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Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
Polio Plus presentation
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Polio Plus presentation

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Presentation at Rotary Zones 25/26 Institute

Presentation at Rotary Zones 25/26 Institute

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  • © 2009 Bill & Melinda Gates Foundation
  • Transcript

    • 1.  
    • 2.  
    • 3.  
    • 4.  
    • 5.  
    • 6. Polio Eradication Progress Last wild poliovirus type 2 in the world
    • 7. PolioPlus is born! Philadelphia, 1988
    • 8.  
    • 9. India Nigeria
    • 10.  
    • 11. Polio Eradication Progress 1988 2006 Problems 4 countries never stopped polio >40 countries had importations
    • 12. World Health Assembly Resolution 2008 'Requests the Director General to develop a new strategy to eradicate poliomyelitis…'. Independent evaluation New tactics assessed New vaccines evaluated
    • 13. New Tactics in Nigeria: engaging sub-national & local leaders June: Sultan of Sokoto constitutes Polio Committee February: Nigeria's state Governors sign 'Abuja Commitments on Polio'
    • 14. Rotarians in action for Polio Plus! Nigeria High-Level Advocacy, 2009
    • 15. New Tactics in India: reaching children in central Bihar in 2009 2008-9 Increased human resources, logistic & microplanning
    • 16. District-planning Workshop Kabul, Afghanistan June 2010
    • 17. Rotary's PolioPlus in action!
    • 18. New bivalent OPV (bOPV): 2009-10 Type 1 Type 3
    • 19. 1 st bOPV campaign Afghanistan 16 December 2009
    • 20. New Polio Strategic Plan 2010-12
    • 21. Data at WHO/Geneva as of 29 September 2010 Strategic Plan: Impact (12 & 4 months) Polio cases last 12 months Polio cases last 4 months Year to date comparison, 2009-10
    • 22. Rotarians in action for Polio Plus!
    • 23. PolioPlus funds were KEY to progress in Africa West & Central Africa: 19-country synchronized NID that is stopping that outbreak Horn of Africa: technical assistance that was fundamental to stopping that outbreak Nigeria: operations costs that were key to the recent collapse in cases
    • 24. Rotarians in action for PolioPlus! India Reservoir Areas
    • 25. PolioPlus funds were KEY to progress in Asia India: paid for field operations & external monitors, both key to recent progress in UP & Bihar AFG & PAK: supported 1 st use of the new 'bivalent' OPV Tajikistan: allowed 1 st response to the new outbreak
    • 26. Consequences of failing to finish Tajikistan Outbreak at 29 September 2010 SIA Round 1 SIA Round 2 SIA Round 3 SIA Round 4
    • 27. The new Strategic Plan is already stopping polio globally.
    • 28. New Support for PolioPlus UN Secretary-General 'Days of Tranquility' US President Obama Collaboration with the Organization of Islamic Conference (OIC) Mr Bill Gates Advocacy & Financing
    • 29. Rotary is at the center of the largest, international health effort in history: PolioPlus!
    • 30. Many Nigerian children are still unvaccinated & the poliovirus will find them if you don't!
    • 31.  
    • 32.  
    • 33.  
    • 34.  
    • 35.  
    • 36. Data at 29 Sept 2010 Pakistan & Afghanistan
      • The good news
        • district-specific plans
        • Karachi & Quetta progress
        • environmental sampling
        • FATA/KPK Crisis Task Force
      District-planning Workshop Kabul, Afghanistan June 2010
    • 37. KARACHI (3 highest risk towns: Gadapp, Baldia & Gulshan-e-Iqbal) CENTRAL KP/FATA Khyber, Bajour, Mohmand & Peshawar QUETTA BLOCK Quetta, Pishin & Killa Abdullah Persistent Transmission Zones Sindh Balochistan District / Agency / Town Jan SNIDs Feb NIDs Mar SNIDs Apr NIDs May SNIDs Jul NIDs Karachi 3 highest risk towns Baldia 86 90 82 95 90 90 Gulshan 91 93 96 96 95 97 Gadap 72 91 91 90 91 97 Quetta block Quetta 80 91 91 92 92 92 Killa Abd. 86 83 88 89 87 90 Pishin 88 93 91 91 92 91 Central KP-FATA* Khyber 45 40 39 41 41 40 Bajour 46 46 65 75 83 83 Mohmand 75 74 78 79 78 80 Peshawar 92 93 88 95 95 96
    • 38. Milestone 3: Pakistan & Afghanistan
      • The Damage
        • 57% of districts affected
        • 17 million people moving
        • health/public infrastructure
      • The Polio Risks
        • campaigns interrupted
        • flood route: from FATA/KPK reservoir to polio-free districts
        • huge movements of people from infected to polio-free areas
    • 39.
      • Gov't of Pakistan Response
      • added OPV to emerg measles rds
      • expanded Sept SNID to NID
      • establish FATA-specific strategy
        • direct military talks for access
        • local Days of Tranquility
        • engage ICRC & IFRC
        • expand dialogue w local NGOs
        • engage local parliamentarians
      NIDs Sep/Oct 2010 Phase I (27-29 Sep) Phase II (11-13 Oct) Phase 1 tOPV Phase 1 bOPV Phase 2 bOPV (measles round Sept + mOPV1)
    • 40. Rotarians are even more essential to get to the finish line!! Rotarians were essential to get to the last hurdle in polio eradication
    • 41. "No Nigerian wants their child to be paralysed for life." Minister of Health, Nigeria, May 2008
    • 42. 'Eradication attacks inequities & provides the ultimate in social justice.' Dr Bill Foege Former Director, CDC
    • 43.  
    • 44. New Tactics in India: reaching children in central Bihar 2009
    • 45. 'Today, I declare the war against polio in Chad' H.E. the President of Chad M. Idress Deby 6 March 2010
    • 46.  
    • 47. Saudi Arabia knows this! Requires proof of OPV for all travellers from Nigeria.
    • 48. Our joint task Better Vaccines
    • 49. August 2009 President Zardari of Pakistan accepts Rotary Award & pledges to finish polio
    • 50. His Excellency the President of Cote d'Ivoire Signs Rotary's 'Kick Polio Out of Africa' Ball
    • 51.  
    • 52.  

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