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

4. Recurrent importations into polio-free areas
Polio already eradicated in >100 countries (& one type of poliovirus already eradicated)
2009
1988
Recurrent importations into polio-free areas

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

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

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

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

9. Rotarians in action for Polio Plus!
India Reservoir Areas

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

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

13. Zero-dose children finally below 'magic' threshold of 10% in north Nigeria
2006
2007
Zero Dose
1-2 Doses
2009
3+ Doses
2008

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

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

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

17. Prime Minster's Action Plan, Pakistan, 2009
Prime Minister Gilani announces PM's Action Plan & National Polio Control Cell to hold all districts accountable
Polio campaign
performance by
'finger marking' 2008
Difference between two data set is evident at the district levels, as well. Barring 3 districts in Sindh, all have below 90% coverage verified by finger marking. Where as using finger marking as criterion for confirming vaccination status helps to vaccinate more children, other operational issues like quality of training and supervision are playing role, as well, in the significant difference.
<90 %
90-94 %
 95 % 17 17

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

19. Rotary's PolioPlus in action!
Afghanistan-Pakistan Border
Rotary's
PolioPlus
in action!

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

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

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

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

24. 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

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

26. Financing, 1988 to 2010: $7.13 billion
49%
Domestic
Resources
14%
Multilateral
Sector
12%
Non-G8
OECD/
Other 5%
Private
Sector
20%
Funding Gap:
US$ 345m of $1.34b budget
‘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.

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

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

29. New Political Backing for Polio Eradication
'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

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

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

35. '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