Download - Polio Endgame: IAPCOI perspectives
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Individual protection:
• Does end game have ANY significance to IAPCOI recommendations?
• What impact does endgame has on our recommendations on polio vaccination?
• Should we respect the government/GPEI policies on end game?
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Public use:
• What level of involvement is desired?– Only advocacy for initiating process of devising
consultations?– Preparing a document for ideal way to approach
‘end game’?– Drafting & presenting a detailed document on
indigenous ‘post-eradication polio immunization’ policy?
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Public use: ‘End game’
Issues on broader IPV use:• What ought to be our recommendations on?– When to start: Before ‘switch’ Vs at ‘switch’? – Number of dosage: 1 or 2 or more?– To whom : limited Vs universal?– What preparation: Sabin Vs Salk? Adjuvanted Vs
non-adjuvanted? Stand-alone Vs combination?– What route: fractional dose (ID) Vs full dose IM?
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Public use: Post-eradication polio immunization strategy
Options:• No IPV; surveillance & response• Population priming only• Immunity for ONE year• Immunity for entire childhood
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Post-eradication polio immunization strategy
• If universal IPV option is chosen, when IPV should be incorporated in RI?
• Prior to OPV cessation• At the time of OPV cessation
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Post-eradication polio immunization strategy
• If universal IPV option is chosen, how IPV should be incorporated in RI?
• Gradual introduction, staggered approach • Simultaneous all over the country
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Post-eradication polio immunization strategy
• If universal IPV option is chosen, how long IPV should be continued?
• Indefinite• Finite (5 years ?)
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Other issues:
• How long AFP surveillance to continue?• How to discontinue OPV? – Global Vs regional Vs national synchronization?
• How to deal with future outbreaks of cVDPVs after OPV cessation?
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Factors influencing future demand, supply & cost of IPV
Issues related to wider use of IPV
Strategic issues Technical issues