Unprecedented innovation &

political engagement in 2009

has brought Rotary's

'someday' much much closer…

Polio already eradicated in >100 countries (& one type of poliovirus already eradicated)

19882009Recurrent importations into polio-free areas

Polio reporting districts, last 6 months

type 1

type 3

Int'l Spread of Polio

from Nigeria (& Chad, Sudan)

from India (& Angola)

In 2009, India & Nigeria finally

passed critical milestones to

complete eradication…

Highly focal type 1 polio, India

Apr 09

* data as on 10 June 2009

Jun 09May 09

WesternUttar Pradesh

Central-EastBihar

Rapid development of new bivalent OPV (types 1 & 3) for use in 2009

Superior to tOPV & as good

as mOPVs

Rotariansin action for

Polio Plus!

India Reservoir Areas

Major developments, Nigeria

The Sultan of Sokoto & Traditional Leaders, Feb 09

Nigeria Governors Forum, 2 Feb 2009

• New Minister of Health

• New Executive Director Polio Programme

Governors issue

Abuja Communiqué

on polio eradication

Governor engagement, Nigeria, 2009

H.E. the Governor of Kano vaccinating his daughter

Jan 2009

For 1st time, Kano is now vaccinating >85%

of its children

> 3 doses

1 -2 doses

0 doses

Polio Vaccine Doses

Zero-dose children finally below 'magic' threshold of 10% in north Nigeria

2006 2007

20082009

Zero Dose

1-2 Doses

3+ Doses

Rotariansin action for

Polio Plus!

Nigeria High-Level Advocacy, 2009

Nigeria: a complicated epidemiology…

Polio at 20 June 2009

# Infected States: 26

W1 (n=70)

W3 (n=237)

Northern States

• very low-level type 1

• type 3 outbreak

Middle Belt & Southern States

• type 1 outbreaks

• importations of type 3

…but the new bOPV

hugely simplify logistics

in Nigeria.

Highly focal transmission, Afghanistan & Pakistan, to date in 2009

Poliovirus reservoirs reflect a combination

of operational & security problems

Polio campaignperformance by'finger marking' 2008

17

<90 %

90-94 %

95 %

Prime Minster's Action Plan, Pakistan, 2009

Prime Minister Gilani announces PM's Action Plan & National Polio Control Cell

to hold all districts accountable

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

September 2008

'Ambitious Afghan polio effort

proceeds despite slayings'National Post (Canada), 19 Sept 08

March 2009 NATO/ISAF annouces

it will observeDays of Tranquility to

help reach everychild

Afghanistan-Pakistan Border

Rotary'sPolioPlusin action!

Polio reporting districts, last 6 months

type 1

type 3

Int'l Spread of Polio

from Nigeria (& Chad, Sudan)

from India (& Angola)

mOPV 1

mOPV 3

tOPV

Mali

Burkina Faso

Cote d’Ivoire

Guinee

Liberia

S/Leone

Ghana

Togo

BeninNigeria

Niger

West Africa 3rd Round synchronized SIA by type of OPV29th May to 2nd June 2009

Horn of AfricaSynchronized OPV Response

March - June 2009

West AfricaSynchronized OPV Response

February - July, 2009

Coordinated outbreak response…

Rotariansin action for

Polio Plus!

Uganda Polio Outbreak, 2009

West Africa outbreak

0

5

10

15

20

25

30

S.Sudan N.Sudan Kenya Uganda Ethiopia

Horn of Africa outbreak

…is rapidly stopping these outbreaks

International Travel & Health, 2009*

'Travellers who are

resident in a polio-infected

country or area should have

a full course of OPV before

leaving to reduce the risk of

international spread.'

* published 20 March 2009

“We don’t let children die because it is

fatiguing to save them.”

New Advocacy for Polio Eradication

Pakistan

India

Denmark

Netherlands

Others

Russian Federation

Germany

UN Foundation

Rotary International

World Bank (India)

IFFIm

Japan

European Commission

WB Investment Partnership for Polio

Bill and Melinda Gates Foundation

Canada

France

USAID

Sweden

Norway

US CDCItaly

UK

Bangladesh

Indonesia

2009-10 Funding Gap:US$ 345m of $1.34b budget

DomesticResources

14%

Non-G8 OECD/

Other 5%

MultilateralSector

12%

Private Sector

20%

Financing, 1988 to 2010: $7.13 billion

G8 49%

‘Other’: Governments of Angola, Austria, Australia, Belgium, Czech Republic, Finland, Hungary, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Malaysia, Monaco, Namibia, New Zealand, Nigeria, Oman, Pakistan, Portugal, Qatar, Republic of Korea, Russian Federation, Saudi Arabia, Singapore, , Spain, Switzerland, Turkey, the United Arab Emirates; African Development Bank; AG Fund; American Red Cross; De Beers, Inter-American Development Bank, Central Emergency Response Fund (CERF), International Federation of Red Cross and Red Crescent Societies, Oil for Food Programme, OPEC Fund, Sanofi Pasteur; Saudi Arabian Red Crescent Society, Smith Kline Biologicals, UNICEF National Committees, UNICEF Regular and Other Resources, United Arab Emirates Red Crescent Society, WHO Regular Budget and Wyeth.

Polio Pancake FundraiserNew York

Iditarod Dogsled Race, Alaska

Rotariansin action for

Polio Plus!

Rotariansin action for

Polio Plus!

School children's project, Italy

'And today I am announcing a new global effort with the Organization of the Islamic Conference (OIC) to eradicate polio.'

President Barack Obama

Cairo, Egypt

4 June 2009

New Political Backing for Polio Eradication

The Global Polio Eradication Programme is

seeing more innovation & political engagement

than at any other time in its 20 year history…

…the deep engagement of

Rotarians everywhere is vital

to exploit these major

opportunities and stop polio

forever.

'I am with you in this great campaign……now is the time to finish the job.'

UN Secretary-GeneralMr Ban Ki Moon

Rotary ConventionBirmingham, UK

21 June 2009