Partner Consultation 23 September 2004

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Partner Consultation23 September 2004
Progress Towards Polio Eradication
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The Problem
United States 1957
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The Polio Programme
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Polio Eradication Progress1988 - 2003
From gt125 countries to 6
1988 gt 350 000 cases
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Emergency Meeting of Ministers
15 January 2004, Geneva

• Launch of 2004-5 'Intensified Plan'
• Reporting to the UN General Assembly, September
  2004.

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International Support for the Intensified Plan

• Organization of Islamic Conference (OIC)
• African Union (AU)
• G8 Summits
• UN General Assembly
• Health Minister meetings

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Progress since 'Intensification', Asia
Comparison of 1 Jan to 21 Sep, 2003 2004
Reported Polio Cases
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Impact of Intensification in AsiaReported Polio
Cases 1 Jun-21 Sep 2004
Pakistan/Afghanistan
India
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Progress since 'Intensification', AfricaReported
polio cases 2004
Nigeria gt 550 cases. Polio reintroduced into 9
countries (12 total in 2003-4).
Positives Benin, Togo Cameroun, Ghana. Kano,
Nigeria started immunization 31 July.
Wild virus type 1
Wild virus type 3
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Risks

• Asia Egypt
• Risk apathy or frustration because of low cases.
  
• Response 6 weekly SNID/NID with 'mop-ups' in
  response to each virus.

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Impact of West Central Africa Synchronized
NIDs, 1999-2000
1999
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Surveillance Quality, 2004
Risks Surveillance Gaps
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Strategic Priorities 2004-2005

• 1. Stop transmission in Asia
• Targeted 'mop-ups' NIDs every 6 weeks
• Specific district focus accountability

• 2. Synchronize NIDs in Africa
• expand to additional 4-6 rounds in 2005

• 3. Revise Egypt Strategy
• conduct full NIDs every 6 weeks through mid-05

4. Enhance surveillance in W/C and Horn of Africa
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Geographic Prioritiesas of 21 September 2004
Polio Endemic countries (indigenous WPV)
Polio Re-established (imported WPV gt 6 mos)
Polio Importations (imported WPV lt 6 mos)
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Final Push for a Polio-free World
2004-2005