Polio Update part 2
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Transcript of Polio Update part 2
![Page 1: Polio Update part 2](https://reader033.fdocuments.in/reader033/viewer/2022052522/554ab56eb4c905df668b58fc/html5/thumbnails/1.jpg)
The Global Perspective &
The Polio Endgame
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What's the Polio 'Endgame'?
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0
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Polio
cas
es (t
hous
ands
)
Polio-paralyzed children, 1988-2012
Type 2 polio eradicated
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Last type 2 wild poliovirus: 1999
however…..
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Vaccine-derived polio outbreaks (cVDPVs) 2000-2013
Type 2 (478 cases)
Type 1 (79 cases)
Type 3 (9 cases)
Type 2Type 1
Type 3
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The Endgame Goal: complete the
eradication of all wild & vaccine-related
polioviruses.
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• Polio detection & interruption
• Systems strengthening, IPV intro. & OPV withdrawal
• Containment & Certification
• Legacy Planning
Endgame Plan, 2013-18
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Bivalent OPV (bOPV)
Inactivated PoliovirusVaccine (IPV)
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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
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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)
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The IPV challenge: not ‘business as usual’
IPV
Hep B
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$5.0 B* pledged for Polio Endgame Plan
* including pledges received since the Summit
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I s l a m i c A dv i s o r yGr ou p ( IA G)
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Endgame Progress
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27 March 201480% of world's population now certified polio-free!
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Ca
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Polio, type 3 cases
Last type 3 case :
10 Nov 2012, Nigeria
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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
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IPV today71 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
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Addressing Barriers
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KANO, LQAs trend
BORNO, Access Trend
Mar100%
Dec14%
20143 cases
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Est'd < 5 yr (2010
MoH)
Nov (MoH)
Dec (MoH)
Jan (all sources)
Feb (all sources)
Apr (all sources)
00.5
11.5
22.5
33.5
Children vaccinated (ml)
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AUG SEP OCT
NOV DEC JAN
Accessible
Insecurity
Partiallyinaccessible
Inaccessible
HORN OF AFRICA outbreak
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AFGHANISTAN• South: ongoing
indigenous virus
• East/North: cont'd importations
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• 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
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2013
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Public Health Emergency of International Concern (PHEIC)
Temporary recommendations for all 'exporting countries'
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Risks
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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
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The 'Red List' Countries
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WestAfrica
Niger
Mali
Horn ofAfrica
Yemen
S. Sudan
MiddleEast
Leb, Jor
Tur, Irq
Central Africa
CAR
Chad
More 'Red List' Countries
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Carry forward
Funding & Cash Gaps
2014 CASH GAP HEADLINES SINCE PREVIOUS VERSION
FRR
Funding Needs: Current Operational Budget 1,032.95$
less Operationalized Funding 690.64$
Cash Gap (Confirmed Only) 342.31$
less 75% Likely Funding 121.80$
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Priorities
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1. Nigeria (stop in 2014)
2. Outbreaks (stop in 2014)
3. Pakistan/Afghanistan
4. Red list countries
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'Eradication
attacks inequities; the
ultimate in social
justice.'
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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
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International Spread of Polio
0
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Endemic OutbreaksPolio cases:last 12 months
2012 2013
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• SEARO certified polio-free (27 March)
• No type 3 virus globally for 16 months
• Most countries on track to stop type 1
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Changes
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• IPV (all endemics plan HR areas)
• IHR & polio vaccination (Apr 14)
• Access tracking & security group
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