Highlights of New WPV Cases 34 new cases in 5 countries 14 cases (14 W3) but no new district in India Most recent date of onset 03 Oct 1 case (W1) but no new district in Pakistan Most recent date of onset 30 Sept 4 cases (4 W1) and 1 new district in DR Congo Most recent date of onset 26 Sept 10 cases (6 W1, 4 W3) and 4 new districts in Nigeria Most recent date of onset 17 Sept 5 cases (5 W1), 5 new districts and 4 new states in Chad Most recent date of onset 06 Sept 4 advance notice cases in 1 country 4 cases (4 W1), 2 new districts and 1 new state in Niger Dates of onset on 4, 9, 11, 14 Sept Data in WHO HQ as of 30 Oct 2007

Wild Poliovirus*, 31 Oct Oct 2007 *Excludes viruses detected from environmental surveillance and vaccine derived polio viruses. The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.  WHO All rights reserved Case or outbreak following importation (0 - 6 months) Endemic countries Case or outbreak following importation ( months) Wild virus type 1 Wild virus type 3 Wild virus type 1 & 3 As of 01 January 2006, Egypt and Niger were reclassified as non-endemic countries. Data in WHO HQ as of 30 Oct 2007

Wild Poliovirus*, 01 May 2007 – 30 Oct 2007 *Excludes viruses detected from environmental surveillance and vaccine derived polio viruses. Wild virus type 1 Wild virus type 3 Wild virus type 1 & 3 Case or outbreak following importation (0 - 6 months) Endemic countries The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.  WHO All rights reserved Data in WHO HQ as of 30 Oct 2007

Wild Poliovirus infected districts*, 01 May Oct 2007 *Excludes viruses detected from environmental surveillance and vaccine derived polio viruses. district infected with wild polio virus type 1 district infected with wild polio virus type 3 The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.  WHO All rights reserved district infected with wild polio virus type 1 and type 3 Data in WHO HQ as of 30 Oct 2007

Wild Poliovirus Data in WHO HQ as of 30 Oct 2007

Monthly distribution of Wild Poliovirus cases, Data in WHO HQ as of 23 October Does not include W1W3 (total of 16 cases ). WPV type 1 WPV type 3

circulating Vaccine-derived Poliovirus*, Data in WHO HQ as of 30 Oct 2007 * circulating Vaccine-derived poliovirus (cVDPV) is associated with 2 or more cases of AFP

Comparison of 2006 and 2007 Data as of 31 Oct 2006 and 30 Oct 2007 *Pending lab results is for endemic regions only. Calculations are made from the lab files, based on the date of onset to Tuesday of the current week. Data in WHO HQ as of 30 Oct 2007

Non-polio AFP Rate < > 1 No AFP Surveillance Data in WHO HQ as of 23 Oct 2007 The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.  WHO All rights reserved October 2005 – September 2006 October 2006 – September 2007

Adequate Stool Collection Rate The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.  WHO All rights reserved < 60% 60% -80% > 80% No AFP Surveillance Data in WHO HQ as of 23 Oct 2007 October 2005 – September 2006 October 2006 – September 2007