The meeting was chaired by Argentine Secretary of Health, Adolfo Rubinstein; items on the agenda included antimicrobial resistance, malnutrition as it related to childhood overweight and obesity, the strengthening of health systems and the responsiveness of health systems to crises and pandemics.
Senior officials from G20 member and guest countries were joined by representatives from the Food and Agriculture Organization (FAO), the Global Fund, the Organization for Economic Co-operation and Development (OECD), the World Bank, the World Health Organization (WHO), the World Organization for Animal Health (OIE) and Unitaid.
The Health Working Group was created in China in 2016 and provides a platform to continue to address global health policies at the G20 level and advance on global policy commitments in the area of public health.
The G20 is made up of 19 countries and the European Union. The 19 countries are Argentina, Australia, Brazil, Canada, China, Germany, France, India, Indonesia, Italy, Japan, Mexico, Russia, Saudi Arabia, South Africa, South Korea, Turkey, the United Kingdom and the United States.
The passing of former Secretary-General of the United Nations Kofi Annan earlier this month was a significant loss to the world of international diplomacy, peace, and efforts to deliver a more equitable life to millions worldwide. Charismatic, strongly opinionated, and perpetually kind, Annan captured the imagination of thousands working in international affairs across the world.
Beginning his career at the World Health Organization, he never lost sight of good health as a right owed to all. Sharp and precise, he was also quick to recognise and commit to public-private partnerships, and health investments which make social and economic sense – interventions which deliver a decisively positive return on investment.
The need to “reach every child” – no matter where – with a simple health intervention giving life-long benefits, was the principle that led him to commit so strongly to the global cause of polio eradication. Over the course of his tenure, he consistently and strongly supported polio eradication efforts in some of the most difficult settings worldwide.
In doing so, he bolstered the efforts of the programme, bringing us closer to a polio-free world, and enabling the 99.9% reduction in cases achieved since the beginning of eradication efforts.
Annan’s impact on polio eradication was both visible and invisible.
He supported the first-ever Global Summit on Polio Eradication during the UN General Assembly in 2000, and called for “greater mobilization of people and funds” and “commitment at the highest levels” in the race to reach the last child. He declared that polio eradication was a model for effective public-private partnerships in global health.
Staying close to his humanitarian principles, he urged Member States and all parties to cease hostilities to allow polio vaccination activities to continue in many regions of the world, and was unafraid to directly target the source of tensions. He was involved in securing access to vulnerable populations through ‘Days of Tranquillity’ in Iraq, the Democratic Republic of the Congo and Cote d’Ivoire. To support these critical vaccination campaigns, he directed the UN to provide logistical support, including the use of UN helicopters to deliver vaccines to the hardest to reach, and conflict affected communities.
Significantly, he appointed a Special Envoy for polio eradication in Nigeria in the early 2000s to help negotiate complex issues around a ban on polio vaccinations in areas of the country. This helped to resolve the issue, stemming a devastating spread of the virus that threatened global eradication efforts.
In 2000, Annan spoke of the wider impact of tranquillity days, “In war zones around the world, guns have fallen silent to allow immunization days to take place – demonstrating that even in the most intractable of conflicts, warring parties can call a halt to destruction in the cause of life.”
Lifelong commitment
Behind the scenes, he was quick to recognize the important contributions of donor states to eradication efforts, and maintained interest in the polio programme even during his busiest times in office.
Calling on WHO headquarters staff to provide briefing notes and regular updates, he kept key policy makers on their toes, and helped push the sense of urgency which continues to this day in the fight to eradicate polio. He actively sought polio talking points ahead of his travel to polio priority countries. Each year, he wrote to the heads of endemic states to thank them for their continuing commitment to defeating the paralysing virus, and urged them to take specific actions to strengthen operations.
Using his connections to the African Union, the Organisation of Islamic Cooperation countries, and the G7, he helped to inspire states to enhance their political commitment, and donate to the cause of ending polio. He was grateful for their support, as evidenced by numerous letters of thanks in the archives which chronicle his commitment to and belief in eradication.
A career diplomat, Annan was unafraid to use other methods of strengthening multilateral commitment. To the joy of communications specialists in the programme, he was ahead of the game in agreeing to take part in polio eradication videos, newspaper opinion editorials, and to launch polio vaccination campaigns with his wife, Nane.
Indeed, this was perhaps one of the most touching symbols of his commitment. Inspired by the commitment of polio eradication volunteers in the field, Annan continued to support the programme even after the end of his time as Secretary-General.
As a board member of the United Nations Foundation, and through his own foundation, he continued to advocate for polio eradication.
On the day that polio is declared eradicated, there will be many people to thank. Kofi Annan, this humanitarian, this diplomat, this visionary, will be one of those people.
Kofi Annan passed away on 18 August 2018. During his time as Secretary-General of the United Nations he made significant contributions to global health, global security, and global diplomacy. The Global Polio Eradication Initiative extends its condolences to his wife, children, family, and all those who worked with him, and were inspired by his life and work.
More than 25,000 members of Rotary clubs from 175 countries and territories gathered in Toronto, Canada this week for Rotary’s annual International Convention.
On the convention’s final day, Justin Trudeau, prime minister of Canada, was presented with Rotary’s Polio Eradication Champion Award in recognition of his leadership and Canada’s contributions to polio eradication. In his remarks to Rotarians, Trudeau highlighted Canada’s continued commitment to working towards a world without polio, a world with gender equity, and a world where everyone has a chance to succeed. He expressed a wish that his children would grow up in a polio-free world, and encouraged Rotarians to continue their important work to achieve eradication worldwide.
Rotary International President Ian Riseley presented the award to the Prime Minister, drawing attention to Canada’s recent pledge of C$100 million toward global polio eradication—made last year at Rotary’s 2017 convention—and noting that Canada had already fulfilled that commitment. He also recognized the Prime Minister’s leadership at the recent G7 summit, stating, “Prime Minister, we are grateful for your partnership: your personal commitment to polio eradication and your nation’s longstanding support of this historic effort. We promise that we will continue to do our very best to live up to that confidence —for the benefit of all the world’s children, now and forever.”
Progress toward global polio eradication was a recurring theme in major speeches and workshops throughout the convention, including a keynote address by World Health Organization Director-General Dr. Tedros Adhanom Ghebreyesus. In his remarks, Dr. Tedros thanked Rotarians for their tireless efforts and appealed for continued focus in the fight for a polio-free world, stating, “We cannot be complacent. We must finish the job. We must wipe polio from the face of the earth.”
The convention also featured a session highlighting the critical role women play in the global effort to end polio, including Rotary volunteers who have been involved in all aspects of polio eradication, such as immunization activities in the field, fundraising, public awareness, and advocacy. Thanks to an onsite virtual reality booth, attendees even had the opportunity to walk in the shoes of a volunteer immunizer in Uganda.
Since Rotary launched its PolioPlus program in 1985, the efforts of millions of Rotarians worldwide have helped reduce polio cases by 99.9%. PolioPlus has become the largest internationally-coordinated public health initiative in history. At the conference this week, it was clear that Rotarians around the globe are continuing to lead the way – ensuring that every last child receives a life-saving vaccine, and celebrating everyone committed to ensuring a polio-free world.
21 June 2018 – The Ministry of Foreign Affairs of the Republic of Korea announced today an additional US$ 2 million to fund polio outbreak response and surveillance activities in the Horn of Africa. This commitment makes Korea the first country to support outbreak response efforts in the region, critical to protecting global progress toward ending polio.
The Global Polio Eradication Initiative (GPEI) welcomed the contribution, with $1.5 million for UNICEF and $0.5 million for WHO.
This funding was raised through an innovative financing mechanism called the Global Disease Eradication Fund, through which KRW₩1,000 was collected from each international passenger flying out of Korean airports by the Government of Korea. Thanks to this Fund, every passenger flying from Korea directly supports global efforts to stop polio, an infectious disease that can lead to paralysis or even death, and can travel long distances undetected.
When the GPEI first began in 1988, polio paralysed more than 350,000 children each year in over 125 countries in the world. Today, there have only been eight cases to date in 2018, and polio is closer than ever to becoming the second human disease to ever be eradicated.
This progress is made possible through the ongoing support of donors, partners, and countless health workers around the world. Contributions from donors like Korea allow the GPEI to vaccinate and protect more than 450 million children against polio each year.
This additional funding follows a US$ 4 million commitment from the Republic of Korea announced at the Global Polio Pledging Event around the Rotary International Convention in June 2017. This contribution was matched by the Bill & Melinda Gates Foundation, doubling its impact to US$ 8 million.
“The Global Disease Eradication Fund is an incredibly innovative financing mechanism, and the funds raised will support UNICEF’s efforts to protect every last child from polio,” said Akhil Iyer, UNICEF Director of Polio Eradication. “We remain grateful to the Republic of Korea for their continued commitment to halting polio outbreaks and driving progress to eradicating polio once and for all.”
“The unique support of the Republic of Korea has been crucial for the remarkable progress we have made in polio eradication, especially in responding to outbreaks,” said Dr Michel Zaffran, Director of the Polio Eradication Programme at the World Health Organization. “These additional funds come at a critical time as we support the outbreak response in the Horn of Africa region by scaling up surveillance to ensure no virus goes undetected.”
The Republic of Korea has been a longtime supporter of the GPEI, contributing to outbreak response efforts in Syria, the Democratic Republic of Congo and the Lake Chad region, with a broad range of activities including delivering polio vaccines, intensifying surveillance, and convincing caregivers to vaccinate their children through community engagement.
Generous support from donors like the Republic of Korea remains essential to stopping outbreaks, ending this paralysing disease and ultimately achieving a polio-free world.
World leaders gathered in Charlevoix, Canada last week to discuss the most critical issues facing the planet today, including their reaffirmed commitment to a polio-free world.
The final communique of the 44th G7 summit on 8-9 June 2018 highlighted global health as part of the foundation for investing in growth that works for all: “To support growth and equal participation that benefits everyone, and ensure our citizens lead healthy and productive lives, we commit to supporting strong, sustainable health systems that promote access to quality and affordable healthcare.” As part of this commitment, the communique refers to the important tasks of achieving the goal of polio eradication and ensuring a smooth post-eradication transition as key global priorities. World leaders stated: “We reconfirm our resolve to work with partners to eradicate polio and effectively manage the post-polio transition.”
The communique also stressed the importance of preparing for health emergencies and strengthening the implementation of the International Health Regulations. As emphasized in the 13th General Programme of Work of the World Health Organization, which was approved by the World Health Assembly in May 2018, the GPEI has “helped to strengthen health systems, and these wider gains must be maintained as the polio programme is being ramped down.” The programme has extensive experience in disease surveillance and quality laboratory networks, outbreak response, disease prevention through vaccination, and inter-country collaboration – all necessary components of emergency preparedness. As planning continues for the post-eradication era, it remains a priority that the infrastructure, data and tools built up over the past 30 years be transitioned effectively to support resilient health systems and public health infrastructure in the future.
Canada, the host of this year’s G7, continued in the footprints of its predecessors and maintained attention on health – as the country has throughout its G7 presidencies. Canada has been a longtime supporter of the Global Polio Eradication Initiative and plays an active role in keeping polio on the global agenda. In 2002, then-Prime Minister Jean Chrétien gathered his counterparts from the G8 in Kananaskis, Canada to pledge to provide sufficient resources for polio elimination in Africa – the first time polio was included in the communique. Since then, G7 countries have provided significant political and financial support for the global polio programme, and have repeatedly expressed commitment to polio eradication. Most recently, leaders’ statements at the 2016 G7 Summit and at a 2017 Group of 7 Health Ministers meeting included commitments to polio eradication. G7 leadership on the issue was expanded to the G20 in 2017. Polio was mentioned at both the G20 leaders’ summit and the first-ever G20 Health Ministers’ meeting, which recognized the historic opportunity that exists to end polio for good and the important role played by polio-funded assets in achieving broader health goals.
The communique also emphasized the need to advance gender equality and women’s empowerment. The polio programme recognizes women’s critical contributions to eradication and is constantly working to recruit more women to work as frontline workers in polio endemic countries. In Afghanistan, the polio programme accounts for one of the largest female workforces in the country. On a global level, the GPEI is working to analyze sex-disaggregated data to track progress towards eradication, echoing the communique in affirming women and girls as powerful agents of change.
The 2018 G20 Buenos Aires summit in November is next on the world stage, providing an additional opportunity for governments to focus on the importance of global health, and commit to fulfilling and maintaining the promise of a polio-free future.
In the fight against the virus, two important tools are used to help prevent polio – two safe, effective vaccines. Only through full funding of these vaccines can worldwide immunity be achieved, and the virus eradicated.
Redoubling commitment towards this goal, last week, Gavi, The Vaccine Alliance, approve core funding for the inactivated poliovirus vaccine (IPV) for 2019 and 2020, to continue work to end polio, and protect every child.
Announcing this support, Gavi Board Chair Dr Ngozi Okonjo-Iweala said, “Polio will remain a threat until every child is protected against this crippling disease. That is why the vaccination of every child is the corner stone of the polio eradication effort. Introducing IPV to all countries to interrupt polio transmission and maintain zero cases represents an unprecedented push, and Gavi is proud to be part of it.”
Since 2013, the Gavi Board has supported IPV in all 70 Gavi-supported countries, through a dedicated funding stream financed by the Global Polio Eradication Initiative (GPEI) budget. Responding to continued wild poliovirus circulation in 2018, this most recent Gavi support represents an additional contribution, which will help ensure that the programme can continue its valuable work to protect every child worldwide.
The Gavi Board also approved an exceptional extension of support for Nigeria up to 2028, to help reach over 4.3 million under-immunized children in the country, who remain at risk of vaccine-preventable diseases including polio.
Michel Zaffran, Director of the Polio Eradication Programme at the World Health Organization, extended his thanks to the Gavi Board for their generous contribution, saying, “GPEI and Gavi are committing to work closer together than ever before, and take one more step towards the immunization of all children, to deliver and to sustain a polio-free world.”
Karachi, the capital of Sindh province, is Pakistan’s largest city, with an estimated population of more than 16 million people. It is also by far the most challenging place in Pakistan to eradicate polio. Difficulties include the large and frequent movement of people, poor water and sanitation conditions, and pockets of community resistance to vaccination.
In 2017, two of Pakistan’s eight total cases of polio were located in Karachi, and multiple environmental samples continue to test positive for the virus.
In the northwestern part of the city lies Orangi Town. The fifth largest slum in the world today, it is a tough place to live for the children who run around and play games in the streets outside their homes.
One of their most pressing needs is a supply of clean, drinkable water. In Orangi Town, the sewage system is basic, and poorly maintained. At many points, human waste mixes with drinking water lines. The quality of potable water is low and filled with pathogens including bacteria and viruses, and it is the main cause of many water-borne illnesses in adults and children, including hepatitis A, acute watery diarrhea and typhoid. Polio can also be spread through drinking water contaminated with the stools of an infected person.
Health workers for the polio eradication programme work tirelessly to immunize every child. But there are other ways to reduce the spread of the virus – and provision of uncontaminated drinking water is one of them.
Thanks to the efforts of Rotarians, who raised 50% of funds, 55 000 residents of Orangi now have access to a new water filtration plant. By ensuing that there are no viruses or bacteria present in the water, the plant will protect children from water-borne illness. As the plant runs using solar energy, it will work consistently through the regular power outages that affect the city, and won’t require expensive oil or electricity to run, placing fresh water within the reach of all.
Speaking on 8 May at the opening of the plant, Mr Aziz Memon, Chairman of Pakistan’s National Rotary PolioPlus Committee said: “This is the 15th water filtration plant installed in Pakistan, and the sixth in Karachi, and we will do all that we can with our partners to help raise the community’s standard of living including health.”
Dr Shafiq, a representative of Orangi Town, thanked Rotary International for its continuous support of polio eradication in the area. Combined with vaccination activities, children drinking the clean water provided by the new plant will now have an improved chance to grow up polio-free.
National Chair Aziz Memon said: “Orangi Town is one of the most underprivileged urban slums in Karachi and the supply of safe drinking water will improve health issues of the community and save children from water borne diseases.”
He added that “Rotary is making intensified efforts in this impoverished area and has established a Resource Center in Bijli Nagar Orangi Town.”
These extra steps towards ensuring that children are safe from disease also help to gain community trust, and form part of Rotary’s work to raise awareness of polio, and overcome vaccine hesitancy. In 2016, Rotary International contributed over US$ 106 million to polio eradication worldwide, and in Pakistan, Rotarians are at the forefront of the fight against the virus.
By chance, the opening ceremony of the plant coincided with the second day of this month’s subnational immunization days, when over 20 million children across different parts of the country were targeted with oral polio drops. Emphasizing the link between safer water, and polio eradication, children were given polio vaccine by high profile individuals attending the event.
Kicking off a safer future for some of Orangi’s children, Mr Memon and Rotary District Governor Ovais Kohari pushed a button at the plant to allow clear, safe water to flow from the taps. They then had a drink of water to test the quality and taste.
Simultaneously, polio vaccinators were going from house to house all over the city. For some families, Rotary was providing two life changing interventions in just one day – an effective vaccine, and water that they could finally trust.
Last month, Canada signed a generous pledge of Can$ 100 million to help eradicate polio in Afghanistan as well as in the two other endemic countries, Nigeria and Pakistan, and to continue to protect many polio-free countries. The pledge was announced by the Honourable Marie-Claude Bibeau, Minister of International Development and La Francophonie, at the 2017 Rotary International Convention in Atlanta.
In addition to previous donations of approximately Can$ 650 million, this most recent funding consists of Can$ 30 million to WHO and UNICEF to support programme activities in Afghanistan, and Can$ 70 million of flexible funding that can be used to support vaccination campaigns, rapid outbreak response, poliovirus surveillance and other critical eradication strategies and activities to reach every last child worldwide with a safe vaccine.
This latter funding is especially valuable to the programme, as it will help sustain the priority areas of work that make global polio eradication possible. In 2017, there were 22 cases of wild poliovirus reported worldwide, from only two countries, Afghanistan and Pakistan. In Nigeria, wild poliovirus was last detected in 2016. However, since 2001, there have been wild polio outbreaks in 41 countries that were previously polio-free.
Flexible funding, such as that provided by Canada, is critical to allow the programme to react quickly to the most urgent needs, successfully stopping each outbreak, and ensuring that every child is protected from polio worldwide.
Minister Marie-Claude Bibeau used the signing as an opportunity to underline Canada’s ongoing commitment. “Canada has been a supporter in the fight against polio from the very beginning and we are committed to seeing it through to the end,” she said. “Keeping the momentum is key, particularly in Afghanistan, Pakistan and Nigeria, where polio still exists. Canada remains committed to ensuring every child is immunized, particularly girls, who continue to face barriers.”
As a champion of feminist development, Canada has particularly emphasized the role played by women in the programme, from the front lines, to programme management and political leadership. Polio eradication moreover forms a crucial part of Canada’s “Right to Health” commitment, and has the potential to become one of the first tangible outcomes of the UN Sustainable Development Goals.
Akhil Iyer, Director of the Polio Eradication Programme at UNICEF said, “Whilst polio exists in the smallest geographic area in history, this includes some of the most dangerous and difficult-to-reach parts of the world. Canada’s long-standing political and financial commitment helps our dedicated health workers, mostly women, go the extra mile and vaccinate every child to build a polio-free world.”
With this funding and ongoing support, Canada is striving to protect every girl and boy child. In doing so, Canada is making history.
The funding is also a testament to the major role played by the Canadian people at every level of the polio eradication programme. To date, Canadian Rotarians have raised and contributed more than US$ 52 million to eradication efforts, whilst Canada’s citizens have played an important role in tracking progress and publically voicing their support to end polio through the Scientific Declaration on Polio Eradication, and the One Last Push Campaign.
Michel Zaffran, Director of the Polio Eradication Programme at the World Health Organization said, “The ongoing support of Canada is fundamental to the programme’s success. With their global advocacy in international forums such as the G20 and G7 and their strategic and high quality support in Afghanistan and across the world, we can ensure that polio is eradicated forever.”
Canada’s contribution comes at an important time for the programme, in the run up to the 2018 G7 Summit. Previous summits have recognized polio eradication efforts, noting that programme assets also help to strengthen other aspects of health and development. This year, the Presidency is held by Canada, the first country to place polio eradication on the G7 agenda.
The Global Polio Eradication Initiative partners extend their profound gratitude to the Government and to the citizens of Canada for their tremendous support and engagement to end polio globally.
In London on 19-20 April, leaders of the 53 member states of the Commonwealth affirmed their commitment to end polio in the final Communique of the 2018 meeting. Leaders emphasized renewed support for international efforts to tackle polio and other diseases, and called for an increase in national health expenditure throughout the Commonwealth.
This outcome was largely thanks to the efforts of civil society, including outreach by members of Rotary clubs in Commonwealth countries, Global Citizen, and numerous other partners who urged Commonwealth leaders to uphold their commitment to polio eradication. This included the delivery of over 4000 messages to UK Prime Minister Theresa May appealing for her continued commitment to a polio free world.
Throughout the course of the summit and related events, individual leaders also voiced their continued support for eradication. Prince Charles, who will one day succeed Queen Elizabeth II as Head of the Commonwealth, held up the polio programme as an example of successful joint action against disease and noted that hundreds of millions of children have benefitted from polio vaccine because of the GPEI. The end of polio, he noted, will serve as an example of the Commonwealth’s proven track record in effecting change. Once eradication is achieved, polio infrastructure will be leveraged to address other health challenges, and may pave the way for malaria elimination. Incoming Chair of the Commonwealth Theresa May, in a direct letter to advocates, acknowledged that eradication “remains a top global priority,” and promised that the UK will “work closely with polio-endemic countries to ensure we eradicate this cruel disease, once and for all.” Malta’s Prime Minister Joseph Muscat, who has championed polio throughout his tenure as Commonwealth Chair, pledged during a speech to help end polio in Commonwealth countries Pakistan and Nigeria.
With a collective investment of more than US$ 4 billion and previous statements of commitment to polio eradication, Commonwealth governments have long-been leading champions to end polio. As Bill Gates noted during his summit remarks, “success [against polio] really goes back to the substantial commitments made in part at the Commonwealth meetings.” With a record low 22 cases registered last year, continued global support is vital to get the world over the finish line. The renewed support from the Commonwealth, which represents a wide range of countries, provides hope that governments remain firmly committed to fulfilling the promise of a polio-free world.
On top of the US$ 120 million committed in 2013, last year, HH Sheikh Mohamed bin Zayed pledged an additional US$ 30 million towards polio eradication, and the UAE is active on the ground in Pakistan through the UAE-Pakistan Assistance Program
UAE support also funded more than 5000 committed full-time vaccinators in highest-risk districts of Pakistan
Last year saw the lowest number of wild poliovirus cases in history (22 worldwide); Pakistan reported a 97 percent decline in cases between 2014 and 2017
GENEVA (16 April 2018) – The Global Polio Eradication Initiative (GPEI) announced today that the UAE has completed the US$ 120 million commitment made by His Highness Sheikh Mohamed bin Zayed Al Nahyan at the 2013 Global Vaccine Summit in Abu Dhabi.
“We thank the UAE for their long-term generous support and unwavering dedication to polio eradication, and particularly the personal commitment of His Highness Sheikh Mohamed bin Zayed Al Nahyan, Crown Prince of Abu Dhabi,” WHO Director General Dr Tedros Adhanom Ghebreyesus said. “This is the kind of support that will ensure we reach every last child to complete the job and to show the way to delivering health to all.”
Polio is a highly infectious disease that can cause lifelong paralysis, but it is entirely preventable with vaccines. Only three countries remain which have never stopped polio: Afghanistan, Pakistan and Nigeria. When the polio eradication effort was launched in 1988, 350 000 children were paralyzed by polio every year across 125 countries.
Polio eradication efforts have since made remarkable progress and there were only 22 cases in 2017 – the lowest ever recorded number. However, a number of key challenges remain. Reaching the most vulnerable children with the polio vaccine is hampered by a range of hurdles including difficult terrain, insecurity, and large-scale population movements.
Following the Global Vaccine Summit, the UAE expanded its role through the UAE Pakistan Assistance Program (UAE-PAP) to ensure that further gains would be made where it was needed the most. Through the “Emirates Polio Campaign” initiative, the UAE has helped drive on-the-ground eradication efforts within the most vulnerable communities in Pakistan.
Speaking about the UAE’s work, His Excellency Mohamed Mazrouei, Undersecretary of the Crown Prince Court of Abu Dhabi said: “The UAE’s pivotal role in eradicating polio completely is not limited to being a donor only, but extends to include its capacity to convene key groups and provide on-ground support to deliver vaccines in the highest risk areas of Pakistan.
“The UAE’s support – both as a leading donor and passionate advocate – has been critical for getting as close as we’ve ever been to making history by eradicating polio,” UNICEF Director of Polio Eradication Akhil Iyer said. “This is a gift not only to the children of Pakistan but to all future generations of children, everywhere, who are so close to the goal of being able to be born and be raised in a polio-free world.”
Dr. Chris Elias, President of the Global Development Program, Bill & Melinda Gates Foundation, said: “The UAE and His Highness Sheikh Mohamed bin Zayed Al Nahyan have shown an unwavering commitment to end polio, and we are delighted to partner with them in this effort. Without their involvement, achieving a record low number of polio cases in 2017 would not have been possible.”
The UAE is a longtime supporter of the polio eradication program. In addition to the US$ 120 million that His Highness Sheikh Mohamed bin Zayed Al Nahyan pledged in 2013, he pledged a further US$ 30 million to polio eradication, announced by Bill Gates at the Rotary International Convention in Atlanta, USA in June 2017. With additional commitments in 2011 and 2014, in total, the UAE has contributed US$ 167.8 million since 2011 to help end polio, with direct support to Pakistan, Afghanistan, Somalia, Ethiopia, Kenya, and Sudan.
About GPEI
The Global Polio Eradication Initiative (GPEI) is led by national governments and spearheaded by the World Health Organization (WHO), Rotary International, the US Centers for Disease Control and Prevention (CDC), and the United Nations Children’s Fund (UNICEF), with the support of the Bill & Melinda Gates Foundation. Since its launch at the World Health Assembly in 1988, the GPEI has reduced the global incidence of polio by more than 99%.
The GPEI receives financial support from governments of countries affected by polio, private sector foundations, donor governments, multilateral organizations, private individuals, humanitarian and non-governmental organizations and corporate partners. A full list of all contributors is available on the GPEI website, http://polioeradication.org/financing/donors/
A unique group of people gathered last month in Sokoto state to commit to the twin goals of eradicating polio, and working to rapidly strengthen routine immunization. Bill Gates, and Africa’s richest man, Alhaji Aliko Dangote, joined traditional leaders from across northern Nigeria, Federal Ministry of Health officials, representatives from several State governments, and partners including UNICEF and WHO.
The two billionaires play a significant role in the fight to eliminate polio in Nigeria, where no wild virus has been detected since 2016. The Bill & Melinda Gates Foundation has committed US$1.6 billion in the country to date to fund pilot projects targeted at health care, agriculture and financial inclusion, a contribution which makes up their biggest investment in Africa. Aliko Dangote, who is Nigerian, has previously worked with Mr Gates to help interrupt transmission of the poliovirus in his country, and helps fund other health programmes as president of the Dangote Foundation.
During their visit, Mr Gates and Mr Dangote witnessed first-hand the progress Nigeria is making in polio eradication, routine immunization and primary health care provision.
At meetings held at the Sultan’s Palace and Governor’s House, Mr Gates highlighted the commitment of traditional leaders and reiterated the importance of engaging communities to reach every child with vaccines. Expressing his concern over the high infant mortality rate in Nigeria, he noted that vaccination is a cost effective way to save children’s lives.
Mr Gates also talked about the need to plan for the future of a polio-free Nigeria. Looking to how the polio eradication infrastructure can be used to help meet other health needs, Mr Gates said that the strong existing polio infrastructure – including vaccine supply chains, disease surveillance, laboratory systems and social mobilization networks – can be used to develop and improve routine immunization coverage for other diseases.
“We can prevent millions of deaths through routine immunization,” Mr Gates said. “We will not relent in our commitment towards this.”
Mr Dangote further highlighted that the fight against polio requires commitment from all stakeholders.
Drawing attention to malnutrition as one of the biggest factors undermining Nigeria’s progress, Mr Dangote urged the government and partners to reach out to private sector companies and ask them to donate at minimum 1% of their profits to financing the health sector.
At the meeting, the governors of Bauchi, Borno, Kebbi, Kaduna, Kano, and Sokoto States signed extensions of their Memorandum of Understanding on routine immunization. In doing so they reaffirmed their commitment to maximizing immunization coverage in their respective states, helping to protect every child against polio and other vaccine-preventable diseases.
“When I received the confirmation of the first case of Lassa fever…nothing prepared me for the tasks ahead other than my work in polio eradication” – Mrs Faith Ireye, WHO State Coordinator in Edo state.
In the first two months of 2018, there were 110 deaths in Nigeria from suspected Lassa fever. Outbreak response, led by the Nigerian government and WHO, is focused on detecting every case, and tracing the virus wherever it is hiding.
Bolstering this effort are individuals with experience of guarding against a different disease – polio.
Ms Ireye, who has worked with the Global Polio Eradication Initiative for over ten years, is currently helping to coordinate the Lassa fever outbreak response in Edo State, one of the hardest hit by the outbreak.
“My experiences in polio eradication activities allowed me to immediately swing into action. So, when the [Lassa fever] outbreak was confirmed, I realized the need to use my expertise to serve communities at risk,” she says.
Part of her job is to help coordinate surveillance, specifically ensuring that everyone who has come into contact with someone with Lassa fever is found, and tested for the virus.
Her work is critical to help prevent further fever cases. Deputy Governor of Edo State, His Excellency Philip Shaibu said, “WHO…is one of the pillars that have helped lead surveillance in Edo state… In this particular outbreak, WHO was the first to draw attention to the fact that we need to galvanize resources from all partners, from other parts of the country, to ensure that things get done.”
The polio infrastructure
When outbreaks of other diseases happen, the knowledge and experience of polio personnel like Ms Ireye can make a significant difference to outbreak response. For example, polio workers were essential to containing the Ebola virus outbreak in 2014. For the Lassa fever response, 271 polio workers are involved in active case search, 235 in contact tracing, and 320 in community sensitization activities across the 18 at-risk states.
“The polio infrastructure was originally designed towards achieving the polio eradication goals,” said Dr Wondimagegnehu Alemu, WHO Country Representative to Nigeria. “Now polio infrastructure has expanded its support to broader disease surveillance strengthening, outbreak response and basic health care services including immunization.”
Other activities carried out by polio workers include data collation and analysis, and case reporting.
“The polio teams on ground in the states were crucial for mounting the initial response to the Lassa fever outbreak, and have continued to be WHO’s frontline technical support to the NCDC, States Ministry of Health and local government area teams,” Dr Emmanuel Musa, WHO Incident Manager for Lassa fever Management Team in Nigeria observed.
A legacy for posterity
Investments by donors and partners have gone far beyond polio eradication. Reflecting the positive impact that polio infrastructure and knowledge has had on other health priorities such as Lassa fever, WHO and other partners are currently supporting the development of a national transition plan. This will ensure that the investments that have brought the world to the brink of eradication are made available to support other national public health efforts, long after polio has been defeated.
“We must carefully consider how we transition many of the polio workers and the polio infrastructure to help with managing other health needs,” Dr Alemu said. “Future funding and partnerships will be a key part of this work.”
For now, experienced polio personnel continue their work to end the Lassa fever outbreak. Thanks to them, and the support of governments, partners and donors, we are ending polio, and are also helping to strengthen other health interventions.
Support for immunization to the Federal Government of Nigeria through the World Health Organization is made possible by funding from the Bill & Melinda Gates Foundation (BMGF), the United Kingdom, the European Union (EU), Gavi, Global Affairs Canada (GAC), the Government of Germany, the Japan International Cooperation Agency (JICA), the Korea Foundation for International Healthcare (KOFIH), the Measles and Rubella Initiative (M&RI) through the United Nations Foundation (UNF), Rotary International, the United States Agency for International Development (USAID), the United States Centers for Disease Control and Prevention (CDC) and the World Bank.
Zulaihatu Abdullahi is well known in her community, particularly to the mothers. As a volunteer community mobilizer in Kaduna state, northern Nigeria, her mission is to ensure that no child contracts polio, or any other preventable childhood disease.
This is difficult, as immunization programmes are sometimes treated with suspicion in her part of Nigeria. As a ‘change agent’, Zulaihatu’s job is to go door to door, counselling parents about the importance of the polio vaccine.
This particular lunchtime, she is visiting an 18 year-old mother living in a compound in a densely-populated, urban district of Kaduna State.
The young mother puts down the pole she is using to pound millet and welcomes Zulaihatu, recognising her royal-blue UNICEF hijab. She sits, and pulls on a hijab for cover as she settles down to breastfeed her baby. She has three other small children at home, a fifth on the way and she is new to the area.
“Before I came here I was rejecting all vaccines,” she says, “but because of this woman, Zulaihatu, I decided to accept. She told me the usefulness and I was convinced to do it.”
Thanks to Zulaihatu’s patience, and her work to build trust with the younger woman through regular visits, four more children are now protected against polio who might otherwise still be at risk. The mother has also been encouraged to seek anti-natal care, and the youngest child has just received his routine immunization shots.
“Sister Zulaihatu was one of the first women I met when we moved here,” the mother recalls. “She came here every day. She told me how she takes care of her own children. What she feeds them. How they all take vaccines. Little by little I started to change my thinking.”
Zulaihatu is trained to make her community aware of important household and parenting practices to keep their children thriving. The list is extensive and includes tips to treat diarrhoea, the importance of basic hygiene and sanitation, how to protect the family from malaria, the benefits of neonatal care and breastfeeding for infants, and the importance of registering their births.
She is one of nearly 20 000 UNICEF-trained community mobilizers, influencers and communication experts spread across 14 northern ‘high risk’ Nigerian states. With the support of donor and partners including the Bill and Melinda Gates Foundation, CDC, Dangote Foundation, European Union, Rotary, GAVI, JICA, the World Bank and the Governments of Canada, Germany, Japan, and others, the mobilizers are a key part of UNICEF’s ongoing support to the Government of Nigeria’s immunization programme.
Despite their achievements, Zulaihatu and other mobilizers know that there is much is still left to be done in their communities. Tomorrow, Zulaihatu will continue her work, going from household to household to keep every child safe.
With polio at the lowest levels in history in Pakistan, the country has launched a powerful and hopefully final assault on the disease in 2018. A crucial part of this is to further strengthen the ability of the polio programme to detect virus in stool samples, thereby giving clear indications of where and how the virus is moving in areas where populations remain under-immunized.
To support this effort, the Government of Japan announced today that it will provide US$3.2 million for the procurement of equipment to the Regional Reference Laboratory for polio eradication, located in the National Institute of Health in Islamabad.
The funds will help support the purchase of state-of-the-art molecular-biology equipment, allowing the laboratory to significantly enhance and speed up its ability to process and detect poliovirus in environmental and stool samples. This is critical work – in 2017, the Islamabad lab tested 30 000 stool samples and 950 environmental samples from both Pakistan and Afghanistan, helping the programme better identify where the virus is hiding.
The Japanese grant will also be used to replace aging stocks of cold chain materials and other essential equipment needed to be able to accurately identify poliovirus in samples.
Speaking at the ceremony for the signing of the grant, the Federal Minister of National Health Services, Regulations and Coordination in Pakistan, Saira Afzal Tarar said: “The steady support of the Government of Japan and other partners, and the strong partnership have been crucial elements of the programme’s tremendous progress over the past two years. The new grant will help strengthen polio surveillance through adaptation of new technology and contribute towards polio eradication in the country.”
“These funds come at a crucial time in Pakistan’s eradication effort, and are being used in a strategically important manner,” commented Michel Zaffran, Director for Polio Eradication at the World Health Organization. “The country is on the cusp of being polio-free. What we now need is to urgently root out any last remaining spot where the virus might be hiding, and these funds will help strengthen the ability to do just that. Only by finding polio’s last remaining hiding places will we be able to eradicate it once and for all.“
The Government of Japan is a longtime supporter of the Global Polio Eradication Initiative, with contributions to end polio in Pakistan of approximately ¥24 billion (approximately US$ 224 million) since 1996. With only eight cases recorded in the country in 2017 from just a handful of districts – compared to more than 30 000 all over the country just 20 years ago – these additional funds come at a critical time for the country programme as it launches into the final intensified effort to finish the disease once and for all.
The Global Polio Eradication Initiative partners would like to extend their profound gratitude to both the Government of Japan and Pakistan for their collaboration, and for their tremendous support and engagement in the effort to end polio globally.
Reducing polio cases by 99.9% globally is an incredible feat, achieved through innovative strategies and years of trial and error.
While the polio eradication programme is focused on getting to zero, now is the time to make sure everything we’ve learned isn’t lost and can be used to inform future global health programmes. Just as the polio eradication effort applied lessons learned from the successful smallpox campaign to its own work, the goal is for future health programmes to understand and build on the knowledge of the polio effort.
Under a new grant from the Bill & Melinda Gates Foundation, the Johns Hopkins Bloomberg School of Public Health (JHSPH) will be working to do exactly this.
JHSPH will partner with academic institutions from around the world to document lessons and develop graduate-level courses and hands-on training clinics for public health students and professionals, including an online open course available to the public and implementation courses for managers from other health programmes.
Under the leadership of Dr Olakunle Alonge, the team at JHSPH will collaborate with a global team from public health institutions in seven countries: Nigeria, India, Afghanistan, Ethiopia, the Democratic Republic of the Congo, Bangladesh and Indonesia. This will not only ensure a balanced and diverse perspective, but also enable the exchange of public health training strategies between the institutions.
To develop the content of each course, JHSPH will be identifying “change agents” at the local, national and global levels who have expertise in polio eradication that may not otherwise be captured. This unique global strategy promises to yield coursework that speaks to the issues faced by a broad range of global health programmes and actors.
“Without an active strategy to map, package and deliver the knowledge from the global polio eradication efforts to other programs and global health actors, I’m afraid that these knowledge assets may not find any useful purpose beyond the end of the polio campaign, which could come to an end within a few years,” said Alonge.
Alonge expects to glean lessons that will apply to immunization systems, public health emergency response, primary health care, disease eradication and infectious diseases—ensuring that the polio programme continues to positively impact global health for years to come.
With polio at the lowest levels in history in Pakistan, the country is about to launch an all-out and hopefully final assault on the disease in 2018. To help these emergency efforts, the Government of Germany announced today an additional € 2 million in financial support, to Pakistan’s national emergency action plan. Germany is a longtime supporter of the Global Polio Eradication Initiative (GPEI) with contributions totaling more than US$ 550 million to the effort, not including a recently announced additional pledge of € 19.9 million to Nigeria’s polio eradication effort for 2018. For its engagement in polio eradication, including in fostering global commitment, Germany has on numerous occasions been internationally recognized at the highest levels. Chancellor Angela Merkel is a past recipient of Rotary International’s prestigious Polio Champion Award.
The Global Polio Eradication Initiative partners would like to extend their profound gratitude to both the Government of Pakistan and Germany for their collaboration and for their tremendous support and engagement in the effort to eradicate polio globally.
Italy has provided €4.5 million to support efforts to reach and vaccinate all children under five years of age in Pakistan and Afghanistan – the only two countries worldwide that have reported polio cases this year.
In Afghanistan, the contribution will be used to support and train vaccinators and social mobilizers in generating demand for vaccination, the delivery of vaccines and monitoring whether vaccination activities are well-implemented. In Pakistan, the contribution will support vaccination campaigns in the most challenging areas of the country, as well as the immunization of communities that are at particularly high risk due to their mobility, through tactics such as giving vaccine established transit points.
The Bill & Melinda Gates Foundation have matched Italy’s contribution, doubling its impact to €9 million.
Polio is a highly infectious but entirely preventable disease which remains endemic in only three countries – Afghanistan, Pakistan and Nigeria. When the polio eradication effort was launched in 1988, there were 350,000 cases of polio every year across 125 polio-endemic countries. In 2017, there are 13 cases to date globally – 8 cases in Afghanistan and 5 in Pakistan, with Nigeria not recording any cases for more than 12 months.
This remarkable progress is thanks to the tireless work of committed front line health workers, governments and the five partners of the Global Polio Eradication Initiative: UNICEF, WHO, Rotary International, the US Centers for Disease Control and Prevention, and the Bill & Melinda Gates Foundation.
“The Italian Minister of Foreign Affairs, Angelino Alfano, underlined Italy’s commitment to a polio-free world for all future generations. “Italy is proud to support this immunization initiative which will not only rid the world of this devastating disease but improve children’s health and bring health returns and productivity gains for communities and countries’ economies,” Minister Alfano said.
UNICEF Director of Polio Eradication Akhil Iyer said that the funding would support efforts to generate community demand for vaccination and deliver vaccines in high-risk polio-endemic areas. “Italy’s contribution is critical in helping us to reach every last child in some of the world’s most challenging contexts, and to help us prove that we can live in a world where no child need be left behind,” Mr Iyer said.
WHO’s Director of Polio Eradication, Michel Zaffran, said new funding such as Italy’s was essential to ensure all children were covered during immunization campaigns. “As we reach the endgame of the polio eradication effort, the vaccination of what we call mobile populations – communities which are migrant or on the move – is essential to ensure all children are protected and the virus cannot spread from one area to another. This funding will directly help us reach and protect those most vulnerable populations,” Mr Zaffran said.
At a meeting of the Group of 7 on 5-6 November 2017 in Milan, Ministers of Health reiterated the importance of sustaining commitment to polio eradication as part of their broader commitment to strengthen health systems. They also recognized… “the importance of continuing our efforts to succeed and keep the world sustainably polio‐free, and, of the opportunity to leverage and transition polio assets and resources that have generated major and broader health benefits, including strengthened health systems.”
At the meeting, entitled “United towards Global Health: common strategies for common challenges”, Ministers discussed key global health challenges guided by the G7 Taormina Leaders’ Communiqué. Their statement on polio was aligned with previous G7 and G20 commitments and with the Sustainable Development Goals.
The attention given to polio eradication by the Ministers forms an integral part of their broader commitment to … “the importance of strengthening health systems through each country’s path towards Universal Health Coverage, leaving no one behind, and of preventing health systems from collapsing during humanitarian and public health emergencies and effectively mitigating health crises”.
Under Japanese and Italian Presidencies in 2016 and 2017, the importance of the global effort to eradicate polio and the opportunity to transition polio-funded assets for Universal Health Coverage and Global Health Security after eradication have been highlighted several times. Such high-level political support for the initiative is critical to maintain the momentum needed for success.
In 2018, Canada, a longstanding GPEI donor, will hold the Presidency of the G7, 16 years after it placed polio eradication on the agenda of the G7 for the first time.
Thanks to global commitment to end polio, children in countries like Nigeria will be able to grow up free from the threat of this debilitating disease. WHO/L.Dore
The United Kingdom is helping make history by eradicating a human disease for just the second time ever, after smallpox. On August 4, Secretary of State for International Development, Priti Patel announced £100 million in new funding to the Global Polio Eradication Initiative, which will help to give the world’s children protection against this crippling disease.
“Polio has no place in the 21st Century,” said Priti Patel. “This devastating and highly infectious disease causes painful paralysis and is incurable – trapping the world’s poorest people in a cycle of grinding poverty. The UK has been at the forefront of fighting global health threats, including polio, and our last push towards eradication by 2020 will save 45 million children from contracting this disease. The world is closer than it ever has been to eradicating polio for good, but as long as just one case exists in the world, children everywhere are still at risk. Now it is time for others to step up, follow Britain’s lead and make polio history.”
British aid has made up 10% of global contributions to the GPEI over the last 30 years. Thanks to UK aid, 1.6 million people are walking who could have been paralysed for life had they not been vaccinated against polio. While case numbers are at a historic low and wild poliovirus restricted to just three countries (Afghanistan, Nigeria and Pakistan), children continue to be paralysed. DFID and British taxpayers are helping to ensure that no child is ever again paralysed by polio, with 80 children a minute receiving the polio vaccine thanks to this new funding.
More than 50 000 Rotarians across the UK and even more across the globe have been instrumental in this effort. Rotary brought the partners of the Global Polio Eradication Initiative together to start this fight, and continues to drive the effort forward through advocacy and fundraising.
The few remaining places where polio is present are some of the most challenging environments in the world. The UK’s commitment to tackling extreme poverty, helping the most vulnerable and strengthening health care in fragile states is crucial to addressing the challenges standing in the way of a polio-free world.
At the Rotary Convention in Atlanta in June, public health leaders from both donor and endemic countries, as well as the private sector, pledged US$ 1.2 billion to polio eradication against the additional US$ 1.5 billion needed to achieve eradication. The UK’s contribution is crucial in filling the remaining gap.
Ambassador Lanteri has handed over to Ambassador Shino as co-chair of the Polio Partners Group. WHO.
The movement to eradicate polio is a global effort that has attracted support from the highest level from country governments, formed partnerships and relied upon millions working on the frontline. This network is making history as part of the biggest public health programme in the world, which has the opportunity to eradicate a disease for only the second time in history.
The Polio Partners Group (PPG) serves as the voice of many of these committed stakeholders to give input into the work being done by the Global Polio Eradication Initiative and to bring together polio-affected countries, donors and other partners to ensure that the GPEI has the necessary political and financial resources to end polio.
At the group’s latest meeting in June, Ambassador Carole Lanteri of the Permanent Mission of Monaco ended her time as Co-Chair after two years fostering the PPG’s engagement in-depth and high-level dialogue on key programmatic issues with the Initiative’s stakeholders. Monaco is a key partner and donor of the global effort, providing financial and political support. Ambassador Lanteri handed over to Ambassador/Deputy Permanent Representative Mitsuko Shino of the Permanent Mission of Japan.
Japan, the fifth largest donor government to the Initiative, recently reaffirmed its commitment at the Rotary Convention in Atlanta where global health leaders came together to pledge US$ 1.2 billion to polio eradication efforts.
Michel Zaffran, Director of Polio Eradication at WHO, thanked Monaco for their support, noting that “Ambassador Carole Lanteri has brought the highest levels of political commitment to the PPG meetings. With thanks to her continued leadership, we have seen Ambassadors and senior representatives from endemic and donor countries and partners engaging in very technical discussions on the programme. This is testament to the extraordinary convening power of Ambassador Lanteri. She has forged a partnership of political will among diplomats and stakeholders in Geneva, all determined to work for a polio-free world.”
As the PPG thanked Ambassador Lanteri for her service and leadership, a warm welcome was extended to the new Co-Chair, Ambassador/Deputy Permanent Representative Mitsuko Shino of the Permanent Mission of Japan. As a new co-chair, Ambassador Shino will bring her long standing experience and passion in the field of human rights to polio eradication. “Polio is about equity, reaching every child with safe vaccines to realize a world in which no child is left suffering from this preventable disease. It would be a great honor for us to witness the realization of human and child rights to enjoy healthy lives.”
New funding and political commitment will enable the GPEI to protect 450 million children from polio every single year. WHO/L.Dore
Atlanta, USA, 12 June – Public health leaders gathered at the Rotary Convention in Atlanta to unite in their commitment to securing a polio-free world. Endemic countries and donors together pledged US$ 1.2 billion to finance the polio endgame.
The Global Polio Eradication Initiative was launched in 1988, spearheaded by Rotary International. For the past three decades, Rotary has brought political commitment, funding and energy to the fight against polio. At this pledging event, Rotary committed a further US$ 150 million to the cause.
At a time when polio eradication has never been closer, new funding and political commitment is more important than ever. The poliovirus has been cornered to just three remaining countries – Afghanistan, Nigeria and Pakistan – but this progress is fragile. While polio continues to exist anywhere in the world, children everywhere remain at risk. Each year, the GPEI reaches 450 million children to vaccinate them against the virus, in polio endemic countries and elsewhere, and maintains disease surveillance systems in more than 70 countries to find and stop every last virus.
Today, 16 million people are walking who would have been paralysed if they had not been protected against polio thanks to the extraordinary efforts of public health workers. This new injection of funding and commitment will ensure that in the future, no child will ever again suffer from the consequences of this incurable, but preventable, disease.
G20 Health Ministers’ meeting in Berlin, Copyright: BMG/photothek/Inga Kjer
20 May 2017, Berlin, Germany – The first-ever G20 Health Ministers’ meeting has issued a declaration on global health, including recognition of the historic opportunity that exists to contribute to global polio eradication, and the important role played by polio-funded assets in achieving broader health goals. The declaration also called for the timely and effective application of these assets to other programmes once eradication is achieved, to help countries maintain their ability to meet their obligations under the International Health Regulations (2005).
This is the first time that public health has been included on the G20 agenda, in recognition that health security contributes to socio-economic stability and sustainable development. The inclusion of polio in the inaugural Health Ministers’ declaration is symbolic of the global effort to stop polio and how close we are to achieving our historic goal, as well as the contribution the programme makes towards many other areas of public health.
This declaration comes ahead of discussions on the status of global polio eradication efforts, and polio transition planning at the World Health Assembly later in the month.
The G20’s acknowledgement of polio eradication and transition planning efforts comes off the back of sustained political commitment and financial support from the governments of the three remaining polio-endemic countries – Nigeria, Afghanistan and Pakistan – as well as the long-term commitment and support of G20 members Australia, Canada, the European Union, France, Germany, India, Indonesia, Japan, Republic of Korea, Russia, Kingdom of Saudi Arabia, Turkey, the United Kingdom, and the United States of America.
G7 leaders meet later this month in Italy. In 2016, in continuation of the G7 Ise-Shima Summit, the Ministers of Health and high representatives of the G7 “reaffirmed [their] commitment to achieve polio eradication… and recognize the significant contribution that the polio-related assets, resources and infrastructure will have on strengthening health systems and advancing universal health coverage.”
More on polio eradication and transition planning
Nigerian Minister of Health (left) and EU Ambassador signing the documents for the €70 million grant
At an event in Abuja on 16 February 2017, the Government of Nigeria and the European Union signed a historic partnership to support health systems and polio eradication efforts in the country. Attended by key ministries and partners such as WHO and UNICEF, a €70 million grant agreement was signed targeted at improving maternal, newborn and child health, strengthening Nigeria’s health system and supporting ongoing efforts to eradicate polio.
The project is the first phase of support from the European Union to the Nigerian health sector under the 11th European Development Fund, and will be jointly implemented by United Nations Children’s Fund (UNICEF) and the World Health Organization (WHO) in partnership with the Federal Government of Nigeria and key target states in the country.
Fifty million euro of the grant aims to ensure that by 2020, Adamawa, Bauchi and Kebbi states of Nigeria have functional primary health care centers, providing round-the-clock services to three million children under the age of five years as well as to almost a million pregnant women and lactating mothers.
Twenty million euro, to be dispersed by WHO, will go specifically towards health systems strengthening to achieve universal health coverage and support the push to eradicate polio from Nigeria for good. The grant comes at a critical time for polio eradication in Nigeria, with emergency efforts underway to stop the virus in the last remaining polio reservoir on the African continent.
Michel Arrion, the EU Ambassador to Nigeria and ECOWAS, said at the event, “The European Union is working together with the Nigerian authorities to address developmental challenges in key priority areas under its 11th European Development Fund. This project will help to improve access to effective health and nutrition in the prioritized states and support the final push to eradicate polio in Nigeria”.
The EU has been major supporter of polio eradication efforts worldwide and in particular Nigeria, providing €45 million to the country between 2011 and 2017. Additionally, the EU has provided significant emergency funding to help successfully stop past outbreaks in the Horn of Africa and the Middle East, and supported the eradication effort in other parts of the world.
Thanking the EU for on-going commitment, Dr Wondimagegnehu Alemu, WHO Country Representative, said, “Our partnership with the EU will enable the organization to continue providing the necessary technical support to the government of Nigeria towards strengthening health systems and enhancing timely interventions during supplemental immunization activities, including reaching children in areas with insecurity in the northeast.”
Polio eradication efforts have always played an important role in health systems strengthening. The polio network routinely conducts surveillance for other diseases of public health importance, including measles, yellow fever, neonatal tetanus and avian influenza. With local knowledge of communities, health systems and government structures, the polio network’s technical capacity in disease surveillance and planning of large-scale operations often helps sustain international and national relief efforts. At the country level, polio staff spend, on average, 50% of their time working on broader public health efforts, over and beyond polio eradication, providing a critical contribution to strengthening of health systems.
