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End Polio Now

by The Rotary Foundation of Rotary International
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now
End Polio Now

Rotary and the Bill & Melinda Gates Foundation announced on 22 January that their long-term fundraising partnership, which generates up to $150 million annually for polio eradication, will continue. Under the agreement, Rotary is committed to raising $50 million a year over the next three years, and each dollar will be matched with an additional two dollars by the Gates Foundation.

In a video address at the 2020 Rotary International Assembly in San Diego, California, USA, Bill Gates told incoming district governors that the partnership with Rotary needs to continue.

“The Gates Foundation’s longstanding partnership with Rotary has been vital to fighting polio,” Gates said. “That’s why we’re extending our funding match, so every dollar that Rotary raises is met with two more.”

He added, “I believe that together, we can make eradication a reality.”

The funding will support polio eradication efforts such as disease surveillance, technical assistance, and operational support for immunization activities.

The partnership between Rotary and the Gates Foundation has yielded $2 billion, and Rotarians have given countless volunteer hours to fight polio since Rotary started its PolioPlus program in 1985.

Be a part of the fight to end polio and have your donation matched 2-to-1 by the Bill & Melinda Gates Foundation. .

 

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The program has immunized 2.5 billion children
The program has immunized 2.5 billion children

Rotary and its partners in the Global Polio Eradication Initiative (GPEI) celebrated a major milestone this World Polio Day: confirmation that a second type of the wild poliovirus has been eradicated, which is a significant step toward the ultimate goal of a polio-free world.

Dr. Tedros Adhanom Ghebreyesus, director-general of the World Health Organization (WHO), announced the historic feat in a video address during Rotary’s Global Online Update on 24 October. He said an independent commission of health experts certified the global eradication of the type 3 strain, which hasn't been detected anywhere in the world since Nigeria identified a case of polio that it caused in November 2012. The type 2 strain was certified as eradicated in 2015.

“That leaves just wild poliovirus type 1,” Tedros said. He also commended Rotary’s long fight against polio. “Everything you [Rotary] have done has brought us to the brink of a polio-free world.”

Tedros balanced the good news with a note of caution, saying that the biggest enemy of global eradication is complacency. He encouraged Rotary members to redouble their efforts.

If we stopped now, the virus would resurge and could once again cause more than 200,000 new cases every year,” said Tedros. “We must stay the course. Together, we can make sure the children of the future only learn about polio in history books.”

Rotary’s World Polio Day program this year was streamed on Facebook in multiple languages and multiple time zones around the world. The program, which was sponsored by UNICEF USA and the Bill & Melinda Gates Foundation, featured TV presenter and Paralympic medalist Ade Adepitan, supermodel Isabeli Fontana, science educator Bill Nye, and actress Archie Panjabi.

The program also featured never-before-seen footage of three Rotary members working to protect children from polio in their home countries of India, Pakistan, and Ukraine. In Pakistan, Rotarian Tayyaba Gul works with a team of health workers to educate mothers and children about the importance of polio vaccination. Dr. Hemendra Verma of India encourages his fellow Rotary members and our partners to make sure health workers and volunteers reach every child. And Ukrainian Rotarian Sergii Zavadskyi oversees an advocacy and awareness program that uses social media and public events to educate people who are reluctant to have their children vaccinated. These three heroes of the polio eradication effort show what it means to be a dedicated volunteer, and represent the efforts of Rotarians all over the world.

Adepitan, a polio survivor who contracted the disease as a child in Nigeria, praised the efforts in that country, which hasn’t reported finding wild poliovirus in more than three years. “This is massive news,” Adepitan said.

Nigeria’s milestone clears the way for the entire WHO African region to be certified wild poliovirus-free next year. Adepitan reminded people just how far the continent has come, saying that even a decade ago, Africa reported nearly 75 percent of all polio cases worldwide.

“Today more than a billion African people are at the cusp of a future where wild polio is a disease of the past,” he said. “We’re not done. We’re in pursuit of an even greater triumph — a world without polio. I can’t wait.”

Scientist Bill Nye talked about some people’s reluctance to use vaccines, which he called a dangerous issue around the world. “As the conversation around vaccines becomes more hostile, we’re seeing an increase in outbreaks of preventable diseases. It’s not just measles. It’s rotavirus. Tetanus. Even polio,” he said. However, he said: “The science on vaccinations is settled. There is no dispute.”

Look even just at what Rotary and its partners have achieved since 1988, when the GPEI was formed, Nye said. Three decades ago, the disease affected 350,000 children in one year. Because of massive vaccination campaigns around the world, the number of polio cases has decreased by more than 99.9 percent.

“That’s about as concrete as evidence gets for preventative medicine,” Nye said.

 Rotary's 2019 World Polio Day Global Online Update highlights the frontline workers who make polio eradication possible and the milestones that the program achieved this past year.

2019 proves that challenges remain

Despite these accomplishments, polio cases are rising in areas of Afghanistan and Pakistan that face tremendous challenges: They are difficult to get to and travel in, they are often not secure enough for vaccinators to do their work, and people are highly mobile. In all of 2018, these two countries reported just 33 wild poliovirus cases. The 2019 case count is so far is 116, and health experts predict more cases to come.

Michel Zaffran, director of polio eradication at WHO, discussed the increased number of cases in Afghanistan and Pakistan. “At its core, polio eradication is very simple: If you vaccinate enough children in given areas, then the virus has nowhere to hide and eventually disappears,” Zaffran said.

It gets more complicated, he said, when thousands of children are not being vaccinated in some areas. “The reasons vary greatly, district to district, in both countries,” he added. “It could be because there is hampered access due to insecurity, lack of infrastructure, lack of clean water supply, inadequate planning of campaigns, community resistance, and other reasons.”

To combat any further spread of the disease, Zaffran says health workers are evaluating each area to understand why a child is missed and making customized plans to overcome the area's specific challenges.

This approach is similar to how health experts overcame the last hurdles in India, which was declared polio-free in 2014.

“I encourage Rotary members everywhere to stick with it and stay optimistic,” Zaffran said. “Keep raising funds and awareness, advocate with governments. We truly are on the cusp of eradicating a disease for only the second time in human history.”

If it is eradicated, polio would follow smallpox as the second human disease eliminated from the world.

Rotary has contributed more than $2 billion to polio eradication since it launched the PolioPlus program in 1985, and is committed to raising $50 million a year for polio eradication activities. Because of a 2-to-1 matching agreement with the Bill & Melinda Gates Foundation, that means that $150 million a year goes toward fulfilling Rotary's promise to the children of the world: no child will ever again suffer the devastating effects of polio.

Rotary members in the fight against polio
Rotary members in the fight against polio

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Health workers in Nigeria
Health workers in Nigeria

Nigeria marked three years free of endemic wild poliovirus on Wednesday, 21 August, 2019 - progress that could result in the whole of Africa being declared polio-free sometime next year. The three-year milestone sets in motion a continent-wide process to ensure that all 47 countries of the World Health Organization’s African region have eradicated the virus. 

Nigeria’s success is the result of several sustained efforts, including domestic and international financing, the commitment of thousands of health workers, and strategies to immunize children who previously couldn’t be reached because of a lack of security in the country’s northern states.

Rotary members in Nigeria play an important role in ridding the country of the disease - raising awareness for polio eradication, advocating with the government for continued support, and helping to meet other important needs in communities at risk for contracting polio, including the construction of wells for clean drinking water. 

Nigeria is the last country in Africa where polio is endemic. Once Africa is certified as free of the wild poliovirus, five of the WHO’s six regions will be free of wild polio. Polio remains endemic in Afghanistan and Pakistan, which means transmission of the virus has never been stopped.

Dr. Tunji Funsho, chair of Rotary’s Nigeria National PolioPlus Committee, acknowledges the milestone but cautions Rotary members about celebrating too soon. He cites the challenge of making certain that routine immunizations reach every child in Nigeria.

“It’s paramount that we ensure all doors are locked to the re-entry of the wild poliovirus into our country,” says Funsho.

Funsho says to achieve this, Rotary needs to maintain strong advocacy efforts, continue to increase awareness of immunization campaigns, and ensure members raise necessary funds. Rotary has contributed $268 million to fight polio in Nigeria.

World Polio Day is 24 October and Rotary will celebrate this important calendar event with a pre-taped event that will air on Facebook Premiere.  Join us to celebrate progress and learn more about Rotary and its partners historic effort to end polio forever.

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Michael McGovern, International PolioPlus Chair
Michael McGovern, International PolioPlus Chair

1. There were more cases of wild poliovirus in 2018 than in 2017. Should we be discouraged? 

 

No, not at all. We’ve always expected the number of cases to fluctuate somewhat as we get closer to zero. We’ve gone four straight years with fewer than 100 cases per year. That’s an indicator of great progress. With dedication from governments and Rotarians in areas still affected by polio, we’ll get there.   

 

2. Why is it so difficult to eradicate a disease like polio?

 

Remember that even in the United States, where the polio vaccine was readily available, it still took 20 years to become polio-free. And the areas we are working in now don’t have health systems that are as well-developed as in the United States.

 

3. What challenges are you seeing now?

 

We have been working intensely in the endemic countries — Afghanistan, Nigeria, and Pakistan — for a number of years, and some of the citizens in those countries are getting concerned that we are spending money on polio eradication when they have so many other needs. There’s some resistance to keep on receiving immunizations for polio, and polio alone. Our challenge is to find ways to provide other services to the citizens and children so we still have the parental support we need — to provide the “plus” in PolioPlus. 

 

4. What role does armed conflict play in those areas?

 

It makes the logistics of immunization far more difficult. The Global Polio Eradication Initiative partnership is not only dealing with governments — we’re dealing with anti-government elements as well. While we’ve worked to gain everyone’s trust and support, we’ve had areas that were inaccessible to immunization teams for months and sometimes years at a time. 

 

5. Do immunization teams know when they miss children? Or are there children they don’t even know about?

 

I think we have a good handle now on knowing when and where we’re missing children. The challenge is to keep reducing the number we miss. In Nigeria, we have done a lot of work since we were surprised by the discovery of several polio cases in Borno state in 2016, two years after the country had last seen a polio case. We now know through GPS mapping where the children are, and we are working with authorities there to make sure all children receive the polio vaccine.

 

6. Where are we seeing successes?

 

We haven’t had any cases of wild poliovirus anywhere in the world in nearly five years except in the three endemic countries. And in Nigeria, it’s been almost three years since we had any wild poliovirus cases, and those occurred in a small area of the country.

 

7. What’s the most important thing people should know?

 

I’ve been extremely impressed with the dedication and persistence of Rotarians in Afghanistan, Nigeria, and Pakistan. They are working hard to make sure polio is eradicated. It’s pretty amazing what they do in those countries.

 

 

immunization activities in India
immunization activities in India

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Female health workers are on the front lines
Female health workers are on the front lines

Rotary’s top global initiative is polio eradication. While there is still work to be done to finish the job, we can be proud of the incredible progress we’ve made, working with our partners in the Global Polio Eradication Initiative (GPEI). As we begin 2019, here are five ways Rotary is making progress toward our top goal.

1.    We’ve come a long, long way
In 1988, the year when Rotary led the formation of the GPEI, the world had 350,000 cases of polio in 125 countries where polio was endemic. In 2018, there were 33 cases of wild polio  in two countries, Afghanistan and Pakistan, which represents more than a 99.9 percent reduction in global polio cases. 

2.    Nigeria remains at zero
Although Nigeria is officially on the list of countries where polio is endemic, it is approaching the third anniversary of its  last reported case of wild polio. Steady scheduling of immunization days, routine surveillance, and engagement at all community levels and institutions are a few of the reasons for Nigeria’s success. 

3.    Bold strategies are widening our reach
The GPEI is using new approaches aimed at reaching more children. Some are high-tech, such as using geographic information system mapping. Others are low-tech — yet just as critical — such as deploying boats to deliver vaccines to the remote islands of the Lake Chad region. 

4.    New solutions are advancing our work in Afghanistan
Rotary is doing its part to turn obstacles into opportunities in this war-torn country. Afghan Rotarians are working side by side with the government and other GPEI   partners, often in dangerous places, to meet with local leaders who can foster  community acceptance of the vaccine. Rotary-funded permanent transit points also help reach populations on the move between Afghanistan and Pakistan.

5.    Complementary service projects are bolstering eradication efforts.
Polio is not an isolated problem. The communities where polio thrives are also affected by other health issues and lack clean water and proper sanitation. To respond to multiple health needs at the same time, Rotary is focusing on projects that complement polio eradication efforts — putting the “plus” in PolioPlus. One example: In Pakistan, Rotary clubs have partnered with The Coca-Cola Company and the United Nations Development Programme to build water filtration plants in Karachi’s highest-risk areas.

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The Rotary Foundation of Rotary International

Location: Evanston, IL - USA
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Project Leader:
Amy Edwards
Evanston, IL United States

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