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PolioPlus is born!
Philadelphia, 1988
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Po
lio
ca
se
s (
tho
us
an
ds
)
PolioPlus Progress
Last wild
poliovirus
type 2 in
the world
India
Nigeria
1988 2006
PolioPlus Progress
Problems
4 countries never stopped polio
>40 countries had importations
World Health Assembly Polio Resolution, 2008
'Requests the Director General to
develop a new strategy to eradicate
poliomyelitis…'.
New Tactics: sub-national & local leaders, Nigeria
West Uttar Pradesh
HR
block
s =41
Central Bihar
High-Risk
Blocks
New Tactics: high risk 'blocks' & migrants, India
Rotary's
PolioPlus
in action!
New Tactics: protecting the Afghan-Pakistan border
President of Cote d'Ivoire
signs Rotary's 'Kick Polio Out of Africa' Ball
New Tactics: engaging leaders in re-infected countries
1st bivalent
OPV campaign
Afghanistan
16 Dec 2009
New Vaccine: twice the impact on BOTH viruses
New Polio
Strategic Plan
2010-12 (launched 18 June)
New Lessons
New Tactics
New Tools
Polio cases
last 12 months Polio cases
last 6 months
Data at WHO/Geneva as of 10 Nov 2010
Strategic Plan: Impact
In past 6 months, no cases from:
14/15 of the 2009 outbreaks &
2/4 're-established virus' areas
0
100
200
300
400
500
600
Nigeria India Pakistan Afghanistan
Cases
Jan-Nov 2009
Jan-Nov 2010
Year to date comparison, 2009-10
Rapidly increasing protection against type 1 & 3 polio in very young children
UP & Bihar, India
Moradabad
UP, Nov 2007
(N=121)
UP & Bihar
Aug 2010
(N=1280)
Polio type 1 78% 98%
Polio type 3 69% 77%
Genetic Clusters of Poliovirus 1
2008 2009 2010
2008
2009
2010
Virologic Progress in Africa
Rotarians
in action for
Polio Plus!
PolioPlus funds were KEY to progress in Africa
West & Central Africa:
19-country synchronized NID that is
stopping that outbreak
Horn of Africa: technical assistance
that was fundamental to stopping
that outbreak
Nigeria: operations costs that
were key to the recent
collapse in cases
Rotarians
in action for
PolioPlus!
PolioPlus funds were KEY to progress in Asia
India: paid for field operations &
external monitors, both key to
recent progress in UP & Bihar
AFG & PAK: supported 1st
use of the new 'bivalent' OPV
Tajikistan: allowed 1st response
to the new outbreak
SIA
Round 1 SIA
Round 2
SIA
Round 3
SIA
Round 4
Consequences of failing to finish:
Explosive Outbreaks in 2010
Congo (Oct-ongoing)
201 cases
85% > 15 years of age
50% mortality 1
2
1 1 1 1
2
1 1 1
2 2
4 4
5 5
4
5
13
8
5
6
1
2
0
2
4
6
8
10
12
14
2010-10-0
1
2010-10-0
3
2010-10-0
5
2010-10-0
7
2010-10-0
9
2010-10-1
1
2010-10-1
3
2010-10-1
5
2010-10-1
7
2010-10-1
9
2010-10-2
1
2010-10-2
3
2010-10-2
5
2010-10-2
7
2010-10-2
9
2010-10-3
1
2010-11-0
2
Date of onset
Cas
es
Tajikistan (Feb-Jul)
458 cases
30% > 5 years of age
Pointe Noire
OB epicenter
Polio in 2010
2010-12 Funding Gap:
US$ 810m of $2.6b budget*
‘Other’: Govts of Angola, Finland, Kazakhstan , Monaco, Portugal, Qatar, Turkey, Central Emergency
Response Fund, Islamic Development Bank, UNICEF Regular Resources.
Domestic
Resources
20%
Non-G8 OECD/
Other 1% Multilateral
Sector
9%
Private Sector
23%
Risks: Polio Financing Gap, 2010-12 (16 Sept Financing Publication)
G8
16%
Funding Gap
31%
*exclusive of Programme Support Costs
Australia
Nigeria
Norway
Others
India
Bangladesh
UK
Bill and Melinda
Gates Foundation
World Bank
(India)
European
Commission
CanadaUSAID
Germany
Japan
World Bank
Investment Partnership
for Polio
IFFIm
Italy
USCDC
Rotary
International
Luxembourg
Spain
Rotary is at the center of
the largest, international
health effort in history!
Polio cases
last 12 months Polio cases
last 6 months
Data at WHO/Geneva as of 10 Nov 2010
PolioPlus Today!
In past 6 months, no cases from:
14/15 of the 2009 outbreaks &
2/4 're-established virus' areas
0
100
200
300
400
500
600
Nigeria India Pakistan Afghanistan
Cases
Jan-Nov 2009
Jan-Nov 2010
Year to date comparison, 2009-10
Opportunity to achieve
landmarks never previously
reached: India & Nigeria
Many Nigerian children are still
unvaccinated & the poliovirus
will find them if you don't!
The advocacy, energy &
generosity of every
Rotarian is essential to
reach 'every last child'.
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