3. Polio Cases, 1985-2009* Source: WHO/Polio database, data as of November 2009 193 WHO Member States. 1999: one of the 3 types of polio eradicated PolioPlus is launched

4. 2009 Endemic areas Recurrent importations PolioPlus Progress: all but 4 countries had eradicated all 3 polioviruses by 2006

5. A New PolioPlus Programme in 2009 new tactics to reach all children. new vaccines to improve impact. An Independent Evaluation of Barriers.

6. New Tactics in Nigeria: engaging sub-national & local leaders June: Sultan of Sokoto constitutes Polio Committee February: Nigeria's state Governors sign 'Abuja Commitments on Polio'

7. 3 rd Quarter 20084 th Quarter 20081 st Quarter 2009 2 nd Quarter 20093 rd Quarter 20094 th Quarter 2009 Impact: major drop in type 1 polio, north Nigeria

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

9. New Tactics in India: reaching children in central Bihar 2009

10. Vaccinators & monitors must walk miles through water, sand, mud and grass to reach villages…

11. New Tactics: establish PolioPlus 'satellite offices' Impact: many new homes reached.

12. Impact: all except 1 genetic lineage of the type 1 poliovirus has been eradicated! 20072006 Grey 1 Grey 2 Grey 3 Black 1 Black 2 Pink 1 Yellow 2 Yellow 3 Yellow 4 Grey 1 Grey 2 Grey 3 Black 1 Pink 1 Yellow 2 Yellow 3 89 38 2 11 12 459 11 14 4 29 14 1 32 3 2 Grey 1 Grey 2 2 71 Pink 1 2008 Pink 118 2009* *as of Oct, 2009

13. Rotarians in action for PolioPlus! India Reservoir Areas

14. Polio is now very focal in both Afghanistan & Pakistan Polio persists due to security & accountability problems

15. Taliban: 'allow children to be immunized for polio'. September 2009 NATO/ISAF: 'Days of Tranquility for polio'. October 2009 New Tactics in Afghanistan: enhancing access in the south

16. February 2009 Prime Minister's Polio Action Plan August 2009 President Zardari accepts Rotary Award & pledges to finish polio New Tactics in Pakistan: enhancing accountability

17. October 2009, Pakistan President Zardari opens NIDs

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

19. A New Vaccine: 'bivalent oral polio vaccine' (bOPV) increases impact & simplifies logistics New bOPV Vaccine Impact of 2 doses of bOPV vs. tOPV Type 1 polioType 3 polio

20. New Support for PolioPlus UN Secretary-General 'Days of Tranquility' US President Obama Collaboration with the Organization of Islamic Conference (OIC) Mr Bill Gates Advocacy & Financing

21. 2009-10 Funding Gap: US$ 220m of $1.51 B budget, ‘Other’ includes: the Governments of Angola, Austria, Australia, Azerbaijan, Belgium, Brunei, Czech Republic, Cyprus, Finland, Hungary, Iceland, Ireland, Kuwait, Liechtenstein, Luxembourg, Malaysia, Mali, Malta, Monaco, Namibia, New Zealand, Oman, Portugal, Qatar, Republic of Korea, Saudi Arabia, Singapore, Spain, Switzerland, Turkey, the United Arab Emirates,Yemen; 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, Shinnyo-en WHO Regular Budget and Wyeth. Domestic Resources 13% Non-G8 OECD/ Other 4% Multilateral Sector 12% Private Sector 22% Polio Eradication Financing G8 49%

22. Polio-reporting districts, last 6 months* Int'l Spread of Polio from Nigeria (& Chad, Sudan) from India (& Angola) * 11 May– 10 Nov 2009 type 1 type 3 types 1 & 3