1. TITLE PolioPlus Update ICC Meeting Amy Edwards 2 October

2. Polio …  Is caused by a virus  Is transmitted via fecal-oral route  Is characterized by acute onset disease Has an incubation period from 7 to 10 days  Most commonly affects children < 5 years  Only reservoir is humans  3 types : WPV 1, 2 & 3

3. 125 countries 350,000 cases

4. Wild Polio Cases, Worldwide, 1985-2014 1988: WHA Resolution to Eradicate Polio and creation of the GPEI 1990s: 99% decrease in incidence Elimination from Western Hemisphere Eradication of WPV2

5. Progress

7. Southeast Asia: Certified Polio-Free 27 March 2014 80% of the world is now living polio-free 4 out of 6 global regions polio-free

8. Recent Milestones

9. Challenges

10. Wild Poliovirus Cases 1, Previous 6 Months 2 Endemic country Wild poliovirus type 1 1 Excludes viruses detected from environmental surveillance. 2 Onset of paralysis 08 January 2015 – 07 July 2015 Data in WHO HQ as of 07 July 2015 Only Afghanistan and Pakistan have reported cases in 2015

11. Inside high rise building in Saddar Safari Park Sinbad Amusement Park Alladin Park Karachi Cantt. railway station Super Highway toll Plaza Pakistan reaches more children despite challenges Badami Bagh Bus Stand, Lahore

12. Barriers to Eradication RESOURCES Financial, Human and Data LOGISTICS Vaccine cold chain Transport (vaccinators and vaccine) KNOWLEDGE Recognition of need / overcoming fears CULTURAL Religious restrictions PATIENT/PROVIDER CONFLICTS Language, culture, status ARMED CONFLICT Physical Access

13. Protecting the Progress: Nigeria and Somalia  Africa (+Somalia) reached one-year mark on August 11  We remain cautiously optimistic that Africa will remain WPV- free in 2015  Will require long-term support for surveillance and continued collaboration

14. Rotary’s Role

15. MEETING THE CHALLENGE

16. Global goal is US$35 million per year through 2018 Club goal = US$1500 per year District goal = 20% of DDF per year

17. Advocate “Pakistan’s commitment to polio eradication remains firm and resolute. The chief ministers of all the provinces are paying special attention to ensure that every child is reached by the polio programme.” - President of Pakistan H. E. Mamnoon Hussain

18. World Polio Day Educate Motivate Inspire

19. Miles to End Polio Slide 5

20. What is the legacy of a polio-free world? Polio-free children forever Global laboratory network Health infrastructure Lessons learned: How to reach every child How to engage communities How to collaborate with others