Polio is more geographically focused than ever before, and political commitment in the polio-endemic countries is stronger than ever, yet some challenges remain. This presentation will provide an update on the status of the Global Polio Eradication Initiative, what Rotarians can do to support Rotary’s US$200 Million Challenge, and identify what polio eradication activities are supported by Rotary funding. We must keep our promise to eradicate polio. Rotary is not alone in its effort to eradicate polio. We are one of four spearheading partners of the Global Polio Eradication Initiative which also includes the World Health organization, UNICEF and the Centers for Disease Control… Click …in support of the governments of the world, both in the polio affected and donor countries… With the recent tremendous support of the bill & Melinda Gates Foundation

PROLOGUE 1979 Philippines 1985 PolioPlus 1987-88 First Campaign 1988 WHA Decision 2002-03 Second Campaign 4 endemic countries/99% done 2008-12 Gates Challenge 2012 India declared non endemic

Progress in Polio Eradication

Polio Cases 1 Oct 2011

Polio Cases Pakistan & Afghanistan Nigeria 1 Oct 2012

World Health Assembly "DECLARES polio eradication…emergency for global public health" 25 May 2012

"WHO has removed India from the list of countries with wild poliovirus" Dr Margaret Chan Director-General, WHO 25 February 2012 Rukhsar Khatoon West Bengal, India January 2011

Muhammad Ishaq Polio Worker Gadap/Karachi, Pakistan Security Challenges

Financing gap, 2012-13 OPV campaigns have been cancelled in >30 high risk countries due to insufficient funds. Current Gap: US$ 945 m Firm Prospects: US$ 344 m Best Case Gap: US$ 601 m

Countries with SIAs cancelled or scaled back due to lack of funds 1st half 2012 2nd half 2012 Countries with ≥1 SIA cancelled Countries with scale-back in SIA With these cuts in 2012, shortfall reduced by $105 M Data at WHO/HQ as of 17 July 2012