Global Fight to Eradicate Polio Views from the ground
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Transcript of Global Fight to Eradicate Polio Views from the ground
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Global Fight to Eradicate PolioViews from the groundINSEAD Alumni lunchOctober 2012
SLIDE: Black and White Photo of iron lungs.2
SLIDE: March of Dimes poster child in iron braces.34Dr Albert Sabin
Oral Polio Vaccine (OPV)Developed 1961-1962
Polio cases, U.S.A., 1950-2010SLIDE: Chart of US polio cases 1950-2010.
DATA: CDC625 years after polio vaccine invented>350,000 children still paralyzed by polio every year.
PolioPlus is born!Philadelphia, 1988
200 countries & areas1.3 million volunteers9 Unlike malaria, HIV/AIDs, tuberculousis & most other diseases, it is biologically possible to eradicate polio. 10Smallpox (variola major):Global certification of eradication, 1980
20% - 40% case fatality
100% permanent facial scarring
2.7 million deaths, 196711
A Brief History of Eradication
Polio EradicationEradication is a high-risk venture World Health AssemblyPolio Resolution: 1988Humanitarian benefits.US$1.5 billion annual savings.Strengthen health systems.Access all children & build peace.
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SLIDE. Map of polio eradication from 1988 to 2010 with four remaining countries. (A)
DATA: http://www.polioeradication.org/Aboutus/Progress/Progresstowardspolioeradication.aspx14
SLIDE: 99%
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SLIDE: Photo of squalor in India16
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Kosi River Sub Region, Bihar18What happens during a mass vaccination campaign? Example IndiaIn 6 days:640,000 vaccination posts2.3 million volunteers200 million doses of OPV6.3 million icepacks in 2 million vaccine carrier bags191 million homes visited172 million children vaccinated
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India >21 months without a case of polio!Rukhsar Khatoon
The last case of polio in India
Jan 2011
Pakistan &AfghanistanNigeriaGlobal polio cases October 2011
Recent Polio OutbreaksLethal adult polio outbreaks 2010-1123 2009 Bill & Melinda Gates Foundation
Emergency Plans surge of >6500 technical / social mobilization staff to district levels multiple strategies to reach missed children real-time oversight of OPV campaign preps/performance new national/local accountability structuresNigeriaPakistanAfghanistan
Polio cases Pakistan last 6 months
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Financial Requirements, Contributions & Gap
Global polio cases October 2011
154 cases4 countriesGlobal polio cases October 2012
THANK YOU
Insert title using Master34InitiativeYearsFeasibilityPrincipal Technical/
Operational Issue
Yellow Fever
1915-77NoNon-human reservoir
Yaws
1954-67NoChronic infection/resistence
Malaria
1955-69NoMosquito resistent to DDT
Smallpox1958-80YesERADICATED
Guinea Worm
1986 -Yes
Civil unrest, funding.
Polio1988 -YesPolitical & societal will.