1. Let’s End Polio Now.
PowerPoint by Jon Stillman & updated by Big Rich Churchman and me!
for our 2016 Zone 30/31 Leadership Seminars
It was 1942, and Polio gripped the world in fear. There was no known cause, no cure and no help in sight for parents desperate to protect their children.
Eager to beat the potentially fatal condition, polio-afflicted President Roosevelt inspired the American public to send in their dimes to fund research.
In just a few years Jonas Salk, an ambitious 33-year-old scientist working from his basement lab in Pittsburgh, would bring infantile paralysis to its knees and change the course of Medical History.

2. World Polio Day October 24, 2016
World Polio Day is observed on or around October 24 of each year. This observance was established by Rotary International in order to commemorate the birth of Jonas Salk.
Poliomyelitis was known since the ancient times, but the first clinical description of the disease was provided only by English physician Michael Underwood in The virus struck the developed countries at the end of the 19th century, at the beginning of the 20th century it appeared in the USA and Europe. The disease reached its peak during the 1950s, when it started to shift from infants to children aged from five to nine.
Salk's inactivated vaccine and Sabin's oral vaccine helped save thousands children. The use of the vaccines led to establishment of the Global Polio Eradication Initiative, that reduced the worldwide cases of polio by 99%.

3. This is Rotary’s Initiative Rotary’s top Priority – a polio free world
Started Challenge in 1979 – Philippines
Initiated first ever privately funded
international Public Health initiative – 1985
Joined by World Health Congress in 1988
Today Rotary’s top priority – a polio free world – requires the continued same level of support even though we have fewer cases and the end is in sight.
It is very important to avoid complacency. Even after the last case, we will need to continue a high level of immunization – millions and millions of children each year until we can certify the world polio free three years after the last case.
This is Rotary’s program - our program – We started it in the Philippines and capitalized on that success when we – Rotary – decided that we would raise $120 million over a three year period to rid the world of polio - You know the story – we raised more that US$240 million when Rotarian pledges were announced at the 1988 Convention in Philadelphia.
That fund raising capability – beyond anything we imagined – encouraged the World Health Congress to join the effort in 1988 when the Rotary, UNICEF, WHO and the Center for Disease Control and Prevention formed the spearheading partners of the Global Polio Eradication Initiative.
The Bill and Melinda Gates Foundation brought new energy when they joined the effort in 2007.

4. Context: Polio Eradication Progress
2016
Endemic
Importation
1988
In 1988 there were 1,000 cases of polio a day in the world. 350,000 cases per year. The red in this slide shows the 125 countries where polio existed in 1988.
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Here is the current picture. The two endemic countries remain – Pakistan and Afghanistan. For the first time in a few years we are not showing any importation. It is important to recognize the danger of not eliminating the wild polio virus. It is a plane ride away and could be on our doorstep tomorrow. New strategies now deal with responding rapidly and successfully to importation.
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5. Global Summary – 8 July 2015 Year to Date
2016
2015
Globally 26 33
Endemic Countries
Pakistan/Afghanistan 23
14/9
28/5
Non-Endemic Countries V-PDV
Nigeria
3-Laos 3 29
Current year – Global results to date – Continued support is critical.
The key to this slide is the second line where we continue to see great success in the endemic countries where the wild polio virus still exists and serves as the source for transmission of the virus to polio free areas. Response strategies are working to defeat outbreaks as evidenced by this slide with zero cases in non-endemic countries so far this year.
In 1988 there were 1,000 cases of polio a day in the world. 350,000 cases per year.
Two endemic countries remain – Pakistan and Afghanistan. For the first time in a few years we are not showing any importation. It is important to recognize the danger of not eliminating the wild polio virus. It is a plane ride away and could be on our doorstep tomorrow.
New strategies now deal with responding rapidly and successfully to importation.

6. The Big Switch Beginning April 17, 2016 Withdraw of Trivalent Vaccine
Replace with Bivalent Vaccine
This is why between 17 April and 1 May, every country in the world currently using oral poliovirus vaccine (OPV) withrew the trivalent vaccine (tOPV) and replace it with the bivalent vaccine (bOPV). This will continue to protect infants from poliovirus types 1 and 3 while withdrawing the type 2 component, thereby mitigating the risk of seeding new type 2 circulating vaccine-derived poliovirus (cVDPV2).
All 155 countries that use OPV have now switch to the Bi-valent vaccine. The GPEI have provided financial support to 67 countries to aid planning and implementation, 43 of are high risk and low income countries.
Global monitors have been designated to 27 countries from the US Centers for Disease Control and Prevention, the Bill and Melinda Gates Foundation, the Task Force on Global Health, UNICEF, Rotary International and WHO. Other in-country immunization-partners are deploying extra staff to the field.
You may have seen that Rotary invested over $35 million in grants in March 2016 for various immunization activities.
These investments and projects will go to nine countries including $11.4 million to Pakistan and $6 million to Afghanistan.
The finances will also support immunization activities in countries considered at risk. These include Ethiopia ($4.1 million), Nigeria ($5.5 million), Somalia ($1.8 million), Chad ($2 million), Iraq ($1.6 million), Cameroon ($1.6 million), and India ($618,000). Another $355,000 has been designated to research for polio elimination.
Always working toward an end to polio in mind.

7. Successes ------ 2016 India Polio Free Africa 23 Months Polio Free
Nigeria – Last case 24 July 2014
Last Type 2 Wild Virus – 1999
Last seen Type 3 Wild Virus – 2012
WHO SE Asia Region polio free 2014
Global Polio Lab Network – 145 Labs
Ten Million Polio Cases Prevented
This is a list of just some of the successes that we have had. Our legacy will include a new way of solving International Public Health initiatives. Polio eradication lessons learned, trained workers, operational processes and laboratory facilities have already provided significant benefit during the Ebola and other outbreaks. Please keep in mind that we marked the two year anniversary for calling Nigeria polio free, (August 12, 2016) thereby keeping the continent of Africa out of the Polio Endemic list!

8. Advocate Create Awareness Provide Funding
Rotary’s Role
Advocate Create Awareness Provide Funding
This is our role as Rotarians.
Advocate. We are asked to advocate by sending communications to our elected officials asking for the continued support of Governments for this cause. When eradication is accomplished, billions of dollars will be available to the world economy– dollars that would otherwise be used to continue immunizations as well as to care for victims of this dreaded disease. The governments have been a significant participant in this endeavor when asked to provide support by their respective Rotarians. We are all asked to support this effort by contacting officials when asked by Rotary’s advocacy teams.
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Create Awareness. It is so important for people in our local communities to be made continually aware of this dreaded disease – that it still exists – it is here in endemic countries or a plane ride away in the rest of the world– and that communities anywhere in the world can help by vaccinating their own kids and by helping with the financial support necessary in order to End Polio Now. This is also key to social mobilization activities as we get entire communities to support the immunization activities.
Fund Raising. We cannot let up with the fund raising as even after we see the last transmission of the wild polio virus, we will need to keep-up mass immunizations until we can certify that the world is free of the virus. This is key – we cannot finish the job if the funds are not available.

9. How Much?
Clubs
$1,500 per club to receive the Certificate of Appreciation
$2,650 per club as part of the possible Presidential Citation
Clubs should set PolioPlus Goal in Rotary Club Central
20% or more of DDF from Districts
With regards to fund raising, the hope is that district leadership teams will encourage clubs to set a minimum goal of $1500 and eligible for a Certificate of Appreciation or $2,650 helping them achieve the presidential citation. This can be achieved by holding a community fund raising event. This serves three purposes – it raises funds for polio, it is a goal towards the club Presidential Citation and it creates awareness of the disease - that it still devastates children in the world - that it is a plane ride away where it no longer exists - and that Rotary has taken the lead in eradicating the disease.
Many clubs have also reported that fund raising events in support of ending polio now have served as a vehicle for membership growth. Even many small clubs have demonstrated the ability to raise this amount during a year. While Rotarians are encouraged to contribute should they desire, the hope is that a community fund raiser will raise awareness and get the word out about World Polio Day on October 24,2016 for the cause and the good work of Rotary.
Clubs are encouraged to set their PoliPlus Goal in Rotary Club Central.
Districts are encouraged to contribute 20% of new DDF each year in support of the greatest humanitarian project any service organization has ever undertaken. You will see in the next slide the added value available with gifts to polio eradication.

10. $2,650 X 3 = $7,950 Gates Help Clubs Through 2018 2 Xs Match
Up to 35 Million/year
The good news is that the Bill and Melinda Gate’s Foundation is continuing to support Rotary’s top priority. Through 2018 they will match two for one – up to $35 million per year – funds raised by Rotarians and committed by The Rotary Foundation to the eradication of polio. This means that a cash gift can be multiplied by three in order to determine the value provided to the polio eradication effort by that cash gift.
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Thus a $1,000 gift is matched with $2,000 by the Gate’s Foundation for a total of $3,000. This is the same as multiplying the $1,000 by 3 and an easy way to determine the added value a cash gift makes to the eradication effort.
For a Club that means their efforts to raise $ matched by the Gates Foundation =$
$2,650 X 3 = $7,950

11. Gates Help - DDF DDF - Trustees $.50 to Dollar Gates 2 Xs Match
Up to 35 Million/year
Even better is the value that a District Designated Fund (DDF) gift makes to the effort. A DDF gift is first matched by the World Fund of The Rotary Foundation at fifty cents to the dollar and then matched by the Gate’s Foundation. In this case a $1,000 gift will be matched with $500 of World Fund money for $1,500. This multiplied by three is $4,500. The World Fund match will also continue through 2018 and the World Fund match will be provided to the first $3.5 million dollars of DDF each year. This matching provides great value for our contributions to Rotary’s number one priority.
$10,000 X 1.5 = $15,000 X 3 = $45,000

12. Resources
You Tube Videos Google - Polio
Here are some sites where you can obtain more information about our Polio efforts.
You Tube Videos
Google - Polio

13. These are someone's children and grandchildren… we were too late to help them. They will suffer for the remainder of their lives from a disease that we have and had the ability to eliminate. Your effort will help Rotary keep its’ promise of a polio free world so all children and those grandchildren will not have to suffer as these children are.

14. Let’s End Polio Now. CLICK
PowerPoint by Jon Stillman & updated by Big Rich Churchman and me!
for our 2016 Zone 30/31 Leadership Seminars