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1999: one of the 3 types of polio eradicated. PolioPlus is launched. Polio Cases, 1985-2009*. Source: WHO/Polio database, data as of November 2009 193 WHO Member States. 2006. 1988. Endemic areas. Recurrent importations. 2009.
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1999: one of the 3 types of polio eradicated PolioPlus is launched Polio Cases, 1985-2009* Source: WHO/Polio database, data as of November 2009 193 WHO Member States.
2006 1988 Endemic areas Recurrent importations 2009 PolioPlus Progress: all but 4 countries had eradicated all 3 polioviruses by 2006
A New PolioPlus Programme in 2009 • new tactics to reach all children. • new vaccines to improve impact. • An Independent Evaluation of Barriers.
February: Nigeria's state Governors sign 'Abuja Commitments on Polio' June: Sultan of Sokoto constitutes Polio Committee New Tactics in Nigeria: engaging sub-national & local leaders
Impact: major drop in type 1 polio, north Nigeria 3rd Quarter 2008 4th Quarter 2008 1st Quarter 2009 4th Quarter 2009 3rd Quarter 2009 2nd Quarter 2009
Nigeria High-Level Advocacy, 2009 Rotarians in action for Polio Plus!
New Tactics in India:reaching children in central Bihar 2009
Vaccinators & monitors must walk miles through water, sand, mud and grass to reach villages…
New Tactics: establish PolioPlus 'satellite offices' Impact: many new homes reached.
Impact: all except 1 genetic lineage of the type 1 poliovirus has been eradicated! 2006 2007 2008 2009* Grey 1 Grey 2 Grey 3 Black 1 Black 2 Pink 1 Yellow 2 Yellow 3 Yellow 4 Grey 1 Grey 2 Grey 3 Black 1 Pink 1 Yellow 2 Yellow 3 29 14 1 1 32 3 2 2 2 71 Grey 1 Grey 2 89 38 2 11 12 459 11 14 4 Pink 1 18 Pink 1 *as of Oct, 2009
Rotarians in action for PolioPlus! India Reservoir Areas
Polio is now very focal in bothAfghanistan & Pakistan Polio persists due to security & accountability problems
Taliban:'allow children to be immunized for polio'.September 2009 New Tactics in Afghanistan: enhancing access in the south NATO/ISAF: 'Days of Tranquility for polio'.October 2009
New Tactics in Pakistan:enhancing accountability February 2009 Prime Minister's Polio Action Plan August 2009 President Zardari accepts Rotary Award & pledges to finish polio
October 2009, Pakistan President Zardari opens NIDs
Afghanistan-Pakistan Border Rotary's PolioPlus in action!
A New Vaccine: 'bivalent oral polio vaccine' (bOPV) increases impact & simplifies logistics Impact of 2 doses of bOPV vs. tOPV New bOPV Vaccine Type 1 polio Type 3 polio
New Support for PolioPlus US President Obama Collaboration with the Organization of Islamic Conference (OIC) UN Secretary-General 'Days of Tranquility' Mr Bill Gates Advocacy & Financing
Polio Eradication Financing G8 49% Domestic Resources 13% Multilateral Sector 12% Non-G8 OECD/ Other 4% Private Sector 22% 2009-10 Funding Gap: US$ 220m of $1.51 B budget ‘Other’ includes: the Governments of Angola, Austria, Australia, Azerbaijan, Belgium, Brunei, Czech Republic, Cyprus, Finland, Hungary, Iceland, Ireland, Kuwait, Liechtenstein, Luxembourg, Malaysia, Mali, Malta, Monaco, Namibia, New Zealand, Oman, Portugal, Qatar, Republic of Korea, Saudi Arabia,Singapore, Spain, Switzerland, Turkey, the United Arab Emirates,Yemen; African Development Bank; AG Fund; American Red Cross; De Beers, Inter-American Development Bank, Central Emergency Response Fund (CERF), International Federation of Red Cross and Red Crescent Societies, Oil for Food Programme, OPEC Fund, Sanofi Pasteur; Saudi Arabian Red Crescent Society, Smith Kline Biologicals, UNICEF National Committees, UNICEF Regular and Other Resources, United Arab Emirates Red Crescent Society, Shinnyo-en WHO Regular Budget and Wyeth .
Int'l Spread of Polio from Nigeria (& Chad, Sudan) from India (& Angola) type 1 type 3 types 1 & 3 Polio-reporting districts, last 6 months* * 11 May– 10 Nov 2009