Slide 1

Global Fight to Eradicate PolioViews from the groundINSEAD Alumni lunchOctober 2012

SLIDE: Black and White Photo of iron lungs.2

SLIDE: March of Dimes poster child in iron braces.34Dr Albert Sabin

Oral Polio Vaccine (OPV)Developed 1961-1962

Polio cases, U.S.A., 1950-2010SLIDE: Chart of US polio cases 1950-2010.

DATA: CDC625 years after polio vaccine invented>350,000 children still paralyzed by polio every year.

PolioPlus is born!Philadelphia, 1988

200 countries & areas1.3 million volunteers9 Unlike malaria, HIV/AIDs, tuberculousis & most other diseases, it is biologically possible to eradicate polio. 10Smallpox (variola major):Global certification of eradication, 1980

20% - 40% case fatality

100% permanent facial scarring

2.7 million deaths, 196711

A Brief History of Eradication

Polio EradicationEradication is a high-risk venture World Health AssemblyPolio Resolution: 1988Humanitarian benefits.US$1.5 billion annual savings.Strengthen health systems.Access all children & build peace.

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SLIDE. Map of polio eradication from 1988 to 2010 with four remaining countries. (A)

DATA: http://www.polioeradication.org/Aboutus/Progress/Progresstowardspolioeradication.aspx14

SLIDE: 99%

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SLIDE: Photo of squalor in India16

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Kosi River Sub Region, Bihar18What happens during a mass vaccination campaign? Example IndiaIn 6 days:640,000 vaccination posts2.3 million volunteers200 million doses of OPV6.3 million icepacks in 2 million vaccine carrier bags191 million homes visited172 million children vaccinated

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India >21 months without a case of polio!Rukhsar Khatoon

The last case of polio in India

Jan 2011

Pakistan &AfghanistanNigeriaGlobal polio cases October 2011

Recent Polio OutbreaksLethal adult polio outbreaks 2010-1123 2009 Bill & Melinda Gates Foundation

Emergency Plans surge of >6500 technical / social mobilization staff to district levels multiple strategies to reach missed children real-time oversight of OPV campaign preps/performance new national/local accountability structuresNigeriaPakistanAfghanistan

Polio cases Pakistan last 6 months

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Financial Requirements, Contributions & Gap

Global polio cases October 2011

154 cases4 countriesGlobal polio cases October 2012

THANK YOU

Insert title using Master34InitiativeYearsFeasibilityPrincipal Technical/

Operational Issue

Yellow Fever

1915-77NoNon-human reservoir

Yaws

1954-67NoChronic infection/resistence

Malaria

1955-69NoMosquito resistent to DDT

Smallpox1958-80YesERADICATED

Guinea Worm

1986 -Yes

Civil unrest, funding.

Polio1988 -YesPolitical & societal will.