Polio EradicationUpdate, Challenges & Risks

World Health Organization15 March 2012

Recent Developments

Rukshar KhatoonWest Bengal, India

January 2011

"WHO will remove India from the list of countries withactive endemic wild poliovirus

transmission"

Dr Margaret Chan, Director-GeneralWorld Health Organization

25 February 2012

Polio cases, last 12 months

Endemic country

Wild virus type 3

Re-infected country

Wild virus type 1

India

Bivalent OPV (1&3)

Polio cases, last 6 months

All re-infected countries: steep decline in cases

Endemic country

Wild virus type 3

Re-infected country

Wild virus type 1

Polio, type 3 cases

Only 2 countries had type 3 in last

6 months

Challenges & Risks

Polio cases, last 6 months

Pakistan & NigeriaPolio types 1 & 3cVDPV2 (Nigeria)

International spread

Nigeria

Pakistan &Afghanistan

Same children are chronically missed

Operational Challenges

Security Challenges

MicroplanningChallenges

Supervision Challenges

Hotan prefecture

Xinjiang province

Virus originated in Pakistan

Travelled the Karkoram Highway

New importations: western China

Financing gap, 2012-13

A Global Emergency

WHO Executive Board

"DECLARES polio

eradication….emergency for

global public health"

21 January 2012

An emergency approach:

faster, focused &

fully accountable.

Help Nigeria, Pakistan, Afghanistan reach necessary coverage levels by end-2012

Sustain momentum in Chad, DR Congo, Angola to finish in 2012

Heighten polio partner accountability & coordination and close the funding gap

Emergency Goals

Multiple strategies for missed children

> 6500 more personnel at local levels

New national accountability structures

Commonwealth Summit28 October 2011

Canada Nigeria Australia United Kingdom Pakistan

Polio cases, last 4 months

Lowest cases & infected countries in

history….

7 March 2012

OPV campaigns were cancelled

in 24 high risk countries due

to insufficient funding.

India's children are still at very high risk!