The document outlines the goals and strategic plan of the Global Polio Eradication Initiative from 2009-2013. The goal is to ensure no child is paralyzed by wild or vaccine-derived poliovirus. The plan focuses on interrupting wild poliovirus transmission in the remaining endemic countries, ensuring global surveillance, achieving certification of eradication, preparing for a post-OPV world, and restructuring the initiative for the post-eradication phase. Key strategies include aggressive supplemental immunization activities, optimizing OPV delivery and outbreak response, and establishing high quality surveillance globally.

1. Highlights of the Global Polio Eradication Initiative Strategic Plan 2009-2013 Virology Discipline Meeting - 24 February 2009 Dr Preneshni R Naicker

2. Goal of the Global Polio Eradication Initiative: To ensure that no child will ever again be paralysed by either a wild or vaccine-derived poliovirus

3. Objective 1: Interrupt wild poliovirus transmission

4. Areas with Active Polio Transmission 1988 > 125 endemic countries 2006* 4 endemic countries 8 reinfected countries

9. Objective 2: Ensure sustainable surveillance for polioviruses

12. Achieve certification-standard surveillance, down to subnational level Achieve certification-standard surveillance globally, at national level Initiate global environmental surveillance strategy Introduce new laboratory procedures globally Achieve enhanced surveillance standards (AFP rate >2) at the subnational level in all high risk, re-infected and endemic areas Through end-2013, achieve certification-standard surveillance, down to subnational level End-2013 End-2012 End-2011 End-2010 End-2009 5-year target

13. Objective 3: Achieve certification & containment of wild polioviruses

19. Objective 4: Prepare for VAPP & VDPV elimination & the post-OPV era

23. Objective 5: Plan for Re-structuring of the Global Polio Eradication Initiative for the VAPP/VDPV Elimination Phase