Rotary

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Rotary WHOWorking to End Polio Now
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An ancient disease
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that causes life-long disability
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paralysis and even death
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PolioPlus is born!Philadelphia, 1988
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Rotarians Working to End Polio
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Rotarians Working to End Polio
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Rotarians Working to End Polio
1.2 million Rotarians from gt200 countries have
helped immunize gt 2 billion children
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Promise already fulfilled in gt100 countries (
one type of poliovirus already eradicated)
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What's the problem in the last 4
countries? Vaccination status of polio cases,
2003 to 2008
INDIA
NIGERIA
PAKISTAN
AFGHANISTAN
'Vaccine failure'
Failure to vaccinate!
Cases ()
NB coloured bars exclude cases with unknown OPV
status
Source data in WHO/HQ as of 02 Sep 2008
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Addressing 'vaccine failure' a key
milestone Technical tactical innovations
interrupted indigenous poliovirus in the most
entrenched reservoir in the world.
2006
Uttar Pradesh Last indigenous type 1 polio, Nov
2007
data as on 1 Sept 2008
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The most dangerous, Type 1 polio is in retreat in
India most of Africa
Wild virus type 1
Endemic countries
New importations (2008)
Persistent imports (2006-7)
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• ANDit is still 'easier' to eradicate polio in
  Africa.
• (average of 4 OPV doses vs. gt8 in Asia)

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• World Health Assembly
• Polio Resolution, 24 May 2008
• 2) Urges Nigeria to reduce the risk of
  international spread of poliovirus by quickly
  stopping the outbreak
• 3) Urges India, Pakistan Afghanistan to
  implement large-scale mop-ups

A new international resolve to finish
eradication.
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Saudi Arabia is further enhancing OPV
immunization requirements to protect Pilgrims to
Mecca.
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• 'I am making polio eradication WHOs top
  operational priority.
• The remaining problems are not technical. They
  are operational. They can be solved, when we have
  the resolve.'
• Dr. Margaret Chan
• WHO Director-General
• 17 June 2008

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How do we address the remaining 'operational'
challenges?
In the last endemic countries, the 'missed'
children lie beyond the reach of Health
Ministries.
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Rotary's advocacy directly addresses the
operational challenges
Nigeria
India
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Nigeria 25 July 2008
"We will do everything humanly possible to
ensure that polio is finally and totally
eradicated from Nigeria." Umaru
Yar'Adua President of Nigeria
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Addressing 'failure to vaccinate' in Nigeria
Governor oversight of OPV campaigns in key
northern states rapidly stopped the disease
Polio cases, 2008
OPV status of children, 2008
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THIS DAY(national newspaper of Nigeria)2
September 2008
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"No Nigerian wants their child to be
paralysed." Minister of Health, Nigeria,
September, 2008
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Pakistan 19 August 2008
"We all have to play our full role to turn the
dream of a polio-free Pakistan into
reality." Syed Yousuf Raza Gilani Prime Minister,
Pakistan
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Addressing 'failure to vaccinate' new tactics in
Pakistan Use of finger-marking to hold districts
accountable
Recall data May '08 NID
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Addressing 'failure to vaccinate' heightened
resolve in Afghanistan

• 'Drs. Kakar Taheri, veterans of the fight
  against polio, died with their driver in the
  attack at Kandahar '

Ambitious Afghan polio effort proceeds despite
slayings National Post (Canada), 19 Sept 08
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National Post (Canada), 19 Sept 2008
Taliban spokesman Ahmadi 'Not targeting the
doctors looking for military personnel using
same vehicles. Taliban still supports the
eradication campaign.'
WHO Representative Graaff 'It was the
resolve of our Afghan partners that this go
ahead. They want to eradicate the disease they
want to do it in memory of their colleagues.'
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Rotary's continued advocacy with world leaders is
critical to the success of PolioPlus
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Addressing the operational challenges also
requires additional resources
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"We will come together to succeed in our 100
million challenge. This challenge is a promise
we have made, as part of our promise to eradicate
polio."
Dong Kurn Lee RI President
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• Rotary's US100 Million Challenge has already
  brought in new donors, new 'domestic' funds a
  renewed G8 commitment.

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• 'The credibilityof many other initiatives is
  on the line. If we cannot reach 8090 of
  children with a vaccine, then what can we in
  public health hope to accomplish?'
• Dr. Margaret Chan
• WHO Director-General
• Rotary Int'l Convention,
• 17 June 2008

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The generosity tenacity of Rotarians has
inspired the world.
and is essential to finish PolioPlus.
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