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Polio Update part 2
- 1. The Global Perspective & The Polio Endgame
- 2. What's the Polio 'Endgame'?
- 4. Last type 2 wild poliovirus: 1999 however…..
- 5. Vaccine-derived polio outbreaks (cVDPVs) 2000-2013 Type 2 (478 cases) Type 1 (79 cases) Type 3 (9 cases) Type 2 Type 1 Type 3
- 6. The Endgame Goal: complete the eradication of all wild & vaccine-related polioviruses.
- 7. • Polio detection & interruption • Systems strengthening, IPV intro. & OPV withdrawal • Containment & Certification • Legacy Planning Endgame Plan, 2013-18
- 9. The 'endgame' approach Strengthen routine immunization immediately Introduce at least 1 dose of IPV by end-2015 Switch from tOPV to bOPV by mid-2016
- 10. The role of IPV • Reduce risks of OPV2 withdrawal • Help stop outbreaks if type 2 reintroduced • Boost immunity against polio types 1 & 3 Inactivated Polio Vaccine (IPV)
- 11. The IPV challenge: not ‘business as usual’ IPV Hep B
- 12. $5.0 B* pledged for Polio Endgame Plan * including pledges received since the Summit
- 13. I s l a m i c Ad v i s o r y G r o u p ( I AG )
- 14. Endgame Progress
- 16. 27 March 2014 80% of world's population now certified polio-free!
- 17. 0 250 500 750 1000 1250 2007 2008 2009 2010 2011 2012 2013 Cases Polio, type 3 cases Last type 3 case : 10 Nov 2012, Nigeria
- 18. Polio Cases, 2014 Type 1 Pakistan 71 Afghan 4 Cameroon 3 Eq Guinea 3 Nigeria 3 Iraq 2 Syria 1 Ethiopia 1 Somalia 1Polio 2014
- 19. IPV today 71 countries already using IPV 85 have plan to introduce by end-2015 39 have not yet announced a plan 0 1,500 3,000750 Kilometers
- 21. KANO, LQAs trend BORNO, Access Trend Mar 100% Dec 14% 2014 3 cases
- 22. 0 0.5 1 1.5 2 2.5 3 3.5 Est'd < 5 yr (2010 MoH) Nov (MoH) Dec (MoH) Jan (all sources) Feb (all sources) Apr (all sources) Children vaccinated (ml)
- 23. AUG SEP OCT NOV DEC JAN Accessible Insecurity Partially inaccessible Inaccessible HORN OF AFRICA outbreak
- 24. AFGHANISTAN • South: ongoing indigenous virus • East/North: cont'd importations
- 25. • new PM Polio Focal Point • new security strategy KP • Waziristan dialogue • DG/WHO engaging PM FATA, OPV trend Imran Khan & Maulana Sami Ul Haq, Dec 2013
- 26. 2013
- 27. Public Health Emergency of International Concern (PHEIC) Temporary recommendations for all 'exporting countries'
- 28. Risks
- 29. Syria’s Polio Epidemic: The Suppressed Truth Annie Sparrow Syria's Raging Health Crisis By ADAM P. COUTTS and FOUAD M. FOUAD An Apolitical Virus: Strife Fuels Polio's Return to Middle East By Christoph Reuter Misinformation
- 30. The 'Red List' Countries
- 31. West Africa Niger Mali Horn of Africa Yemen S. Sudan Middle East Leb, Jor Tur, Irq Central Africa CAR Chad More 'Red List' Countries
- 32. Carry forward Funding & Cash Gaps 2014 CASH GAP FRR Funding Needs: Current Operational Budget 1,032.95$ less Operationalized Funding 690.64$ Cash Gap (Confirmed Only) 342.31$
- 34. Priorities
- 35. 1. Nigeria (stop in 2014) 2. Outbreaks (stop in 2014) 3. Pakistan/Afghanistan 4. Red list countries
- 36. 'Eradication attacks inequities; the ultimate in social justice.'
- 38. circulating Vaccine-Derived Poliovirus Outbreaks (cVDPVs), 2000-2012 Type 2 (478 cases) Type 1 (79 cases) Type 3 (9 cases) 14 countries have had a type 2 cVDPV
- 39. International Spread of Polio 0 50 100 150 200 250 Endemic Outbreaks Polio cases: last 12 months 2012 2013
- 41. • SEARO certified polio-free (27 March) • No type 3 virus globally for 16 months • Most countries on track to stop type 1
- 44. Changes
- 45. • IPV (all endemics plan HR areas) • IHR & polio vaccination (Apr 14) • Access tracking & security group