Download - Polio Plus presentation
![Page 1: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/1.jpg)
![Page 2: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/2.jpg)
![Page 3: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/3.jpg)
![Page 4: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/4.jpg)
![Page 5: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/5.jpg)
![Page 6: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/6.jpg)
0
100
200
300
400
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Polio
cas
es (t
hous
ands
)
Polio Eradication Progress
Last wild
poliovirus
type 2 in
the world
![Page 7: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/7.jpg)
PolioPlus is born!
Philadelphia, 1988
![Page 8: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/8.jpg)
![Page 9: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/9.jpg)
India
Nigeria
![Page 10: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/10.jpg)
![Page 11: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/11.jpg)
19882006
Polio Eradication Progress
Problems
4 countries never stopped polio
>40 countries had importations
![Page 12: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/12.jpg)
World Health Assembly Resolution 2008
'Requests the Director General to develop a new strategy to eradicate poliomyelitis…'. Independent evaluation
New tactics assessed
New vaccines evaluated
![Page 13: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/13.jpg)
New Tactics in Nigeria: engaging sub-national & local leaders
June: Sultan of Sokoto constitutes Polio Committee
February: Nigeria's state Governors sign'Abuja Commitments on Polio'
![Page 14: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/14.jpg)
Rotariansin action for
Polio Plus!
Nigeria High-Level Advocacy, 2009
![Page 15: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/15.jpg)
New Tactics in India: reaching children in central Bihar in 2009
2008-9
0
50000
100000
150000
200000
250000
300000
Ma
y'0
7
De
c'0
7
Ma
y'0
8
Ma
r'0
9
Ma
y'0
9
Au
g'0
9
No
v'0
9
De
c'0
9
Ja
n'1
0
Fe
b'1
0
SIA Rounds
No
. o
f fi
eld
hu
t cl
ust
ers
Increased human resources, logistic & microplanning
![Page 16: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/16.jpg)
District-planning WorkshopKabul, Afghanistan
June 2010
![Page 17: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/17.jpg)
Rotary'sPolioPlusin action!
![Page 18: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/18.jpg)
New bivalent OPV (bOPV): 2009-10
71%
49%
86%
53%
0
10
20
30
40
50
60
70
80
90
100
tOPV bOPV tOPV bOPV
Pro
tec
tio
n a
fte
r 2
do
se
s (
%)
Type 1 Type 3
![Page 19: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/19.jpg)
1st bOPV campaignAfghanistan
16 December 2009
![Page 20: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/20.jpg)
New Polio Strategic Plan
2010-12
![Page 21: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/21.jpg)
Polio cases last 12 months
Polio cases last 4 months
Data at WHO/Geneva as of 29 September 2010
Strategic Plan: Impact (12 & 4 months)
Year to date comparison, 2009-10
![Page 22: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/22.jpg)
Rotariansin action for
Polio Plus!
![Page 23: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/23.jpg)
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
![Page 24: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/24.jpg)
Rotariansin action forPolioPlus!
India Reservoir Areas
![Page 25: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/25.jpg)
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
![Page 26: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/26.jpg)
Consequences of failing to finishTajikistan Outbreak at 29 September 2010
SIARound 1
SIARound 2
SIARound 3
SIARound 4
![Page 27: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/27.jpg)
The new Strategic Plan is already stopping polio
globally.
![Page 28: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/28.jpg)
New Support for PolioPlus
UN Secretary-General 'Days of Tranquility'
US President ObamaCollaboration with the Organization of Islamic Conference (OIC)
Mr Bill Gates Advocacy & Financing
![Page 29: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/29.jpg)
Rotary is at the center of the largest, international health effort in history:
PolioPlus!
![Page 30: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/30.jpg)
Many Nigerian children are still unvaccinated & the poliovirus
will find them if you don't!
![Page 31: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/31.jpg)
![Page 32: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/32.jpg)
![Page 33: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/33.jpg)
![Page 34: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/34.jpg)
![Page 35: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/35.jpg)
![Page 36: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/36.jpg)
Data at 29 Sept 2010
Pakistan & Afghanistan
The good news• district-specific plans• Karachi & Quetta progress• environmental sampling• FATA/KPK Crisis Task Force
District-planning WorkshopKabul, Afghanistan
June 2010
![Page 37: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/37.jpg)
KARACHI (3 highest risk towns: Gadapp, Baldia
& Gulshan-e-Iqbal)
CENTRAL KP/FATAKhyber, Bajour, Mohmand &
Peshawar
QUETTA BLOCKQuetta, Pishin & Killa
Abdullah
Persistent Transmission Zones
Sindh
Balochistan
District / Agency /
Town
Jan SNIDs
FebNIDs
MarSNIDs
Apr NIDs
May SNIDs
JulNIDs
Karachi 3 highest risk towns
Baldia 86 90 82 95 90 90Gulshan 91 93 96 96 95 97Gadap 72 91 91 90 91 97
Quetta block
Quetta 80 91 91 92 92 92Killa Abd. 86 83 88 89 87 90Pishin 88 93 91 91 92 91
Central KP-FATA*
Khyber 45 40 39 41 41 40Bajour 46 46 65 75 83 83Mohmand 75 74 78 79 78 80Peshawar 92 93 88 95 95 96
![Page 38: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/38.jpg)
Milestone 3: Pakistan & AfghanistanThe Damage
• 57% of districts affected• 17 million people moving• health/public infrastructure
The Polio Risks• campaigns interrupted• flood route: from FATA/KPK reservoir to polio-free districts• huge movements of people from infected to polio-free areas
![Page 39: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/39.jpg)
Gov't of Pakistan Response
• added OPV to emerg measles rds
• expanded Sept SNID to NID
• establish FATA-specific strategy• direct military talks for access
• local Days of Tranquility
• engage ICRC & IFRC
• expand dialogue w local NGOs
• engage local parliamentarians
NIDs Sep/Oct 2010Phase I (27-29 Sep) Phase II (11-13 Oct)
Phase 1 tOPV
Phase 1 bOPV
Phase 2 bOPV(measles roundSept + mOPV1)
![Page 40: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/40.jpg)
Rotarians are even more essential to get to the finish line!!
Rotarians were essential to get to the last hurdle in polio eradication
![Page 41: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/41.jpg)
"No Nigerian wants their child to be paralysed for life."
Minister of Health, Nigeria, May 2008
![Page 42: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/42.jpg)
'Eradication attacks inequities & provides
the ultimate in social justice.'Dr Bill Foege
Former Director, CDC
![Page 43: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/43.jpg)
![Page 44: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/44.jpg)
New Tactics in India: reaching children in central Bihar
2009
![Page 45: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/45.jpg)
'Today, I declare the war against polio in Chad'
H.E. the President of Chad M. Idress Deby6 March 2010
![Page 46: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/46.jpg)
![Page 47: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/47.jpg)
Saudi Arabia knows this! Requires proof of OPV for all
travellers from Nigeria.
![Page 48: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/48.jpg)
Our joint task
Better Vaccines
![Page 49: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/49.jpg)
August 2009President Zardari of Pakistan accepts
Rotary Award & pledges to finish polio
![Page 50: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/50.jpg)
His Excellency the President of Cote d'IvoireSigns Rotary's 'Kick Polio Out of Africa' Ball
![Page 51: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/51.jpg)
![Page 52: Polio Plus presentation](https://reader036.vdocuments.us/reader036/viewer/2022062319/555b26eed8b42aa67a8b53b5/html5/thumbnails/52.jpg)