Post on 25-Dec-2015
transcript
Unprecedented innovation &
political engagement in 2009
has brought Rotary's
'someday' much much closer…
Polio already eradicated in >100 countries (& one type of poliovirus already eradicated)
19882009Recurrent importations into polio-free areas
Polio reporting districts, last 6 months
type 1
type 3
Int'l Spread of Polio
from Nigeria (& Chad, Sudan)
from India (& Angola)
In 2009, India & Nigeria finally
passed critical milestones to
complete eradication…
Highly focal type 1 polio, India
Apr 09
* data as on 10 June 2009
Jun 09May 09
WesternUttar Pradesh
Central-EastBihar
Rapid development of new bivalent OPV (types 1 & 3) for use in 2009
Superior to tOPV & as good
as mOPVs
Rotariansin action for
Polio Plus!
India Reservoir Areas
Major developments, Nigeria
The Sultan of Sokoto & Traditional Leaders, Feb 09
Nigeria Governors Forum, 2 Feb 2009
• New Minister of Health
• New Executive Director Polio Programme
Governors issue
Abuja Communiqué
on polio eradication
Governor engagement, Nigeria, 2009
H.E. the Governor of Kano vaccinating his daughter
Jan 2009
For 1st time, Kano is now vaccinating >85%
of its children
> 3 doses
1 -2 doses
0 doses
Polio Vaccine Doses
Zero-dose children finally below 'magic' threshold of 10% in north Nigeria
2006 2007
20082009
Zero Dose
1-2 Doses
3+ Doses
Rotariansin action for
Polio Plus!
Nigeria High-Level Advocacy, 2009
Nigeria: a complicated epidemiology…
Polio at 20 June 2009
# Infected States: 26
W1 (n=70)
W3 (n=237)
Northern States
• very low-level type 1
• type 3 outbreak
Middle Belt & Southern States
• type 1 outbreaks
• importations of type 3
…but the new bOPV
hugely simplify logistics
in Nigeria.
Highly focal transmission, Afghanistan & Pakistan, to date in 2009
Poliovirus reservoirs reflect a combination
of operational & security problems
Polio campaignperformance by'finger marking' 2008
17
<90 %
90-94 %
95 %
Prime Minster's Action Plan, Pakistan, 2009
Prime Minister Gilani announces PM's Action Plan & National Polio Control Cell
to hold all districts accountable
'Drs. Kakar & Taheri, veterans of the fight against polio, died with their driver in the attack at Kandahar '
September 2008
'Ambitious Afghan polio effort
proceeds despite slayings'National Post (Canada), 19 Sept 08
March 2009 NATO/ISAF annouces
it will observeDays of Tranquility to
help reach everychild
Afghanistan-Pakistan Border
Rotary'sPolioPlusin action!
Polio reporting districts, last 6 months
type 1
type 3
Int'l Spread of Polio
from Nigeria (& Chad, Sudan)
from India (& Angola)
mOPV 1
mOPV 3
tOPV
Mali
Burkina Faso
Cote d’Ivoire
Guinee
Liberia
S/Leone
Ghana
Togo
BeninNigeria
Niger
West Africa 3rd Round synchronized SIA by type of OPV29th May to 2nd June 2009
Horn of AfricaSynchronized OPV Response
March - June 2009
West AfricaSynchronized OPV Response
February - July, 2009
Coordinated outbreak response…
Rotariansin action for
Polio Plus!
Uganda Polio Outbreak, 2009
West Africa outbreak
0
5
10
15
20
25
30
S.Sudan N.Sudan Kenya Uganda Ethiopia
Horn of Africa outbreak
…is rapidly stopping these outbreaks
International Travel & Health, 2009*
'Travellers who are
resident in a polio-infected
country or area should have
a full course of OPV before
leaving to reduce the risk of
international spread.'
* published 20 March 2009
“We don’t let children die because it is
fatiguing to save them.”
New Advocacy for Polio Eradication
Pakistan
India
Denmark
Netherlands
Others
Russian Federation
Germany
UN Foundation
Rotary International
World Bank (India)
IFFIm
Japan
European Commission
WB Investment Partnership for Polio
Bill and Melinda Gates Foundation
Canada
France
USAID
Sweden
Norway
US CDCItaly
UK
Bangladesh
Indonesia
2009-10 Funding Gap:US$ 345m of $1.34b budget
DomesticResources
14%
Non-G8 OECD/
Other 5%
MultilateralSector
12%
Private Sector
20%
Financing, 1988 to 2010: $7.13 billion
G8 49%
‘Other’: Governments of Angola, Austria, Australia, Belgium, Czech Republic, Finland, Hungary, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Malaysia, Monaco, Namibia, New Zealand, Nigeria, Oman, Pakistan, Portugal, Qatar, Republic of Korea, Russian Federation, Saudi Arabia, Singapore, , Spain, Switzerland, Turkey, the United Arab Emirates; African Development Bank; AG Fund; American Red Cross; De Beers, Inter-American Development Bank, Central Emergency Response Fund (CERF), International Federation of Red Cross and Red Crescent Societies, Oil for Food Programme, OPEC Fund, Sanofi Pasteur; Saudi Arabian Red Crescent Society, Smith Kline Biologicals, UNICEF National Committees, UNICEF Regular and Other Resources, United Arab Emirates Red Crescent Society, WHO Regular Budget and Wyeth.
Polio Pancake FundraiserNew York
Iditarod Dogsled Race, Alaska
Rotariansin action for
Polio Plus!
Rotariansin action for
Polio Plus!
School children's project, Italy
'And today I am announcing a new global effort with the Organization of the Islamic Conference (OIC) to eradicate polio.'
President Barack Obama
Cairo, Egypt
4 June 2009
New Political Backing for Polio Eradication
The Global Polio Eradication Programme is
seeing more innovation & political engagement
than at any other time in its 20 year history…
…the deep engagement of
Rotarians everywhere is vital
to exploit these major
opportunities and stop polio
forever.
'I am with you in this great campaign……now is the time to finish the job.'
UN Secretary-GeneralMr Ban Ki Moon
Rotary ConventionBirmingham, UK
21 June 2009