Immunization

Milestones for GPEI

Endemic Countries: Reducing Polio-Infected Districts 

  • by end-2008 polio transmission should be interrupted or there should be at least a further 50% reduction in the number of infected districts relative to 2007. 

Endemic Countries: Increase in Protection Against Polio in Infected Districts

  • by end-2008 the level of polio immunity among children aged 6-35 months in infected districts should have been at least as high as in polio-free districts, for at least 12 months. 

Reinfected Countries: Rapid Cessation of New Polio Outbreaks

  • by end-2008, any country reinfected in 2007 will have implemented response activities and interrupted transmission of the imported poliovirus.

International Stakeholders: Closing the Financing Gap

  • by end-2007 sufficient funding will have been pledged to finance all eradication activities planned through end-2008.

Stakeholders can monitor progress towards the milestones and activities of the intensified eradication effort on the GPEI website, and in GPEI publications. In endemic countries, activities will be monitored and guided every 4-6 months by the polio technical advisory body (the Expert Review Committee in Nigeria; the Technical Advisory Group in Afghanistan and Pakistan; and the India Expert Advisory Group). At the international level, activities will be monitored by the Advisory Committee on Polio Eradication every 6 months (with a face-to-face meeting every 12 months) and by regional advisory committees each year. [See also The Case for Completing Polio Eradication, WHO, 2007]

Challenges

The remaining challenges to the achievement of a polio-free world include:

  • Rapidly overcoming the remaining operational challenges to reaching every child in the four endemic areas of Nigeria, India, Pakistan and Afghanistan.
  • Rapidly making available the necessary financial resources to fully implement polio eradication strategies.
  • Rapidly responding to outbreaks in the remaining re-infected countries, and minimizing the risk and consequences of further international spread.
  • Increasing polio vaccination coverage through routine immunization services.

 

 

 

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