- Polio eradication efforts have made progress since 1988, but 4 countries never stopped polio and over 40 had importations of the virus. - New tactics were developed including engaging local leaders in Nigeria and improving access to children in central Bihar, India. - The new strategic plan for 2010-2012 is already stopping polio globally with support from organizations like the UN, US, and Bill Gates.

6. Polio Eradication Progress Last wild poliovirus type 2 in the world

7. PolioPlus is born! Philadelphia, 1988

9. India Nigeria

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!

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

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

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