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Rotary Foundation Seminar Polio Eradication. From left Canadian PM Stephen Harper, Nigerian President Goodluck Jonathan, Australian PM Julia Gillard PM.

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Presentation on theme: "Rotary Foundation Seminar Polio Eradication. From left Canadian PM Stephen Harper, Nigerian President Goodluck Jonathan, Australian PM Julia Gillard PM."— Presentation transcript:

1 Rotary Foundation Seminar Polio Eradication

2 From left Canadian PM Stephen Harper, Nigerian President Goodluck Jonathan, Australian PM Julia Gillard PM David Cameron - UK and PM Yousuf Raza Gilani of Pakistan. Over $100 million in pledges for polio eradication at Commonwealth meeting

3 Rotary Foundation Seminar Polio Eradication GPEI-Global Polio Eradication Initiative WHO-World Health Organisation UNICEF-United Nations Children’s Fund CDC -(United States) Centre for Disease Control & Prevention RI-Rotary International

4 Rotary Foundation Seminar Polio Eradication 1985 350,000 cases 125 countries

5 Rotary Foundation Seminar Polio Eradication How long ago?

6 Rotary Foundation Seminar Polio Eradication

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8 Acute flaccid paralysis (AFP) surveillance Nationwide AFP (acute flaccid paralysis) surveillance is the gold standard for detecting cases of poliomyelitis. The four steps of (AFP) surveillance are: finding and reporting children with (AFP) transporting stool samples for analysis isolating and identifying poliovirus in the laboratory mapping the virus to determine the origin of the virus strain.

9 Rotary Foundation Seminar Polio Eradication Environmental surveillance involves:- testing sewage or other environmental samples for the presence of poliovirus. systematic environmental sampling (e.g. in Egypt and Mumbai, India) ad-hoc environmental surveillance elsewhere (especially in polio-free regions)

10 Rotary Foundation Seminar Polio Eradication Surveillance indicators IndicatorMinimum levels for certification standard surveillance Completeness of reporting At least 80% of expected routine reports should be received on time (inc. zero reports) The distribution of reporting sites should be representative of the geography and demography of the country Sensitivity of surveillance At least one case of non-polio AFP should be detected annually per 100 000 population aged less than 15 years. In endemic regions this rate should be two per 100 000. Completeness of case investigation All cases should have a full clinical and virological investigation with at least 80% of AFP cases having ‘adequate’ stool specimens collected. Completeness of follow- up At least 80% of AFP cases should have a follow-up examination for residual paralysis at 60 days after the onset of paralysis Laboratory performance All AFP case specimens must be processed in a WHO- accredited laboratory within the Global Polio Laboratory Network (GPLN)

11 Rotary Foundation Seminar Polio Eradication Polio campaign monitoring Independent polio campaign monitoring is carried out to assess the quality and impact of supplementary immunization activities - critical to guiding any necessary mid- course corrections if gaps or problems are found.

12 Rotary Foundation Seminar Polio Eradication A child’s finger is marked after being vaccinated. Bodinga, Nigeria Polio campaign monitoring The basic elements include recording: the number and source of independent monitors the number of children monitored the percentage of children whose fingers are marked to prove they were vaccinated the proportion of districts monitored

13 Rotary Foundation Seminar Polio Eradication Vaccinating five million children in Sudan In 2006, Sudan held mass polio vaccination campaigns after two cases were reported in neighbouring Chad. More than five million children were vaccinated over three days. Oral polio vaccine is stored in refrigerators at a health facility. The rainy season flooded the area but the refrigerators are intact, keeping the vaccine chilled.

14 Rotary Foundation Seminar Polio Eradication Dr Salah Haithami checks that a vaccinator knows her tasks:– giving two drops of vaccine to every child marking their fingers with indelible ink storing the vaccine safely in her cooler box.

15 Rotary Foundation Seminar Polio Eradication Dr Tayeb EL Saied, in charge of Sudan's immunization programme, demonstrates house marking.

16 Rotary Foundation Seminar Polio Eradication A team of vaccinators waits to be driven out to a remote community. More than 90% of vaccinators are women, as only women have access to private households.

17 Rotary Foundation Seminar Polio Eradication Nigeria Nigeria is on the last lap towards polio eradication with tremendous progress over the past two years but the battle is not yet over

18 Rotary Foundation Seminar Polio Eradication Women’s compound meetings are targeting high risk communities where resistance to oral polio vaccine is strong. Intensified efforts are underway to mobilize communities for polio campaigns through varied communications interventions.

19 Rotary Foundation Seminar Polio Eradication Aminu Ahmad is the President of Kano’s Association for Polio Victims. He runs his own tricycle business where 80% of employees are people with polio. Aminu is actively involved in community mobilisation efforts.

20 Rotary Foundation Seminar Polio Eradication Traditional leaders play a key role in addressing resistance to immunization thanks to their status and high respect in communities….. vaccinating eligible children including their own.

21 Rotary Foundation Seminar Polio Eradication Papa Lolos (Village clowns) are actively engaged during campaign flag offs to draw out the crowds while vaccination team waits to capture all eligible children. Locally produced Majigi films – that include drama and polio facts – are widely used to strengthen the impact of communication.

22 Rotary Foundation Seminar Polio Eradication Aminu was invited to address the Kano Emirate Council. Certain religious sects still have strong anti- immunization attitudes. Emirs and religious scholars help to overcome them.

23 Rotary Foundation Seminar Polio Eradication Okada bikers (taxis) are used in Zamfara to inform and mobilise communities during the week leading to the campaign.

24 Rotary Foundation Seminar Polio Eradication Nigeria will have to reach every last child in the next six months to be able to stop the transmission of the wild polio virus in Northern Nigeria.

25 Rotary Foundation Seminar Polio Eradication Total as of October 28, 2011, $192 million as reported by Challenge Coordinator Clare Monroe, TRF staff. Rotary’s US$200 million CHALLENGE to match the Bill & Melina Gates Foundation donation of US$355 million

26 Rotary Foundation Seminar Polio Eradication Thankyou for your support and on-going commitment to see this campaign through May we live to see a POLIO FREE WORLD Remember – while just ONE person has polio, the whole world and all its children are at risk


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