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Polio

cas

es (t

hous

ands

)

PolioPlus Progress

Last wild

poliovirus

type 2 in

the world

Aligarh,

India

Endemic country

Children Paralyzed by Wild PoliovirusesLast 6 Months

Wild virus type 1

Country with importation case

Wild virus type 3

data at 18 Oct 2011

India: > 9 months with no polio for 1st

time in history.

India proves that…

…Rotary is right!

New Polio Strategic Plan

2010-12

New LessonsNew TacticsNew Tools

bivalent OPV

Tough, new independent

monitoring ofmilestones

Sir Liam Donaldson, Chairman

Independent Monitoring Board

Global Polio Eradication Initiative

Other Major DevelopmentsPolio-infected districts, last 6 Months

wild virus type 1

wild virus type 3

Nigeria: 95% drop in cases for >18

months

South Sudan: > 24 months with no polio.

Angola: Luanda silent for > 9 months

Other Major DevelopmentsType 3 polio cases, 2007-11*

* as of 26 October 2011

Only 5 countries in the world reported type 3 polio in the

last 6 months

Pakistan: epidemic type 1 & persistent type 3

Nigeria: Kano re-infected; 5x no. of cases in 2010

DR Congo & Chad: persistent outbreaks

Afghanistan: epidemic type 1

Setbacks & Risks

Ordinary Risks

Extraordinary Risks

Funding gaps are still a major riskUS$535 million funding gap, 2011-12

2011-12 Funding Gap:US$535 m of $2.23 B budget

Independent Monitoring Board: 'This

Programme needs greater global priority

and funding. Failure would be a disaster.'

Some Immediate PolioPlus Priorities

Re-infected countryEndemic country

Wild virus type 1 Wild virus type 3

Pakistan

• recruit 727 sub-district staff

• full strategy 'rethink'

• direct vaccinator payments

• NGO outsourcing

Nigeria

• President's 'Special Task Force'

• 1000 additional community mobilizers

• 100 additional technical staff in north

• routine EPI acceleration

Chad

• monthly President oversight

• 100 new WHO/UNICEF staff

• 5 new operational hubs

• NGO mapping/engagement

New 'surprises' & prioritiesPolio-infected districts, last 6 Months

wild virus type 1

wild virus type 3

Re-infection of Central African

Republic

Re-infection of China

Persistent, 'missed' outbreak, Kenya/Uganda

West Africa(type 3) outbreak

Commonwealth Leaders, Australia

28 October 2011

Canada Nigeria Australia United Kingdom Pakistan

>$100 millionfor polio

CanadaNigeria AustraliaUnited Kingdom Pakistan

Rotary International

Wild Poliovirus, Last 4 Months

Importation country

Endemic country

Wild virus type 1

Wild virus type 3

OpportunitiesIndia, DR Congo, Angola

Type 3 virus (esp. west Africa)

Primary RisksPakistan, Nigeria/Chad

Secondary RisksKenya/Uganda, China

The advocacy, energy & generosity of every

Rotarian is essential to reach 'every last child'.

World Polio Day24 October 2011