3. PolioPlus Progress Last wild poliovirus type 2 in the world Aligarh, India

7. Endemic country Children Paralyzed by Wild Polioviruses Last 6 Months Wild virus type 1 Country with importation case Wild virus type 3 data at 18 Oct 2011 India: > 9 months with no polio for 1 st time in history.

8. India proves that… …Rotary is right!

9. New Polio Strategic Plan 2010-12 New Lessons New Tactics New Tools

10. bivalent OPV

11. Tough, new independent monitoring of milestones Sir Liam Donaldson, Chairman Independent Monitoring Board Global Polio Eradication Initiative

14. Other Major Developments Polio-infected districts, last 6 Months wild virus type 1 wild virus type 3 Nigeria: 95% drop in cases for >18 months South Sudan: > 24 months with no polio. Angola: Luanda silent for > 9 months

15. Other Major Developments Type 3 polio cases, 2007-11* * as of 26 October 2011 Only 5 countries in the world reported type 3 polio in the last 6 months

18. Pakistan: epidemic type 1 & persistent type 3 Nigeria: Kano re-infected; 5x no. of cases in 2010 DR Congo & Chad: persistent outbreaks Afghanistan: epidemic type 1 Setbacks & Risks

19. Ordinary Risks

20. Extraordinary Risks

21. Funding gaps are still a major risk US$535 million funding gap, 2011-12 2011-12 Funding Gap: US$535 m of $2.23 B budget Independent Monitoring Board: 'This Programme needs greater global priority and funding. Failure would be a disaster.'

24. Some Immediate PolioPlus Priorities Re-infected country Endemic country Wild virus type 1 Wild virus type 3 Pakistan recruit 727 sub-district staff full strategy 'rethink' direct vaccinator payments NGO outsourcing Nigeria President's 'Special Task Force' 1000 additional community mobilizers 100 additional technical staff in north routine EPI acceleration Chad monthly President oversight 100 new WHO/UNICEF staff 5 new operational hubs NGO mapping/engagement

25. New 'surprises' & priorities Polio-infected districts, last 6 Months wild virus type 1 wild virus type 3 Re-infection of Central African Republic Re-infection of China Persistent, 'missed' outbreak, Kenya/Uganda West Africa (type 3) outbreak

26. Commonwealth Leaders, Australia 28 October 2011 CanadaNigeriaAustraliaUnited KingdomPakistan >$100 million for polio

27. CanadaNigeriaAustraliaUnited KingdomPakistan Rotary International

28. Wild Poliovirus, Last 4 Months Importation country Endemic country Wild virus type 1 Wild virus type 3 Opportunities India, DR Congo, Angola Type 3 virus (esp. west Africa) Primary Risks Pakistan, Nigeria/Chad Secondary Risks Kenya/Uganda, China

29. The advocacy, energy & generosity of every Rotarian is essential to reach 'every last child'.

30. World Polio Day 24 October 2011