Polio Eradication Update Challenges Risks World Health Organization

Polio Eradication Update, Challenges & Risks World Health Organization 15 March 2012

Recent Developments

Rukshar Khatoon West Bengal, India January 2011

"WHO will remove India from the list of countries with active endemic wild poliovirus transmission" Dr Margaret Chan, Director-General World Health Organization 25 February 2012

Polio cases, last 12 months India Wild virus type 1 Wild virus type 3 Endemic country Re-infected country

Bivalent OPV (1&3)

Polio cases, last 6 months All re-infected countries: steep decline in cases Wild virus type 1 Wild virus type 3 Endemic country Re-infected country

Polio, type 3 cases Only 2 countries had type 3 in last 6 months

Challenges & Risks

Polio cases, last 6 months Pakistan & Afghanistan Nigeria Pakistan & Nigeria Polio types 1 & 3 c. VDPV 2 (Nigeria) International spread

Same children are chronically missed

Operational Challenges

Security Challenges

Microplanning Challenges

Supervision Challenges

New importations: western China Hotan prefecture Xinjiang province Virus originated in Pakistan Travelled the Karkoram Highway

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.

Emergency Goals 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

Multiple strategies for missed children > 6500 more personnel at local levels New national accountability structures

Canada Nigeria Australia United Kingdom Pakistan Commonwealth Summit 28 October 2011

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!