Despite the dramatic drop in polio cases in the last year, the threat
of continued transmission due to funding and immunization gaps has
driven the Global Polio Eradication Initiative (GPEI) to launch the
Global Polio Emergency Action Plan 2012-13.
The plan aims to boost vaccination coverage in the three remaining
polio-endemic countries -- Nigeria, Pakistan, and Afghanistan -- to
levels needed to stop polio transmission. Health ministers meeting at
the World Health Assembly in Geneva adopted a resolution on 25
May that declared “the completion of polio eradication to be a
programmatic emergency for global public health.”
Polio eradication activities have resulted in several landmark
successes since 2010. India, long regarded as the nation facing the
greatest challenges to eradication, was removed from the list of
polio-endemic countries by the World Health Organization (WHO) in
February. Outbreaks in previously polio-free countries were nearly all
stopped.
During that same time span, however, polio outbreaks in China and
West Africa due to importation from Pakistan and Nigeria, respectively,
have highlighted the continued threat of resurgence. Failure to
eradicate the disease could lead within a decade to paralysis of as many
as 200,000 children per year worldwide.
“Polio eradication is at a tipping point between success and
failure,” says Dr. Margaret Chan, director-general of WHO. “We are in
emergency mode to tip it towards success -- working faster and better,
focusing on the areas where children are most vulnerable.”
Eradicating polio would generate net benefits of US$40-50 billion
globally by 2035, with the bulk of savings in the poorest countries,
based on investments made since the
GPEI was formed, savings from reduced treatment costs, and gains in productivity.
“We know polio can be eradicated, and our success in India proves
it,” says Rotary International President Kalyan Banerjee. “It is now a
question of political and societal will. Do we choose to deliver a
polio-free world to future generations, or do we choose to allow 55
cases this year to turn into 200,000 children paralyzed for life, every
single year?”
Global emergency action plan
The GPEI’s emergency action plan was developed in coordination with
new national emergency plans. The plan builds on India’s success and
outlines a range of new strategies and initiatives to better support
polio eradication efforts, including:
- Intensified focus on the worst-performing areas of Nigeria,
Pakistan, and Afghanistan to increase vaccination coverage by the end of
2012 to levels needed to stop transmission
- New approaches tailored to each country to tackle persistent challenges and improve polio vaccination campaign performance
- Heightened accountability, coordination, and oversight to ensure
success at every level of government and within every partner agency
and organization
- A surge of technical assistance and social mobilization capacity
Full funding of new plan critical
Already, funding shortages have forced the GPEI to cancel or scale
back critical immunization activities in 24 high-risk countries, leaving
more children vulnerable to the disease and polio-free countries
exposed to the risk of reintroduced transmission.
“All our efforts are at risk until all children are fully immunized
against polio -- and that means fully funding the global eradication
effort and reaching the children we have not yet reached,” says UNICEF
Executive Director Anthony Lake. “We have come so far in the battle
against this crippling disease. We can now make history -- or later be
condemned by history for failing.”
Full implementation of the emergency action plan is hindered by a
funding gap of nearly $1 billion through 2013.
“We are all responsible for creating a polio-free world while we
still can,” says Chris Elias, president of global development at the
Bill & Melinda Gates Foundation. “Achieving this goal is a critical
step in protecting all children from vaccine-preventable diseases.”
Working in emergency mode
Since the start of 2012, the GPEI has moved its operations into
emergency mode. The U.S. Centers for Disease Control and Prevention
(CDC) has activated its Emergency Operations Center, UNICEF has
officially activated an Interdivisional Emergency Coordinating Committee
operating directly under the deputy executive director, and WHO has
moved its polio operations to its Strategic Health Operations Centre.
Such measures are reserved for responding to global health
emergencies, such as the H1N1 pandemic and the 2004 Indian Ocean tsunami
-- and will generate a massive surge in technical capacity, real-time
tracking of program performance, and immediate implementation of
corrective action plans as necessary. In March, The Rotary Foundation
Trustees reaffirmed that polio eradication is the Foundation’s urgent
priority. In addition, Rotary senior leaders have launched a series of
one-on-one meetings with the heads of state of the polio-endemic
countries.
“We need everyone’s commitment and hard work to eradicate polio and
cross the finish line,” says Dr. Thomas Frieden, director of CDC. “It
won’t be easy, but together we can eradicate polio forever and for
everyone.”
- Read a statement of support by Dr. Robert Scott,
chair of Rotary’s International PolioPlus Committee, for the World
Health Assembly’s consideration of a resolution that would declare polio
eradication a global emergency for public health.
- See an infographic illustrating how close the world is to eradicating polio and what's needed to finish the job.
- Read more about polio eradication on the Rotary Voices blog.