Governments

1

• Present Status
• Leadership Commitments
• New Funding Opportunities

Governments of the World
2
PolioPlus
Keep our Promise to Eradicate Polio
3
Progress in Polio Eradication
4
Wild poliovirus Distribution 2007/2008
2007
2008
Onset of most recent case on 13-Dec-2007
Onset of most recent case on 13-Dec-2008
5
Key north Nigeria states have almost zero polio
despite the outbreak in 2008(80 of cases are in
just 6 states)
Polio cases
OPV status of children
6

WPV monthly onset by type, with interventions
2006 2008
Continuous arrow National IPDs Broken arrows
Sub-national IPDs
7
Distribution of WPV3 infected LGAs by quarter
07/08
Qter_207
Qter_307
Qter_407
Qter_108
Qter_308
Qter_208
8

• It is biologically 'easier' to eradicate polio
  in Nigeria than in India
• (average number of OPV doses 4 vs. gt8).

9
Uttar Pradesh and Bihar, India
10
This year a historic milestone Technical
tactical innovations beat the most entrenched
polio reservoir in India
2006
Uttar Pradesh Last indigenous type 1 polio, Nov
2007
data as on 1 Sept 2008
11
WPV1 Polio cases, West UP and Bihar, 2006-08
2006
2008
2007
data as on 3rd January 2009
12
WPV3 Polio Cases, UP and Bihar, 2007-08
2007
2008
data as on 3rd January 2009
13
New Tactics in Endemic Areas
Pakistan/Afghanistan Synchronized campaigns since
Nov 2006
14
Addressing 'suboptimal OPV delivery' heightened
resolve in Afghanistan

• 'Drs. Kakar Taheri, veterans of the fight
  against polio, died with their driver in the
  attack at Kandahar '

Ambitious Afghan polio effort proceeds despite
slayings National Post (Canada), 19 Sept 08
15

• 'I am making polio eradication WHOs top
  operational priority.
• The remaining problems are not technical. They
  are operational. They can be solved, when we have
  the resolve.'
• Dr. Margaret Chan
• WHO Director-General
• 17 June 2008

16

• World Health Assembly
• Polio Resolution, 24 May 2008
• 2) Urges Nigeria to reduce the risk of
  international spread of poliovirus by quickly
  stopping the outbreak
• 3) Urges India, Pakistan Afghanistan to
  implement large-scale mop-ups

A new international resolve to finish
eradication.
17
New Commitments Head of Government Leadership
President Karzai Afghanistan
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Pakistan 19 August 2008
"We all have to play our full role to turn the
dream of a polio-free Pakistan into
reality." Syed Yousuf Raza Gilani Prime Minister,
Pakistan
19
Direct advocacy requesting Head of State
assistance on operational challenges
Prime Minister India
President Nigeria
UN Secretary-General
20
Saudi Arabia is further enhancing OPV
immunization requirements to protect Pilgrims to
Mecca.
21
(No Transcript)
22
New Case for Completing Polio Eradication17
May 2007
Polio control would cost more than completing
eradication
23
New Case for Completing Polio Eradication17
May 2007
Having only routine immunization alone would
result in 200,000 children paralyzed by polio
each year.
24
New Funding
Bill Melinda Gates Foundation
25
The terms of the Gates Challenge grant include a
small component of funding for research.
PolioPlus has not traditionally funded research.
26
PolioPlus
Keep our Promise to Eradicate Polio
27
(No Transcript)