNDATION

GLOBAL HEALTH GLOBAL DEVELOPMENT UNITED STATES PROGRAM

GLOBAL POLICY & ADVOCACY COMMUNICATIONS

© 2014 Bill & Melinda Gates Foundation | 3

© 2014 Bill & Melinda Gates Foundation | 4

HOW FOUNDATION PROGRAMS WORK TOGETHER

Emergency Relief

HIV

Malaria

Tuberculosis

Neglected Infectious Diseases

Pneumonia

Global HealthFunctional Areas

Global DevelopmentFunctional Areas

Discovery & Translational

Sciences

Vaccine Development

Integrated Development

Vaccine

Delivery

Integrated Delivery

Agricultural Development

Global Program Strategies

Global Policy & Advocacy/Geographies

Polio

Financial Services for the

Poor

Water, Sanitation &

Hygiene

Family Planning

Life Sciences Partnerships

Multilateral Partnerships

Global Libraries

Family Health

Enteric & Diarrheal Diseases

5October 16, 2014

Rotary and Gates Foundation Partnership

1970s 2009

Rotary drives and sponsors first polio campaigns in Philippines and Americas

$200 million Challenge Grant

2007

Polio becomes a strategy for the Gates Foundation

2012-2013

Current Rotary/Gates

Challenge

Rotarians meet challenge!

Current Challenge

•$2 from Gates Foundation for every $1 contributed by Rotarians

•Money released to support on-the-ground activities almost immediately

•Total value is up to $105 million per year

1988

World Health Assembly adopts resolution to eradicate polio

2014

GPEI PARTNERSHIP

Polio Oversight Board

(POB)

Polio Steering

Committee

Imm Systems Mgmt

Group (IMG)

Finance Working

Group (FWG)

Legacy Working

Group (LWG)

Polio Advocacy Group

(PAG)

Eradication Mgmt

Group (EMG)

Partners:•WHO

•UNICEF

•CDC

•Rotary

•BGMF

Data in WHO HQ as of 7 October 2014

Country with WPV case in previous 6 months

Endemic country

Country with WPV case 6-12 months ago

Poliovirus type 1Poliovirus type 3

ARE WE GETTING CLOSE TO STOPPING POLIO?

• No Type 3 virus globally since Nov 2012

• Progress apparent in Nigeria with

only 6 cases in 2014 as compared to 49 at the same time last year

• Apparent successful response in

Iraq and Syria – no cases in >6 months

• Cameroon, Eq. Guinea outbreak

• More than 200 cases in Pakistan

in 2014

Cases Year to Date1

2014: 222

2013: 282

8

DRAMATIC PROGRESS: ANNUAL GLOBAL POLIO CASE BURDEN

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

*

2010

2011

2012

2013

Num

ber (

thou

sand

s)

Americas

certified

polio free

Last case

in China

Last cases in

Pacific &

Euro regionsType 2 polio

eradicatedmOPV

vaccine

bOPV

vaccine

WHA

Resolution

to eradicate

polio

Source: WHO/Polio database

Core component of this progress – constant efforts to improve each program to the point that it delivers vaccine to every child in each country – striving for high SIA and surveillance quality

99% REDUCTION in number

of cases

0

500

1000

1500

2000

2500

3000

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

20

14

Nu

mb

er

9

THE LAST 1% IS THE HARDEST

Source: WHO/Polio database, data as of March 2014

Annual Global Wild Poliovirus Case Burden, 2000-2013

Last Type

2 polio

case

mOPV

vaccine

bOPV

vaccine

OUR NEW OPERATING ENVIRONMENT

12

POLIO PROGRAM VICTORIES THIS YEAR

• India was officially certified as polio-free in March, making the entire South East Asia region (11 countries total) free of the virus

• 90% decrease in polio cases in Africa since 2013

• Only 6 cases in Nigeria in 2014, compared to 47 at this time in 2013.

• Strong outbreak response

• 0 polio cases in Syria since February 2014, after an aggressive response to a 2013 polio outbreak slowed the spread of the disease

• 3 million children vaccinated within Syria since October 2013

• 25 million children vaccinated across 7 countries in the Middle East between December 2013 and June 2014, the largest vaccination campaign ever in the region

• 6 polio cases in 2014 in the Horn of Africa, a region which last year had 217 cases

• 2 of the 3 poliovirus strains likely eradicated (no cases of WPV3 since November of 2012)

• In September 2014, a mullti-country polio vaccination campaign launched targeting 94 million children across 18 countries in West and Central Africa

13

KEY PRIORITIES FOR 2015

• Need for continued/renewed political commitment in Pakistan, Nigeria, Afghanistan,

Central Africa

• Elections in Nigeria

• New government in Afghanistan

• Uncertainty in Pakistan

• Continued support from GPEI donors

• Need for continued progress in reaching inaccessible children

14

“The world would not be where it is without Rotary and it won’t get where it needs without Rotary.” --- Bill Gates

October 16, 2014

Slide Courtesy: Melissa Covelli West, Gates

Foundation