National Certification Committee for Polio Eradication

Proposed Work Plan Till 2014

24th IEAG Meeting, New Delhi, 15-16 March, 2012

NCCPE MembersShri P. K. Uma Shankar Chairman,

Meenakshi, 857, 13th Main RoadAnnanagar, Chennai – 40 TN

Dr. V.M.Katoch Director General, Indian Council of Medical ResearchAnsari Nagar, Delhi-29

Dr. S. Pattanayak B-91, Swasthya ViharVikas Marg, Delhi – 92

Dr. Kalyan Banerjee A-1-A/5-6, Sopan BaugOpp. Mantri AvenuePashan - 36, Pune – 8

Dr. (Brig.) S. L. Chadha C-719, New Friends ColonyNew Delhi - 65

Dr. E. G. P. Haran PhD H-201 Ambience Lagoon AptsNH-8, Gurgaon-122002, Haryana

Dr Narendra K. Arora Member CoordinatorThe INCLEN Trust International F1/5, Okhla Industrial Area Phase-1New Delhi-20

17th Meeting of NCCPE(16 September, 2011)

• Last case of WPV on 13 Jan, 2011– Date of certification Jan 2014– Activities of Committee till certification

• Certification– NCCPE to convince itself that country is ‘polio free’

• Onerous task– 37 states and union territories

National Document for Certification of Polio Eradication

• Criteria for certification– Three years from the occurrence of last WPV case– 13 January, 2011 to 13 January, 2014

• Document to have information about eradication activities – Three years before the last occurred i.e. 2008 – 2010– Three years after the last case occurred i.e. up to January

2014

• National polio importation preparedness plan• Cross border activities

NCCPE’s Assessment

1. Vulnerability of the population to infection with wild virus infection Polio related immunity gap and routine immunization

2. Whether system is sensitive enough to identify any WPV circulation?

3. Whether system is capable of identifying any importation of WVP in to the country?

4. Ability of the system for rapid and effective response to detection of any WPV identified?

NCCPE Roadmap

• State level documents before collating national document

• Request Secretary, MOHFW, GOI to write to all state health departments for support and facilitation – Exploring the possibilities of convening a meeting of State

Health Directors in Delhi• Identifying medical college faculty, professional

organizations (IAP, IMA), voluntary organizations to partner

• Systematic scrutiny of PEI data (NPSP, GOI, UNICEF, Other agencies, national & state level)

• Field visits– District wise risk assessment

• NCCPE Secretariat already doing• WHO developing a risk assessment scale• Selected high risk districts and areas visited

– Identification of senior professionals• ~15 from medical schools, polio experts• Intense orientation for task at hand during field visits• Oversight provided by NCCPE members

• Polio Eradication Initiative related data– Systematic analysis– Scrutinize for internal consistency, and agreement with feedback from the

field

• Polio laboratories– Activities; turn around time; quality assurance

NCCPE Roadmap

NCCPEs prepare National Documents

RCCPE convinces itself and certifies the region

(Countries not certified)

Global Commission declares Global Eradication

Process of Regional & Global Certification

2nd Regional Certification Committee for Polio Eradication

(25-27 January, 2012; Chiang Mai, Thailand)

• General Recommendations– High population immunity (Routine immunization & SIAs)– Uniform & highly sensitive AFP surveillance– Documentation of discarded AFP cases (final diagnosis)– National plans for responding to poliovirus importation– Access to OPV & licensure of tOPV/bOPV/mOPV– Countries with recent importation and circulation of

WPV/cVDPV to survey & update laboratory inventories– NCC to review and improve quality of annual National

Documents

• India specific recommendations– Begin preparation of National Documentation on

Certification of Poliomyelitis Eradication for submission on 14 January 2012

– Submit Preliminary Report for review at the 3rd SEA-RCCPE– Include

• An updated copy of the polio preparedness plan as an attachment to the preliminary report

• A list of cross border activities

– URGENTLY initiate laboratory containment activities

2nd Regional Certification Committee for Polio Eradication

(25-27 January, 2012; Chiang Mai, Thailand)

Laboratory Containment Activities

• National Task Force – Constituted by MOHFW, GOI on 11 September, 2003– Director General, ICMR as Chairperson – Secretariat: Indian Council of Medical Research– Report to be prepared by Secretariat & submitted to NCCPE

• Activities– To avoid chances of re-introduction of WPV when indigenous

circulation of virus interrupted– Document location and type of WPV infectious material

retained: preparation of nation wide inventory of laboratories storing infectious /potentially infectious materially

Timeline for preparing and submitting

1st draft national document to WHO-SEAR & RCCPE

01/05/12NCCPE Secretariat prepares and circulates draft document to NCCPE members. Time preiod-2008, 2009, 2010 and 2011

11-12/05/12NCCPE meets to review the document

15/05/12NCCPE Secretariat finalizes the document

31/05/12Draft India Report submitted to SEARO

NCCPE puts on record its deep appreciation for constant support and advice to –MOHFW, Government of India–NPSP–WHO-SEAR– State Governments–All other Stakeholders