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Polio Eradication


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A look at what Rotary's Polio Eradication effort has achieved since its inception in 1985.

Published in: Health & Medicine
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Polio Eradication

  1. 1. Polio Eradication A global health success story Dr Kenneth E Collins Rotary International PolioPlus Task Force
  2. 2. Deaths 1946 - 55 <ul><li>Diphtheria 624 </li></ul><ul><li>Pertussis 429 </li></ul><ul><li>Tetanus 625 </li></ul><ul><li>Polio 1013 </li></ul><ul><li>Measles 495 </li></ul>
  3. 3. 3H Programme <ul><li>In 1978, RI President Clem Renouf established the Health, Hunger and Humanity (3H) Programme </li></ul><ul><li>The RI Board agreed that the eradication of poliomyelitis throughout the world be a primary goal of the 3H programme </li></ul><ul><li>By 1981 polio immunization grants were approved for the Philippines, Haiti and Bolivia, and proposals were considered for Morocco, Sierra Leone and Gambia. </li></ul>
  4. 4. Polio 2005 Committee <ul><li>Eradication would require annual, mass immunization campaigns in all polio endemic countries. </li></ul><ul><li>RI agreed to provide all the polio vaccine required to immunize the 100 million children born each year who were not being immunized. </li></ul><ul><li>Partnership formed with the World Health Organization, UNICEF and the Centre for Diseases Control. </li></ul>
  5. 5. 1985 - 1988 <ul><li>Goal: US$120 million </li></ul><ul><li>Total raised: US$247 million </li></ul><ul><li>Results: </li></ul><ul><ul><li>Polio eradicated in Bolivia and Brazil </li></ul></ul><ul><ul><li>Number of cases had reduced to 350,000 in 125 countries. </li></ul></ul>
  6. 6. Polio Incidence - Brazil
  7. 7. 1988 - 1993 <ul><li>606 million children immunized in 97 countries </li></ul><ul><li>However, Polio still flourished in countries such as India. </li></ul><ul><li>In 1991, National Immunisation Days (NIDs) were introduced in the Philippines and China: all children under 5 years were immunized in a 1 - 2 day period. Polio disappeared very quickly from those countries. </li></ul>
  8. 8. NIDs in India <ul><li>First NID in 1995 </li></ul><ul><li>Most recent NID: </li></ul><ul><ul><li>709,000 vaccination booths </li></ul></ul><ul><ul><li>2,500,000 vaccinators </li></ul></ul><ul><ul><li>155,000 supervisors </li></ul></ul><ul><ul><li>225,000,000 doses of polio vaccine </li></ul></ul><ul><ul><li>6,300,000 ice packs to keep the vaccine cold </li></ul></ul><ul><ul><li>209,000,000 homes visited </li></ul></ul><ul><ul><li>172,000,000 children immunized </li></ul></ul>
  9. 9. Polio in 2001 <ul><li>15 countries reported polio </li></ul><ul><ul><li>10 countries were still endemic </li></ul></ul><ul><ul><li>5 countries reported importations from other countries </li></ul></ul><ul><li>Only 483 cases worldwide. </li></ul><ul><ul><li>475 of these were in endemic countries </li></ul></ul><ul><ul><li>Only 8 cases were in non-endemic countries </li></ul></ul><ul><li>India reported 268 cases </li></ul><ul><li>Nigeria reported 56 cases </li></ul>
  10. 10. Where are we now? 31 14 14 Afghanistan 798 552 372 Nigeria 117 27 31 Pakistan 559 355 184 India 146 60 216 Non-endemic countries 1505 948 601 Endemic countries 1651 1008 817 Globally Total in 2008 Year to date 2008 Year to date 2009 Total cases
  11. 11. Gates Challenge <ul><li>Oct 2007: Bill Gates donated US$100 million </li></ul><ul><li>Feb 2008: Bill Gates donated a further US$255 million </li></ul><ul><li>Bill Gates challenged Rotarians to raise US$200 million in 3 years </li></ul><ul><ul><li>i.e. US$2,000 per club per year worldwide </li></ul></ul><ul><ul><li>US$93 million raised in the 1 st year </li></ul></ul>