Polio Eradication Finishing the Job

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Polio EradicationFinishing the Job Protecting
our Investment
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Interrupting Poliovirus Transmission

• 2004-2005

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Wild Poliovirus, 2003data as of 27 November
Endemic Cases
Imports
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Intensified Polio Campaigns Rapid Response to
Importations
type 1 polio
type 3 polio
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Uttar Pradesh, IndiaRapid progress 2002-3
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Kano, NigeriaNeed for effective advocacy SIA
quality
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SIA Plans Quality
Planned Coverage in Country
Activities, 2004 infected areas

• India 5 NIDs 1 SNID gt85
• Pakistan 4 NIDs 2 SNIDs gt80
• Nigeria 4 NIDs 2 SNIDs 50

based on monitoring results of most recent SIAs
in 2003
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Polio-free Areas
2. establish detailed importation plans. 3.
continue NIDs/SNIDs in high risk areas.
(e.g. areas bordering Nigeria, Somalia) 4.
conduct large mop-up within 4 weeks of import.
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Close Gaps in AFP Surveillance
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Risks - Financing Interrupting Polio, US 3
billion, 1988-2005
Public Sector 65
Multilateral Sector 10
2003-5 Funding Gap US 210 million
Private Sector 25
Other includes the Governments of Australia,
Belgium, Finland, Ireland, Italy, Luxembourg,
Malaysia, New Zealand, Norway, Oman, Republic of
Korea, Russian Federation, Switzerland, Saudi
Arabia, the United Arab Emirates Aventis, De
Beers, Inter-American Development Bank,
International Federation of Red Cross and Red
Crescent Societies, Millennium Fund, Oil for Food
Programme, OPEC Foundation, Smith Kline
Biologicals, UNICEF National Committees, UNICEF
Regular Resources United Arab Emirates Red
Crescent Society, UK National Committee/British
Airways, Trick-or-Treat for UNICEF, WHO Regular
Budget and Wyeth.
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Global Certification and Mainstreaming

• 2006-2008

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Activities to Certify Global Eradication
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Mainstreaming Priorities

• Integrate polio surveillance and lab work with
  other global surveillance response systems.
• Add polio to WHO/UNICEF vaccine stockpiles work.
• House longterm laboratory containment
  verification processes with other biosafety
  activities.
• Integrate polio-funded human resources into
  Country Focus and other surveillance, control
  EPI initiatives.

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Advocates for theStrategic Plan

• Ministers of Health endemic areas
• The G8 Summit
• The African Union Summit
• The Islamic Conference Summit
• Strategic Plan Launch
• January 2004

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Countdown to a Polio-free WorldSummary 2004

• India and Pakistan on track Nigeria remains
  highest risk.
• Intl countdown from Jan 2004 focus on each
  infected area.
• Intensified Polio Immunization Days
• heightened political oversight at
  national/state/district.
• full mobilization of civil administration
  resources.
• full engagement of minority populations.
• Massive mop-up within 4 weeks of any importation.

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NWFP Sindh, PakistanVerge of Eradication - Low
or Zero Cases in High Season
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Global Certification Priorities

• Improve surveillance in 19 lagging
  countries/areas 10 in Africa, 7 Eastern
  Mediterranean, 2 Southeast Asia.
• Maintain the laboratory surveillance network.
• Complete phase II of the Global Action Plan for
  the Laboratory Containment of Wild Polioviruses.
• Complete the certification process (document
  verification)

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Post-Certification Activities Mainstreaming

• Total staff 3000
• Technical 1500
• gt90 work on non-polio issues (EPI, GAVI,
  GFATM, etc).
• 25-50 of time was in support of non-polio
  activities in 2001.

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Post-Certification Activities Mainstreaming
GOAL Stop Oral Polio Vaccine (OPV) as Soon as
Possible
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OPV Cessation Phase

• 2009 onwards

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Post-Certification Period Priorities

• Establish strategy for OPV cessation.
• Assist countries with decisions on IPV
  introduction.
• License monovalent OPV for vaccine stockpiles.
• Develop Global Action Plan III for Laboratory
  Containment.
• Add polio to the International Health Regulations
  (IHR)/ Global Outbreak Alert and Response
  Network (GOARN).

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Strategic Plan Objectives

• Interrupt transmission of polioviruses.
• Achieve global certification of polio
  eradication.
• Establish policies tools for post-certification
  era.
• Mainstream the polio eradication infrastructure