Progress Towards Polio Eradication in EMR

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Progress Towards Polio Eradication in EMR

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Presentation

• Status of global eradication
• Priority countries (except EMR)
• 2004-5 Intensification
• 2006-8 Certification, OPV cessation
  mainstreaming of the infrastructure.

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Polio Eradication Progress Endemic Countries,
1988-2003
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Polio Eradication Progress1988 - 2003

• 1988 350 000 cases 125 countries

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Polio Eradication Progress Polio Cases, 1988-2003
1988 WHA Resolution to Eradicate Polio
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February 2004

Global Polio
Eradication Initiative
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Changing Epidemiology, 2003
Endemic Cases
Imports
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Changing Epidemiology 2003 Importations gt endemic
areas
Nigeria virus exported to 8 countries.
Western Uttar Pradesh exported to polio-free
states in India.
Importation
Wild virus type 1
Wild virus type 3
Endemic countries
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Risks Increasing Vulnerability Polio Campaigns
2002 vs. 2004
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Risks Surveillance Gaps
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•  2004 a one time opportunity for a polio-free
  world.

Meeting of Ministers World Health
Organization Geneva, Switzerland 15 January 2004
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Non polio AFP rate in EMR by province (Pakistan
by district) 01/01/2003-31/12/2003
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Non polio AFP rate in EMR by province (Pakistan
by district), 2003
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Non-polio AFP rate in EMR by province, 2004 (to
date 22/06/04)
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Percent of AFP cases with adequate samples in
EMR, 2003
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AFP cases with adequate stool specimens EMR
provinces, 2003
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AFP cases with adequate stool specimens EMR
provinces, 2004 (to date 22/06/04)
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Polio Eradication Strategies
AFP Surveillance
Non-polio AFP rate per 100,000 children under 15,
EMR, 1993-2004 To date 21/03/04
EMR Mar 04
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Non polio AFP rate in EMR, 2003
AFP surveillanceNon-polio AFP rate/ 100,000 lt15
EMR countries, 2003
05/02/04
EMR Mar 04
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Non polio AFP rate in EMR, 2003
AFP surveillanceNon-polio AFP rate/ 100,000 lt15
EMR countries, 2004 (to date 21/03/04)
05/02/04
EMR Mar 04
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Polio Eradication Strategies
AFP Surveillance
of AFP cases with adequate stool specimens,
1995-2004 To date 21/03/04
EMR Mar 04
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Percent of AFP cases with adequate samples in
EMR, 2003
AFP surveillance AFP cases with adequate stool
specimens EMR countries, 2003
05/02/04
EMR Mar 04
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Percent of AFP cases with adequate samples in
EMR, 2003
AFP surveillance AFP cases with adequate stool
specimens EMR countries, 2004
05/02/04
EMR Mar 04
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Poliovirus Isolates 2004
P1
P3
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Pakistan
Issues
Action
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Afghanistan
Issues
Action
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Egypt
Issues
Action
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Increasing Vulnerability Importations gt endemic
areas, 2003
Nigeria virus exported to 7 countries.
Importation
Wild virus type 1
Wild virus type 3
Endemic countries
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Regional strategic plan for poliomyelitis
eradication

• 20042008
• Prepared in consultation with nationals, UN
  agencies and other partners
• Covers the main elements of
• Intensifying supplemental immunization
• Enhancing surveillance and maintaining the
  laboratory network
• Laboratory containment
• Certification
• Strengthening EPI
• Essential to maintain trained personnel (national
  and international) and utilize them to support
  priority health programmes