Transcript Dr. Bruce Aylward's Polio PowerPoint Presentation

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)
1988
2009
Recurrent importations into polio-free areas
Polio reporting districts, last 6 months
Int'l Spread of Polio
type 1
type 3
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
Western
Uttar Pradesh
Central-East
Bihar
* data as on 10 June 2009
May 09
Jun 09
Rapid development of new bivalent OPV
(types 1 & 3) for use in 2009
Superior to
tOPV & as good
as mOPVs
Rotarians
in action for
Polio Plus!
India Reservoir Areas
Major developments, Nigeria
• New Minister of Health
•
The Sultan of Sokoto &
Traditional Leaders, Feb 09
Governors issue
NewAbuja
Executive
Director
Communiqué
on Programme
polio eradication
Polio
Nigeria Governors
Forum, 2 Feb 2009
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
Polio Vaccine
Doses
> 3 doses
1 -2 doses
0 doses
Zero-dose children finally below 'magic'
threshold of 10% in north Nigeria
2006
2009
2007
Zero Dose
1-2 Doses
3+ Doses
2008
Nigeria High-Level Advocacy, 2009
Rotarians
in action for
Polio Plus!
Nigeria: a complicated epidemiology…
Polio at 20 June 2009
Northern States
• very low-level type 1
• type 3 outbreak
Middle
Southern
States
…but Belt
the &new
bOPV
• type 1 outbreaks
W1 (n=70)
W3 (n=237)
# Infected States: 26
hugely simplify logistics
• importations of type 3
in Nigeria.
Highly focal transmission,
Afghanistan & Pakistan, to date in 2009
Poliovirus reservoirs
reflect a combination
of operational &
security problems
Prime Minster's Action Plan, Pakistan, 2009
Prime Minister Gilani announces PM's
Action Plan & National Polio Control Cell
to hold all districts accountable
Polio campaign
performance by
'finger marking'
2008
<90 %
90-94 %
95 %
17
March 2009
NATO/ISAF annouces
it will observe
Days of Tranquility to
help reach every
child
'Drs. Kakar & Taheri, veterans
'Ambitious
of the
fight against Afghan
polio, diedpolio effort
with their driver in the attack at
proceeds
despite
slayings'
Kandahar '
National Post
(Canada),
September
200819 Sept 08
Afghanistan-Pakistan Border
Rotary's
PolioPlus
in action!
Polio reporting districts, last 6 months
Int'l Spread of Polio
type 1
type 3
from Nigeria
(& Chad, Sudan)
from India (& Angola)
Coordinated outbreak response…
Horn of Africa
Synchronized OPV Response
March - June 2009
West Africa 3rd Round synchronized SIA by type of OPV
29th May to 2nd June 2009
mOPV 1
West Africa
mOPV 3
tOPV
Synchronized OPV Response
Mali
Niger
February - July, 2009
Burkina Faso
Guinee
Benin
Nigeria
Togo
S/Leone
Cote d’Ivoire
Liberia
Ghana
Rotarians
in action for
Polio Plus!
Uganda Polio Outbreak, 2009
…is rapidly stopping these outbreaks
40
No. of cases
35
West Africa
outbreak
30
25
20
15
10
5
0
May-08
Jun-08
Jul-08
Aug-08
Sep-08
Oct-08
Nov-08
Dec-08
Jan-09
Feb-09
Mar-09
Apr-09
May-09
30
S.Sudan
Horn of Africa
outbreak
N.Sudan
Kenya
Uganda
Ethiopia
25
20
15
10
5
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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
New Advocacy for Polio Eradication
“We don’t let children die
because it is fatiguing to
save them.”
Financing, 1988 to 2010: $7.13 billion
USAID
US CDC
France
G8
49%
Italy
Bangladesh
Germany
Indonesia
Russian
Federation
India
Pakistan
Japan
Multilateral
Sector
12%
European
Commission
Netherlands
IFFIm
Denmark
World Bank (India)
Sweden
Others
UN Foundation
Bill and Melinda Gates
Foundation
Non-G8
OECD/
Other 5%
Norway
WB Investment
Partnership for Polio
Private
Sector
20%
Domestic
Resources
14%
UK
Canada
Rotary
International
2009-10 Funding Gap:
US$ 345m of $1.34b budget
‘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.
Rotarians
in action for
Polio Plus!
Polio Pancake Fundraiser
New York
Iditarod Dogsled Race, Alaska
Rotarians
in action for
Polio Plus!
School children's project, Italy
New Political Backing for Polio Eradication
'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
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-General
Mr Ban Ki Moon
Rotary Convention
Birmingham, UK
21 June 2009