1. Polio Eradication and STOP Program
FETP RA Orientation
August 9, 2011
Center for Global Health
Centers for Disease Control and Prevention

2. Outline Global Polio Eradication Initiative (GPEI) STOP Program
History and Current status
STOP Program
Spotlight on 2 key countries for major milestone (India and Nigeria), i.e. by end of 2011 target for GPEI is to interrupt transmission in 2 of 4 remaining endemic countries.
Final 1% has been the most challenging as Honorable Desmond Tutu illustrates.

3. Global Polio Eradication Initiative (GPEI)
PHGR Polio for Dr. F. review 19Jan2010
2/16/2019
Global Polio Eradication Initiative (GPEI)
WHA Resolution, 1988
GPEI is a Public-Private Partnership led by
World Health Organization (WHO)
Rotary International
United Nations Children’s Fund (UNICEF)
Centers for Disease Control & Prevention (CDC)
Bill & Melinda Gates Foundation (BMGF)
The global effort to eradicate polio is the largest public health initiative in history. The initiative was established in 1988 by the World Health Assembly with the goal of eradicating polio by the year 2000 while strengthening capacity to control other major childhood diseases. Challenges, such as rumors of sterility-causing polio vaccines, religious persecution, etc, have set back this goal. However, global support for the eradication movement remains strong. At the 126th Session of the Executive Board of the World Health Assembly (WHA) in January 2010, delegates expressed strong support for finishing the job of polio eradication and for the finalization of a new three-year Program of Work.
The Global Polio Eradication Initiative (PEI) is an unprecedented public-private partnership spearheaded by four organizations working with national governments. It is coordinated by the World Health Organization. Substantial financial support and advocacy is provided by Rotary International. CDC has been a major technical and funding partner, and UNICEF is the source of vaccine, communication, and social mobilization support. 3

4. Polio Cases, 1985-2010* 1988: WHA Resolution to Eradicate Polio
Current case count is: 286 cases as of July 27, compared to 576 cases at the period as last year.
Source: WHO/Polio database, data as of July 2011
193 WHO Member States.

5. Wild Poliovirus(1,2), Previous 12 Months
16/02/2019
Wild Poliovirus(1,2), Previous 12 Months
20 Jul 2010 – 19 Jul 2011
Wild virus type 1
Wild virus type 3
4 remaining endemic areas of transmission
As of July 27:
India: 1 of case compared to prior year: 24 cases. India has not had a case of polio since January, the longest period in the country’s history.
Nigeria: 24 cases compared to prior year: 6 cases.
Afghanistan: 11 cases compared to prior year: 12 cases.
Pakistan: 60 cases compared to prior year: 31 cases.
Other case counts of note (re-infected countries):
Angola: 4 compared to prior year: 16 cases
Chad: 89 compared to prior year: 14 cases
DRC: 71 compared to prior year: 2 cases
Endemic country
Country with case in previous 6 months
Data in WHO HQ as of 19 Jul 2011
Country with case 6-12 months ago
1Excludes viruses detected from environmental surveillance and vaccine derived polioviruses.
2Includes AFP cases from Congo with inadequate specimens that have been exceptionally classified as confirmed polio based on their association with the WPV1 outbreak.
Data in WHO HQ as of 19 Jul 2011
Data in WHO HQ as of 30 Nov 2010

6. Deployment of STOP members by country, 1999-2011*
Tajikistan 1
Uzbekistan
Laos 25 1
Pakistan
Vanuatu 3
Ukraine 1
Afghanistan
129 24
Nepal
Philippines 34
Central Africa Republic 37
Cambodia 4
Papua New Guinea 4
Egypt
India 79
Mauritania 9 99
Senegal
Mali 12
Yemen
Indonesia 7
Solomon Islands 3 3
Niger
Chad
Sudan
Guinea
Bissau 1 7 32 48 19 16
Eritrea 69 5 8 6
South
Sudan
Djibouti 1
Haiti 20
Guinea 17
132
106
Sierra Leone 5 68 6 20 96
Ethiopia 9
Bangladesh
Benin 19
Burkina Faso 40 3
Uganda
Somalia
Sri Lanka 1
Ghana
Nigeria
DRC
Liberia 10
Rwanda 5
Cameroon 45 33
Kenya
Maldives 1
Gabon 8
Burundi 4
Côte d'Ivoire 9
In 1999, the CDC created the STOP program as a part of CDC’s efforts to assist the Global Polio Eradication Initiative. The STOP program deploys teams of public health professionals to provide support where it is most needed. Since then we have deployed 37 teams – comprised of more than 1,000 volunteers to over 60 countries around the world.
Equatorial Guinea 1 2
Tanzania 48 13 5
Malawi
Togo 6
Angola 5 14
Mozambique 6
Madagascar
Zambia 21
Congo
Namibia
Zimbabwe
Kazakhstan/Kyrgyzstan 2
Swaziland 4
Botswana
Lesotho 6
Mongolia 3
Azerbaijan 1
Uzbekistan 1
Tajikistan 4

7. Types of Activities Support WHO, UNICEF and MOH:
Strengthen surveillance
Plan, monitor and evaluate immunization activities
Assist with setting up and reinforcing data management capacity
Support social mobilization and communications activities
Bring visibility to program and motivate partners at the local level
We have 3 different types of volunteers: Field (surveillance) - surveillance, training health staff and clinicians, planning and monitoring SIAs;
Data managers: assist with setting up and reinforcing data management capacity
Communication (UNICEF) to provide support to social mobilization and communication activities.
STOP teams go out 3times per year in January, May and September
- 2 week intensive training directly from immunization experts for CDC, WHO and UNICET to reinforce their understanding of polio eradication and other vaccine preventable disease. After the training, the go on their 3 month assignments.
FETP/STOP collaboration: previously was more active with FETP residents actively participating in the STOP program. And most recently, we had FETP Nigeria residents participate in our program. We would like to see more FETP residents take part in the STOP program

8. Networking with FETP NSTOP in Pakistan, March 2011
PAHO and EPISUS in Brazil for Lusophone Africa
Proposal to Bill and Melinda Gates Foundation for FETP Immunization Track in 3 countries (Ethiopia, S. Sudan, and Uganda
Our Division has collaborated with FETP on a number of projects including
The National STOP in Pakistan, a partnership with GID, FETP, MOH, WHO HQ and WHO Pakistan to deploy Pakistan FETP residents to work with WHO at the district level. They were trained in-country by CDC and WHO immunization experts
PAHO and EPISUS are working with Brazil to provide a local training in Brazil to send professionals to Lusophone countries in African (ie – Angola, Mozambique)
Lastly we are working on a proposal with Bill and Melinda Gates for FETP Immunization track in Ethiopia, S. Sudan and Uganda

9. Brazilian STOPers in Angola, October 2010

10. Resources Thank you! Questions?
Global Polio Eradication Initiative Rotary International Polio Eradication Bill & Melinda Gates Foundation Polio Eradication UNICEF Polio Eradication Measles Initiative
See the ABC News Story here
CDC STOP Program
Thank you! Questions?