Unprecedented innovation & political engagement in 2009 has brought Rotary's 'someday' much much closer…

Recurrent importations into polio-free areas Polio already eradicated in >100 countries (& one type of poliovirus already eradicated) 2009 1988 Recurrent importations into polio-free areas

Polio reporting districts, last 6 months from India (& Angola) Int'l Spread of Polio from Nigeria (& Chad, Sudan) type 1 type 3

In 2009, India & Nigeria finally passed critical milestones to complete eradication…

Highly focal type 1 polio, India Apr 09 May 09 Jun 09 Western Uttar Pradesh Central-East Bihar * data as on 10 June 2009

Rapid development of new bivalent OPV (types 1 & 3) for use in 2009 Superior to tOPV & as good as mOPVs

Rotarians in action for Polio Plus! India Reservoir Areas

Major developments, Nigeria Governors issue Abuja Communiqué on polio eradication The Sultan of Sokoto & Traditional Leaders, Feb 09 New Minister of Health New Executive Director Polio Programme Nigeria Governors Forum, 2 Feb 2009

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 Zero Dose 1-2 Doses 2009 3+ Doses 2008

Rotarians in action for Polio Plus! Nigeria High-Level Advocacy, 2009 Rotarians in action for Polio Plus!

Nigeria: a complicated epidemiology… Polio at 20 June 2009 Northern States very low-level type 1 type 3 outbreak …but the new bOPV hugely simplify logistics in Nigeria. Middle Belt & Southern States type 1 outbreaks importations of type 3 # Infected States: 26 W1 (n=70) W3 (n=237)

Highly focal transmission, Afghanistan & Pakistan, to date in 2009 Poliovirus reservoirs reflect a combination of operational & security problems

Prime Minster's Action Plan, Pakistan, 2009 Prime Minister Gilani announces PM's Action Plan & National Polio Control Cell to hold all districts accountable Polio campaign performance by 'finger marking' 2008 Difference between two data set is evident at the district levels, as well. Barring 3 districts in Sindh, all have below 90% coverage verified by finger marking. Where as using finger marking as criterion for confirming vaccination status helps to vaccinate more children, other operational issues like quality of training and supervision are playing role, as well, in the significant difference. <90 % 90-94 %  95 % 17 17

'Ambitious Afghan polio effort proceeds despite slayings' March 2009 NATO/ISAF annouces it will observe Days of Tranquility to help reach every child 'Ambitious Afghan polio effort proceeds despite slayings' National Post (Canada), 19 Sept 08 'Drs. Kakar & Taheri, veterans of the fight against polio, died with their driver in the attack at Kandahar ' September 2008

Rotary's PolioPlus in action! Afghanistan-Pakistan Border Rotary's PolioPlus in action!

Polio reporting districts, last 6 months from India (& Angola) Int'l Spread of Polio from Nigeria (& Chad, Sudan) type 1 type 3

Coordinated outbreak response… Horn of Africa Synchronized OPV Response March - June 2009 West Africa Synchronized OPV Response February - July, 2009

Rotarians in action for Polio Plus! Uganda Polio Outbreak, 2009

…is rapidly stopping these outbreaks Horn of Africa outbreak West Africa outbreak Horn of Africa outbreak

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

New Advocacy for Polio Eradication “We don’t let children die because it is fatiguing to save them.”

Financing, 1988 to 2010: $7.13 billion 49% Domestic Resources 14% Multilateral Sector 12% Non-G8 OECD/ Other 5% Private Sector 20% 2009-10 Funding Gap: US$ 345m of $1.34b budget ‘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.

Iditarod Dogsled Race, Alaska Rotarians in action for Polio Plus! Polio Pancake Fundraiser New York Iditarod Dogsled Race, Alaska

Rotarians in action for Polio Plus! School children's project, Italy

New Political Backing for Polio Eradication '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

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-General Mr Ban Ki Moon Rotary Convention Birmingham, UK 21 June 2009