2016 update on polio eradication initiative for clubs in the Raleigh / Durham area, excellent for speakers during a club meeting. Describes history of polio vaccination, recent statistics, challenges, and funding needs.

1. Polio eradication
2016 update
Joseph M Reardon, MD
District PolioPlus Chair, Raleigh/Durham
with thanks to Greg Landry, JD; Rotary District 6200

2. • Brief History of Polio Eradication
• Current Statistics
• 2015 Successes
• Current Challenges
• Web of Eradication
• 2016 Needs
• Why we must succeed: Vaccine-resistant polio
AGENDA

3. Polio Eradication is Rotary’s Signature
• Smallpox eradication timeline from
start to finish: 19581979
• 1955: Salk & Sabin vaccines
• 1985: Rotary, CDC, Pan-American
Health Organization start to rid
Western Hemisphere of polio
• 1988: WHO expands the initiative
globally
• 2003: Setbacks in Nigeria
• 2013: Getting on track

4. Ordinary Challenges

6. Eradication is cost-effective
Cost-Effectiveness = ____Total Cost____
Years of life saved
Intervention Cost-Effectiveness
Chemo for adolescent lymphoma $2,000-$3,000/yr of life
C-sections $300-400/yr of life
Combined measles / tetanus /
diphtheria vaccines, etc
$10-400/yr of life
Polio eradication Up-front cost / ∞
= ~$0 per yr of life saved

8. 0
2
4
6
8
10
12
14
16
18
20
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Poliocases(thousands)
PolioPlus ProgressLast wild
poliovirus
type 2 in
the world
Last wild
poliovirus
type 3 in
the world

9. 2016 Polio Cases as of Jan 27
0
1
2
3
4
2015 Cases 2016 Cases
Endemic Countries Non-Endemic Countries
ZERO

11. 2016 Updates
• We are making progress.
– No polio in Africa, no more type 2 or 3 virus
• We have better tools.
– Better case tracking, environmental surveillance
– National & Supplemental Immunization Days
– Unprecedented vaccination agreements with the Taliban
• We have new challenges.
– 2015 Afghanistan/Pakistan Earthquake

12. Source: Daily Pioneer, India
2016: Elimination of Oral Polio Vaccine
April 2016: All countries
using injectable vaccineGoing Away: Oral Vaccine

13. The Last Frontier

14. Web of Eradication
Vaccine
Efficacy
Cold
Chain
Logistics
Refugee
Health
Maternal
& Child
Survival Drone
War
Public
Relations /
Confidence
Peacemaking
Preventing
Transmission
Eradication
Water and
Sanitation
Tribal
War
Economic Development

15. Funding Gap

16. Funding Gap

17. 0
2
4
6
8
10
12
14
16
18
20
2014 2015
$(Millions)
PolioPlus Contributions

18. Ways to Support Polio Eradication
**Contributions ARE eligible for Paul Harris Fellowship!!

19. • Members from every club in the District on the Committee!
• District-level leadership opportunity (and no in-person
meeting requirements!)
• Email the Chair to join or find us on directory-online.com
Raleigh / Durham Area PolioPlus Committee
Karen Kratz
Web Site
Joe Reardon, MD
Chair
Vandana Dake
Vice-Chair
PDG Leigh Hudson
Chair-Elect
Dilshad Jaff, MD
Club Outreach

20. www.rotarypolioprint.com

21. Every Last Child

22. The advocacy, energy &
generosity of every
Rotarian is essential to
reach 'every last child'.

23. Concerning outbreaks on the horizon…

24. Vaccine-Resistant Poliomyelitis
“Robustness against serum
neutralization of a poliovirus type 1
from a lethal epidemic of poliomyelitis
in the Republic of Congo in 2010”
• 45% mortality
• Those who died were already
vaccinated