The Global

Polio

Eradication

Initiative

- Strategies + logistics

- Partnerships +

collaborations

India: >12 months

with no polio for

1st time in history.

IMB briefing - December 2010

Polio Eradication Strategies

Routine Immunization

Immunization

Days (NIDs)

Surveillance

Mop-ups

IMB briefing - December 2010

What happens during a National Immunization Day

(NID) for polio eradication - Example India….

• In 6 days:– 640,000 vaccination booths

– 2.3 million vaccinators

– 137,000 supervisors

– 200 million doses of vaccine

– 6.3 million ice packs in 2 million vaccine carrier bags

– 191 million homes visited

– 172 million children vaccinated

IMB briefing - December 2010

Acute flaccid paralysis

poliovirus

transversemyelitis- Barré Syndrome

other enterovirusestraumatic neuritis

Fundamentals of Polio Surveillance:The Acute Flaccid Paralysis (AFP) Syndrome

Guillain

IMB briefing - December 2010

AFP cases by month, India Jan 1997- Oct 2010*

0

1000

2000

3000

4000

5000

6000

7000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Wild Compatible Discarded Pending Others

*Data as of 9 Oct 2010

IMB briefing - December 2010

Global Polio Laboratory Network

3-tiered Network

94 National Labs

Including 30 prov. labs in China

44 ITD Reference Labs

7 Specialized Labs

(sequencing etc.)

Polio Eradication

The Polio Partnership

UN Foundation

OPV Producers, Sanofi

Gates Foundation

Australia, Austria,

Belgium, Canada, , Denmark,

Finland, France, , Germany, Ireland,

Italy, Japan, Luxembourg, Malaysia,

Netherlands, New Zealand, Norway,

Portugal, Russian Federation, Saudi

Arabia, Spain, Sweden,

U.A.E., U.K., USA

World Bank

ADB, EC

Rotary, WHO

CDC, UNICEF

Political Bodies

UN, OIC, AU, G8,

Commonwealth,

SAARC, EU

Technical Agencies

CDC, ERC, NIV, RIVM

NIID, NIBSC, KTL

NGOs

e.g. MSF, CPHA,

CARE, CORE

Red Crescent

& Red Cross

SocietiesHealth

Ministries

Community surveillance for AFP: Afghanistan