Unprecedented innovation & political engagement in 2009 has brought Rotary's 'someday' much much closer…

Polio already eradicated in >100 countries (& one type of poliovirus already eradicated) Recurrent importations into polio-free areas

Polio reporting districts, last 6 months type 1 type 3 Int'l Spread of Polio from Nigeria (& Chad, Sudan) from India (& Angola)

In 2009, India & Nigeria finally passed critical milestones to complete eradication…

Highly focal type 1 polio, India Apr 09 * data as on 10 June 2009 Jun 09May 09 Western Uttar Pradesh Central-East Bihar

Rapid development of new bivalent OPV (types 1 & 3) for use in 2009 Superior to tOPV & as good as mOPVs

Rotarians in action for Polio Plus! India Reservoir Areas

Major developments, Nigeria The Sultan of Sokoto & Traditional Leaders, Feb 09 Nigeria Governors Forum, 2 Feb 2009 New Minister of Health New Executive Director Polio Programme Governors issue Abuja Communiqué on polio eradication

Governor engagement, Nigeria, 2009 H.E. the Governor of Kano vaccinating his daughter Jan 2009 For 1 st time, Kano is now vaccinating >85% of its children > 3 doses 1 -2 doses 0 doses Polio Vaccine Doses

Zero-dose children finally below 'magic' threshold of 10% in north Nigeria Zero Dose 1-2 Doses 3+ Doses

Rotarians in action for Polio Plus! Nigeria High-Level Advocacy, 2009

Nigeria: a complicated epidemiology… Polio at 20 June 2009 # Infected States: 26 W1 (n=70) W3 (n=237) Northern States very low-level type 1 type 3 outbreak Middle Belt & Southern States type 1 outbreaks importations of type 3 …but the new bOPV hugely simplify logistics in Nigeria.

Highly focal transmission, Afghanistan & Pakistan, to date in 2009 Poliovirus reservoirs reflect a combination of operational & security problems

Polio campaign performance by 'finger marking' <90 % %  95 % Prime Minster's Action Plan, Pakistan, 2009 Prime Minister Gilani announces PM's Action Plan & National Polio Control Cell to hold all districts accountable

'Drs. Kakar & Taheri, veterans of the fight against polio, died with their driver in the attack at Kandahar ' September 2008 'Ambitious Afghan polio effort proceeds despite slayings' National Post (Canada), 19 Sept 08 March 2009 NATO/ISAF annouces it will observe Days of Tranquility to help reach every child

Afghanistan-Pakistan Border Rotary's PolioPlus in action!

Polio reporting districts, last 6 months type 1 type 3 Int'l Spread of Polio from Nigeria (& Chad, Sudan) from India (& Angola)

Horn of Africa Synchronized OPV Response March - June 2009 West Africa Synchronized OPV Response February - July, 2009 Coordinated outbreak response…

Rotarians in action for Polio Plus! Uganda Polio Outbreak, 2009

West Africa outbreak Horn of Africa outbreak …is rapidly stopping these outbreaks

International Travel & Health, 2009* 'Travellers who are resident in a polio-infected country or area should have a full course of OPV before leaving to reduce the risk of international spread.' * published 20 March 2009

“We don’t let children die because it is fatiguing to save them.” New Advocacy for Polio Eradication

Funding Gap: US$ 345m of $1.34b budget Domestic Resources 14% Non-G8 OECD/ Other 5% Multilateral Sector 12% Private Sector 20% Financing, 1988 to 2010: $7.13 billion G8 49%, ‘Other’: Governments of Angola, Austria, Australia, Belgium, Czech Republic, Finland, Hungary, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Malaysia, Monaco, Namibia, New Zealand, Nigeria, Oman, Pakistan, Portugal, Qatar, Republic of Korea, Russian Federation, Saudi Arabia, Singapore, Spain, Switzerland, Turkey, the United Arab Emirates; 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, WHO Regular Budget and Wyeth.

Polio Pancake Fundraiser New York Iditarod Dogsled Race, Alaska Rotarians in action for Polio Plus!

Rotarians in action for Polio Plus! School children's project, Italy

'And today I am announcing a new global effort with the Organization of the Islamic Conference (OIC) to eradicate polio.' President Barack Obama Cairo, Egypt 4 June 2009 New Political Backing for Polio Eradication

The Global Polio Eradication Programme is seeing more innovation & political engagement than at any other time in its 20 year history…

…the deep engagement of Rotarians everywhere is vital to exploit these major opportunities and stop polio forever.

'I am with you in this great campaign… …now is the time to finish the job.' UN Secretary-General Mr Ban Ki Moon Rotary Convention Birmingham, UK 21 June 2009