Rotary Foundation Seminar Polio Eradication. From left Canadian PM Stephen Harper, Nigerian...

Rotary Foundation SeminarPolio Eradication

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From leftCanadian PM Stephen Harper, Nigerian President Goodluck Jonathan, Australian PM Julia

Gillard PM David Cameron - UK and PM Yousuf Raza Gilani of

Pakistan.

Over $100 million in pledges for polio eradication at Commonwealth meeting


GPEI - Global Polio Eradication Initiative

WHO - World Health Organisation

UNICEF - United Nations Children’s Fund

CDC - (United States) Centre for Disease Control & Prevention

RI - Rotary International


1985350,000 cases

125 countries


How long ago?


Acute flaccid paralysis (AFP) surveillance

Nationwide AFP (acute flaccid paralysis) surveillance is the

gold standard for detecting cases of poliomyelitis.

The four steps of (AFP) surveillance are:

•finding and reporting children with (AFP) •transporting stool samples for analysis •isolating and identifying poliovirus in the laboratory •mapping the virus to determine the origin of the virus strain.


Environmental surveillance involves:-

•testing sewage or other environmental samples for the presence of poliovirus.•systematic environmental sampling (e.g. in Egypt and Mumbai, India)•ad-hoc environmental surveillance elsewhere (especially in polio-free regions)


Surveillance indicators

IndicatorMinimum levels for certification standard

surveillance

Completeness of reporting

At least 80% of expected routine reports should be received on time (inc. zero reports) The distribution of reporting sites should be representative of the geography and demography of the country

Sensitivity of surveillance

At least one case of non-polio AFP should be detected annually per 100 000 population aged less than 15 years.In endemic regions this rate should be two per 100 000.

Completeness of case investigation

All cases should have a full clinical and virological investigation with at least 80% of AFP cases having ‘adequate’ stool specimens collected.

Completeness of follow-up

At least 80% of AFP cases should have a follow-up examination for residual paralysis at 60 days after the onset of paralysis

Laboratory performance

All AFP case specimens must be processed in a WHO-accredited laboratory within the Global Polio Laboratory Network (GPLN)


Polio campaign monitoring

Independent polio campaign monitoring is carried out to assess the quality and impact of supplementary

immunization activities

- critical to guiding any necessary mid-course corrections if gaps or

problems are found.


A child’s finger is marked after being vaccinated.

Bodinga, Nigeria

Polio campaign monitoringThe basic elements include

recording: •the number and source of independent monitors•the number of children monitored•the percentage of children whose

fingers are marked to prove they were vaccinated•the proportion of districts monitored


Vaccinating five million children in

Sudan

In 2006, Sudan held mass polio vaccination campaigns

after two cases were reported in neighbouring

Chad.

More than five million children were vaccinated

over three days.

Oral polio vaccine is stored in refrigerators at a health facility. The rainy season flooded the area but the refrigerators are intact, keeping the vaccine chilled.


Dr Salah Haithami checks that a vaccinator knows her tasks:–

•giving two drops of vaccine to every child

•marking their fingers with indelible ink

•storing the vaccine safely in her cooler box.


Dr Tayeb EL Saied, in charge

of Sudan's immunization programme,

demonstrates house marking.


A team of vaccinators waits to be driven out

to a remote community.

More than 90% of vaccinators are women, as only

women have access to private households.


Nigeria

Nigeria is on the last lap towards polio eradication with tremendous progress over the past two years but

the battle is not yet over


Women’s compound meetings are targeting high

risk communities where resistance to oral polio

vaccine is strong.

Intensified efforts are underway to mobilize communities for polio

campaigns through varied communications

interventions.


Aminu Ahmad is the President of Kano’s

Association for Polio Victims. He runs his own tricycle business where 80% of

employees are people with polio.

Aminu is actively involved in community mobilisation efforts.


Traditional leaders play a key role in addressing resistance to

immunization thanks to their status and high respect in

communities….. vaccinating eligible children including their

own.


Papa Lolos (Village clowns) are actively engaged during campaign flag offs to draw

out the crowds while vaccination team waits to

capture all eligible children.

Locally produced Majigi films – that include drama and polio facts – are

widely used to strengthen the impact of communication.


Aminu was invited to address the Kano Emirate Council.

Certain religious sects still have strong anti-immunization attitudes. Emirs and

religious scholars help to overcome them.


Okada bikers (taxis) are used in Zamfara to

inform and mobilise communities during the

week leading to the campaign.


Nigeria will have to reach every last child in the next six months to be able to stop the transmission of the wild polio virus in Northern Nigeria.


Total as of October 28, 2011, $192 million as reported by

Challenge Coordinator Clare Monroe, TRF staff.

Rotary’s

US$200 million

CHALLENGE

to match the

Bill & Melina Gates Foundation donation of

US$355 million


Thankyoufor your support

and on-going commitment

to see this campaign through

May we live to see a

POLIO FREE WORLD

Remember – while just ONE person has polio,

the whole world and all its children are at risk

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Rotary Foundation Seminar Polio Eradication. From left Canadian PM Stephen Harper, Nigerian...

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