GPEI partners

A doctor and surveillance volunteer checks a child for signs of paralysis in a clinic in Shawalikot district, Afghanistan. ©WHO / Jawad Jalali

The year 2024 has not been an easy one for polio eradication, with an increase in wild poliovirus transmission in the remaining two endemic countries and new and high-profile outbreaks including in Gaza. And yet global commitment to polio eradication remains as high as ever.

From community groups to G7 leaders, the determination to complete polio eradication goes beyond the health sector. Political, multi-lateral fora including the Leaders and Health Ministers from the G7 and G20, and the Commonwealth, all underscored the opportunity we have in ridding the world of polio once and for all. Countries, bilateral institutions and oversight and advisory groups, ranging from the World Health Assembly, to Regional Committees and the Eastern Mediterranean Regional Sub-committee for Polio Eradication and Outbreaks, to the African Regional Certification Committee for Poliomyelitis Eradication, all continue to voice their support to the global eradication effort. Such support is echoed by civil society and communities, led by Rotary International and Rotarians from around the world. Youth delegates at the inaugural in-person meeting of the Model WHO brought new generations to this quest.

G7 Leaders: “We recommit to ending… neglected tropical diseases and polio as public health threats…”

G7 Health Ministers: “We recommit to ending… polio. We also commend the Global Polio Eradication Initiative’s efforts to eradicate polio and call for keeping the efforts strong in order to reach eradication before 2030.”

Commonwealth Summit: “Heads urged for increased global and national efforts… to eradicate polio…”

G20 Leaders: “We also reaffirm our commitment to ending the epidemics of AIDS, tuberculosis, malaria and for polio eradication.

G20 Health Ministers: “We also reaffirm our commitment to ending the epidemics of AIDS, tuberculosis, malaria and for polio eradication.”

Such political support across all levels is critical to securing success, as the challenges to global eradication are now primarily a geopolitical. Medically and technically, everything is in place to achieve success. The key lies in reaching all remaining children who have not yet been fully vaccinated, and the answer to those challenges lies squarely in political will. As one delegate at the recently-held Model WHO said: “Rain does not fall on a single house alone. If we can reach children in Gaza given the current situation, we can reach children anywhere.”

On 13 November 2024, the GPEI held a virtual briefing with polio experts from around the world during which they discussed pressing challenges and inspiring progress toward ending polio everywhere. Over 250 attendees from 87 countries tuned in. You can watch the full recording of the event below.

WHO hosts the first in-person Global Model, a youth led simulation on the World Health Assembly, on 1 November 2024 at WHO Headquarters in Geneva, Switzerland.

Geneva, Switzerland, November 2024 – At the first in-person Global Model World Health Organization (GMWHO), held from 29 October to 1 November 2024 at WHO headquarters in Geneva, youth delegates in a simulated exercise representing Member States from around the world adopted a critical resolution laying out a clear roadmap to achieving and securing a polio-free world. The GMWHO was jointly organized by WHO and the World Federation of United Nations Associations (WFUNA), to provide an authentic simulation of the World Health Assembly and the work of WHO for youth delegates from around the world.

Amid a myriad of global public health topics, youth delegates discussed the urgent need to eradicate polio, and adopted simulated resolution GMWHO WHA2.5 in Committee A5, focusing on the needs to overcome remaining geopolitical challenges to achieving and sustaining a polio-free world. Youth delegates from across the world focused their discussions on the need to reach marginalized, vulnerable populations, ensuring sustained funding for the effort, strengthening disease surveillance, minimizing the risk of spread of both wild or variant polioviruses, and ensuring containment for polioviruses, among other aspects. In particular, youth delegates called for the need for peace around the world, to reach some of the most marginalized communities with not just polio vaccine, but indeed broader public health interventions, quoting WHO Director-General Dr Tedros Adhanom Ghebreyesus that “peace is the best medicine.”

The resolution was unanimously adopted in Committee A5, by delegates representing about 50 Member States, on behalf of the entire GMWHO. Prior to formal adoption of the resolution, youth delegates from more than 30 Member States took to the floor to express support to achieving a world free of polio. “There is a saying in our country: rain does not fall on one roof alone,” said the distinguished delegate of Cameroon, speaking on behalf of the WHO African Region, meaning that achieving a global public good required the full engagement of every single country and government.

“The entire Global Model WHO was an amazing experience, both for myself as Chair of Committee A5, and more importantly, for our youth delegates from around the world,” said Caroline Knop, Chair of Committee A5 and medical student at Charité in Berlin, Germany. “Everyone got a real sense of what it takes to achieve consensus for global health topics, and – more importantly – for what it takes to then implement this consensus. It was a huge learning experience for all, and I think everyone very much appreciated the entire event.”

“On behalf of the GPEI, I would like to thank WHO, WFUNA and most importantly all youth delegates in making polio eradication a part of this exciting programme,” commented Dr Arshad Quddus, chief epidemiologist for polio eradication at WHO. “I was extremely impressed by the level of knowledge and engagement youth delegates displayed, in clearly summarizing very complex challenges and solutions to achieving success, as illustrated in their adopted resolution. The youth delegates collaborated closely together, working in the spirit of global solidarity and consensus. The resulting resolution, even though of course simulated, actually very clearly outlines a roadmap to not only achieving a polio-free world, but indeed sustaining it. As a global community, we should endeavour to fully implement this simulated resolution. It was a pleasure engaging with this group, who are after all the future leaders of international development. Clearly, our future is in very safe hands with these young and energetic professionals at the helm.”

View a video of the Model WHO.

Jerusalem/Amman/Geneva/New York, 1 November 2024 - “A third phase of the polio vaccination campaign is set to begin tomorrow in part of the northern Gaza Strip after being postponed from 23 October 2024 due to lack of access and assured, comprehensive humanitarian pauses, intense bombardment, and mass evacuation orders. These conditions made it impossible for families to safely bring their children for vaccination and for perform their duties

“The humanitarian pause necessary to conduct the campaign has been assured, however, the area of the pause has been substantially reduced compared to the first round of vaccination in northern Gaza, conducted in September 2024. It is now limited to just Gaza City. Though in the past few weeks, at least 100,000 people have been forced to evacuate from North Gaza towards Gaza City for safety, around 15,000 children under ten years in towns in North Gaza like Jabalia, Beit Lahiya and Beit Hanoun still remain inaccessible and will be missed during the campaign, compromising its effectiveness. To interrupt poliovirus transmission, at least 90% of all children in every community and neighborhood must be vaccinated, which will be challenging to achieve given the situation.

“The final phase of the campaign had aimed to reach an estimated 119,000 children under ten years old in northern Gaza with a second dose of novel oral polio vaccine type 2 (nOPV2). However, achieving this target is now unlikely due to access constraints.

Despite the lack of access to all eligible children in northern Gaza, the Polio Technical Committee for Gaza, including the Palestinian Ministry of Health, World Health Organization (WHO), United Nations Children’s Fund (UNICEF), the United Nations Relief and Works Agency for Palestine Refugees (UNRWA) and partners has taken the decision to resume the campaign. This aims to to mitigate the risk of a long delay in reaching as many children as possible with polio vaccine and the opportunity to vaccinate those recently evacuated to Gaza City from other parts of North Gaza.

“To overcome challenges posed by the volatile security situation and constant population movement, robust micro plans have been developed to ensure the campaign is responsive to the significant population shifts and displacement in the north, following the first round in September. The campaign will be delivered by 216 teams across 106 fixed sites, 22 of which have been added to ensure increased availability of vaccination in areas where recently displaced people are seeking refuge. Two hundred and nine social mobilizers will be deployed to engage communities and raise awareness around vaccination efforts. The time period for the humanitarian pause has been extended by two hours and is expected to run from 6am to 4pm daily. As in the first two phases, vitamin A will also be co-administered to children between two to ten years in the north to help boost overall immunity.

“The campaign in northern Gaza follows the successful implementation of the first two phases of the second round in central and southern Gaza, which reached 451,216 children – 96% of the target in these areas. A total of 364,306 children aged between 2 and 10 years have received vitamin A so far in this round.

“Despite the challenges, WHO and UNICEF urge for the humanitarian pauses to be respected to ensure the successful delivery of this second round of the polio vaccination campaign. This is crucial to help curb the spread of polio in Gaza and neighboring countries.”

NEW YORK, 24 October 2024 — Of the 541 children affected by polio globally in 2023, 85 per cent live in the 31 fragile, conflict-affected, and vulnerable countries, according to a new UNICEF analysis on World Polio Day.

Polio cases in these settings have more than doubled in the past five years, while routine childhood immunization has dropped from 75 to 70 per cent – well below the 95 per cent needed for community immunity.

The data issue a stark warning that the life-threatening disease continues to thrive in areas where life is most precarious, and where conflict, natural disasters, humanitarian crises, other destabilizing factors make it difficult to deliver critical healthcare.

“In conflict, children face more than bombs and bullets; they are at risk of deadly diseases that should no longer exist,” said UNICEF Executive Director Catherine Russell. “In many countries, we are witnessing the collapse of healthcare systems, destruction of water and sanitation infrastructure, and the displacement of families, triggering a resurgence of diseases like polio. Children are being left paralyzed, unable to walk, play, or attend school.”

A global decline in childhood immunization has also led to an increase in polio outbreaks, including in countries that had been polio-free for decades. Nowhere is this more evident than in conflict-affected areas, with 15 out of 21 such countries – including Afghanistan, Democratic Republic of Congo, Somalia, South Sudan, and Yemen – currently battling polio.

In recent months, UNICEF and partners have intensified emergency responses to surges in polio outbreaks. In Gaza, for example, UNICEF, in partnership with WHO, reached nearly 600,000 children under 10 years during the first round of a polio vaccination campaign in mid-September. The second and final round has been successfully implemented in south and central Gaza, but renewed mass displacement and bombings have delayed the process in the north. The campaign follows the return of polio to Gaza for the first time in 25 years.

In Sudan, national childhood vaccination coverage plummeted from 85 per cent before the war to 53 per cent in 2023, while in active conflict zones, the coverage has dropped to just 30 per cent. In response, UNICEF and partners have led two emergency polio campaigns in recent months, reaching 2.9 million children under 5 years through house-to-house vaccinations.

Successful polio vaccination campaigns in fragile, conflict-affected, and vulnerable countries are critical to stopping further cases and protecting children who are already vulnerable. Humanitarian pauses are essential to ensure healthcare workers can reach children and deliver vaccines safely.

The battle against polio is hardest in the most challenging places, but eradication is within reach. UNICEF, which delivers over 1 billion doses of polio vaccines annually – the largest share of its global vaccine deliveries – urges governments, partners, and donors to:

Prioritize vaccination of all children against polio, especially in conflict and humanitarian settings and in countries with low immunization coverage across Africa and parts of Asia.
Strengthen immunization systems to ensure all children receive essential, lifesaving vaccines.
Protect humanitarian and healthcare workers delivering vaccines, and respect essential humanitarian pauses needed for campaign success.
Provide critical resources to the Global Polio Eradication Initiative and Gavi, the Vaccine Alliance, to quickly halt outbreaks and ensure children are vaccinated.
Elevate polio eradication on political agendas at all levels, prioritizing innovative solutions and coordinated actions to enhance immunization campaign quality.

“The spread of polio not only puts children in affected countries at immediate risk but also poses a growing threat to neighbouring countries,” added Russell. “The final push is the hardest, but now is the time to act. We cannot rest until every child, in every corner of the world, is safe from polio – once and for all.”

Originally published on the UNICEF website.

BERLIN 17 October 2024 – For more than three and a half decades, governments and health workers, with support from the Global Polio Eradication Initiative (GPEI), have made unprecedented progress toward the promise of a polio-free world. Thanks to these collective efforts, more than 20 million people are walking who would otherwise have been paralyzed by this dreadful disease. Billions of children have been protected with lifesaving immunizations. Five of the six World Health Organization Regions are free from wild poliovirus.

The work of the polio program is now concentrated in some of the most complicated and fragile settings in which to deliver basic healthcare. Challenges to reaching all children with vaccines are serious, ranging from persistent violence to climate emergencies. The transmission of polio in conflict-affected areas in Gaza, Sudan, and Yemen is a stark reminder that where conflict debilitates health and sanitation systems, polio will inevitably appear unless we eradicate all forms of the virus.

Recognizing remaining challenges, the GPEI’s Polio Oversight Board (POB) made the difficult but necessary decision in July to extend the timelines needed to achieve polio eradication—to the end of 2027 for wild poliovirus and the end of 2029 for type 2 variant poliovirus. That decision was informed by critical analysis and expert consultations, and extended timelines require additional financial resources to support ongoing eradication activities.

Yesterday, the POB determined that the total funding needs of the extended 2022-2029 strategic period are US$6.9 billion, an increase from the US$4.8 billion projected for the 2022-2026 strategic period. To date, donors have already committed an incredible US$4.5 billion to the strategy, but US$2.4 billion more is urgently needed to overcome today’s challenges and make polio history.

Critically, these funds will make possible the urgent and vital tactical shifts in the program’s approach that are necessary to deliver a polio-free world, allowing the GPEI to:

Reach more children with polio vaccines by working with polio-affected country leaders to strengthen program implementation.

Adapt to today’s challenges by deploying innovative tools like novel vaccines and surveillance methods to further strengthen outbreak response.

Hold ourselves to the highest standard by improving accountability at all levels, from global leadership to field managers.

Work with routine immunization programs by integrating polio services wherever possible.

Deepen our relationships with the people we serve by strengthening community engagement.

These shifts are being driven by the expertise of GPEI partners coupled with a program-wide commitment to double down on the toughest but most critical challenges standing between us and a future without polio.

Shortcomings in funding or fully carrying out these efforts would come with serious consequences. Without dedicated eradication efforts, within a decade, many thousands of children around the world could once again be paralyzed or die from polio each year. This is an unacceptable future. More than ever, donor and polio-affected country governments must offer their renewed support to prioritize these efforts to reach all children with lifesaving vaccines and strengthen health systems along the way.

With strengthened support and collaboration, together we can deliver a world where all children, families and communities are forever free from polio.

About the Global Polio Eradication Initiative

The Global Polio Eradication Initiative is a public-private partnership, spearheaded by national governments, WHO, Rotary International, the US Centers for Disease Control and Prevention, UNICEF, the Bill & Melinda Gates Foundation and Gavi, the Vaccine Alliance. Since its launch in 1988, this partnership has helped prevent more than 20 million cases of paralysis, prevented more than 1.5 million childhood deaths and reduced the incidence of wild poliovirus by 99.9 percent, from more than 350,000 cases in more than 125 endemic countries to just two endemic countries in 2024.

The Global Polio Eradication Initiative (GPEI) welcomes the 23rd report from the Independent Monitoring Board (IMB), which provides independent assessments of the program to help refine and improve the GPEI’s work. The report presents an analysis of the status of eradication efforts and suggests actions to help accelerate progress toward interruption of wild poliovirus type 1 and to stop all outbreaks of circulating vaccine-derived polioviruses.  

The IMB’s latest report notes the promising decline of types 1 and 2 variant poliovirus cases globally in the past year and the strong regional commitment to eradication throughout the Eastern Mediterranean Region. That said, the program agrees with the IMB’s assessment that progress against variant poliovirus to date is extremely fragile and variable across geographies, and that the recent rise in wild poliovirus detections in Pakistan and Afghanistan is of serious concern. The IMB also rightly recognizes the incredibly complex environments where the virus remains and the external factors impeding the program’s ability to consistently reach children in these places. The GPEI appreciates the board’s frank assessment of management and campaign quality challenges that the program is aware of and proactively working to address.

As the IMB previews, the GPEI, after critical analysis and expert consultations, has decided to extend the timeline of certifying the eradication of wild polio to 2027 and certifying the elimination of type 2 variant polio to 2029. The GPEI will soon be releasing a document outlining the key tactical shifts that it will implement to enable stronger accountability and ownership across all levels of the program during this period. This also includes a more systematic approach to integrating polio activities with other health services and improving coordination with essential immunization programs to set the foundation to sustain a polio-free world.

The polio program has successfully adapted and overcome challenges in its history and will continue to do so until polio everywhere is stopped. Since the IMB’s report was published, a coordinated vaccination campaign round reached approximately 560,000 children with the polio vaccine in Gaza. This was an incredible testament to the dedication and bravery of families and health workers and underscores the program’s ability, in coordination with its partners, to reach children with vaccine, even when facing immense obstacles.

The GPEI appreciates the IMB’s continued scrutiny and shared commitment to achieving a polio-free world. As customary, the program is considering each recommendation carefully and will prepare a full response to be released soon. We will continue working closely with the IMB, polio-affected countries and partners to optimize the polio program’s work, improve vaccination campaigns and disease surveillance, strengthen broader health systems and ultimately ensure no child is paralyzed by polio again. 

23 September 2024 – The Government of Canada continues to demonstrate its commitment and leadership in the fight to eradicate polio, announcing a new contribution of CAN $151 million over the next three years to support the work of the Global Polio Eradication Initiative (GPEI). Canada’s Minister of International Development, the Hon. Ahmed Hussen, formally announced Canada’s next pledge to the GPEI at a Rotary regional conference in Toronto, Ontario on 20 September to an audience of Rotary club members and civic leaders from across Canada and the United States.

Canada has been a leading supporter of the global polio eradication effort since its inception and across successive governments, helping the GPEI reduce cases globally by over 99% and prevent more than 20 million cases of paralysis from polio. This most recent funding, which brings Canada’s total contributions to the GPEI to more than CAN $1 billion, will support the GPEI’s ongoing efforts in immunizing 370 million children annually. Canada’s overall contribution has also helped build and will ensure the continuation of increasingly important health infrastructure in some of the most vulnerable regions of the world. In addition to vaccinating children against polio, this infrastructure also delivers other essential health services, including critical surveillance and tracking systems.

“Building on Canada’s leadership in global health, today’s investment will strengthen our partnership with the Global Polio Eradication Initiative. By protecting children who are most at risk from this preventable disease and providing support for health workers at the forefront of this effort, we will be one step closer to eradicating polio,” said Ahmed Hussen PC MP, Minister of International Development for the Government of Canada.

“Rotary members in Canada and throughout the world are thrilled to welcome this new investment to the Global Polio Eradication Initiative,” said Jennifer Jones, a Canadian citizen who served as the President of Rotary International in 2022-23. “As a founding member of the GPEI, ending polio has been Rotary’s top priority since the very beginning, and the Canadian government has been with us every step of the way. With the finish line so close, every contribution to the global effort is a critical step towards a world without polio for children everywhere.”

Today, polio continues to spread in some of the most challenging places in the world to deliver health services, like Gaza, where variant poliovirus recently paralyzed a child for the first time in 25 years. The final two countries where the wild poliovirus remains endemic are Afghanistan and Pakistan. The GPEI is continuing to adapt its approach to reach every child with polio vaccines and other essential health services in these and other affected countries that are challenged by setbacks in routine immunization, security threats and climate catastrophes.

“We welcome this generous contribution from the Government of Canada towards our efforts to deliver a polio-free future,” said Dr. Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization. “These funds will help the GPEI reach communities with polio vaccines, including in some of the most marginalized populations of the world, and bring us closer to our goal of eradicating this disease once and for all.”

“Canada’s support to GPEI is instrumental in protecting the lives of millions of children around the world against polio,” said Catherine Russell, Executive Director of UNICEF. “With the continuing commitment of our donors, and all partners in the polio program, we can deliver a world where no child has to live in fear of this disease.”

Ramesh Ferris, a polio survivor, Rotary member, Global Citizen, endurance athlete, and international immunization advocate, thanked Minister Hussen with a show of appreciation from Team End Polio—a world-class roster of athletes, global leaders, and polio eradication supporters united for a polio-free future. “As a Canadian, I am thrilled to welcome Minister Hussen as a key supporter of Team End Polio,” Ferris said. “Teamwork makes the dream work. By continuing to work together on the same team to end polio, our global community will see the dream of a polio-free world become a reality.”

Later this week, the GPEI will recognize this contribution from Canada during a dialogue on equitable immunization on the sidelines of the 79th UN General Assembly, in front of an audience of GPEI partners, donors, and other leading voices in global health.

For media inquiries, please contact:

Rotary International: Jennifer Jones, +1 (519) 818-2255; JenniferJones@Rotary.org

Global Polio Eradication Initiative: Jacob Baskes, jbaskes@globalhealhstrategies.com

Global Affairs Canada: media@international.gc.ca

Over 187 000 children under ten years of age were vaccinated with novel oral polio vaccine type 2 (nOPV2) in central Gaza during the first phase of a two-round polio vaccination campaign, conducted between 1–3 September 2024. Vaccination coverage in this phase exceeded the initial estimated target of 157 000 children due to population movement towards central Gaza, and expanded coverage in areas outside the humanitarian pause zone.

To ensure no child is missed in this area, polio vaccination will continue at four large health facilities in central Gaza over the next few days. Vaccine doses have been supplied to these sites to meet any additional needs.

“It has been extremely encouraging to see thousands of children being able to access polio vaccines, with the support of their resilient families and courageous health workers, despite the deplorable conditions they have braved over the last 11 months. All parties respected the humanitarian pause and we hope to see this positive momentum continue,” said Dr Richard Peeperkorn, WHO Representative for the occupied Palestinian territory.

The first phase of the campaign was conducted by 513 teams, consisting of over 2180 health and community outreach workers. Vaccination was provided at 143 fixed sites, including hospitals, medical points, primary care centres, camps where displaced people are living, key public gathering spaces such as temporary learning spaces, food and water distribution points, and transit routes leading from central towards northern and southern Gaza. Additionally, mobile teams visited tents and hard to-reach areas to ensure they reached families who were unable to visit fixed sites. The presence of a substantial number of children eligible for vaccination who were unable to reach vaccination sites due to insecurity, necessitated special missions to Al-Maghazi, Al-Bureij and Al-Mussader – areas just outside of the agreed zone for the humanitarian pause.

Preparations are underway to roll out the next phase of the campaign, which will be conducted in southern Gaza from 5–8 September 2024, targeting an estimated 340 000 children below ten years of age. Some 517 teams, including 384 mobile teams, will be deployed. Nearly 300 community outreach workers have already begun outreach to families in southern Gaza to raise awareness about the campaign, while 490 vaccine carriers, 90 cold storage boxes, and other supplies have been transferred to Khan Younis for distribution to vaccination sites.

The third and last phase of the polio vaccination campaign will be implemented in northern Gaza from 9–11 September 2024, targeting around 150 000 children.

At least 90% vaccination coverage during each round of the campaign is needed to stop the outbreak, prevent the international spread of polio and reduce the risk of its re-emergence, given the severely disrupted health, water and sanitation systems in the Gaza Strip. Vaccination coverage will be monitored throughout the campaign, and, when necessary, vaccinations will be extended to meet coverage targets as part of flexible strategies to ensure every eligible child receives their vaccine dose.

The two-round campaign, being conducted by the Palestinian Ministry of Health (MOH), in collaboration with the World Health Organization (WHO) and United Nations Children Fund (UNICEF), the United Nations Relief and Works Agency for Palestine Refugees (UNRWA) and many partners, aims to provide two drops of nOPV2 to around 640 000 children during each round.

“The successful delivery of the first phase of the campaign in central Gaza is a culmination of immense coordination among various partners, including the Global Polio Eradication Initiative (GPEI) and donors, and underscores the importance of peace for the health and well-being of people in Gaza. We call on all parties to continue fulfilling their commitment to the humanitarian pauses as the second phase of the campaign begins tomorrow,” said Dr Peeperkorn.

Notes to editors

The campaign is part of an urgent response to prevent the spread of polio after circulating variant poliovirus type 2 (cVDPV2) was detected in Gaza, after 25 years of being polio-free. cVDPV2 has been detected in six environmental samples – or wastewater – collected from central Gaza in June 2024. Gaza has reported four cases of children with acute flaccid paralysis (AFP), including one case of confirmed polio in a child who tested positive for circulating variant poliovirus type 2 (cVDPV2). Two of the reported cases tested negative for poliovirus. Laboratory results are pending on samples from the fourth AFP case.

Novel oral polio vaccine (nOPV2) is a polio vaccine being used to stop transmission of variant poliovirus type 2 (cVDPV2), currently the most prevalent form of the variant poliovirus.

nOPV2 is safe and effective and offers protection against paralysis and community transmission. It is the vaccine globally recommended for variant type 2 poliovirus outbreaks – the type that has been found in the recent samples from Gaza.

It is with great sadness that we wish to inform you of the sudden and tragic passing of Mr Aidan O’Leary, Director for Polio Eradication at WHO. Aidan passed away suddenly on the evening of Tuesday 6 August, while he was on holiday with his family.

Our thoughts and prayers are at this time with his family – we wish them strength and courage during this difficult period.

Aidan was a true leader, inspiring us all to strive to attain a better world. Most recently, he was leading our global effort to eradicate polio as Director of the WHO Polio Eradication Programme. But already prior to that, he had been working tirelessly for the betterment of humanity.

Originally from Ireland, Aidan had a wealth of emergencies and public health experience. Before starting with WHO, Aidan had been serving as Head of Office in Yemen for the United Nations Office for the Coordination of Humanitarian Affairs (OCHA), a role he had also previously held in Afghanistan and Iraq, as well as Head of OCHA’s Regional Office for the Syria Crisis.

Aidan also demonstrated his deep commitment to supporting some of the world’s most vulnerable people in other emergency settings. This included serving as Deputy Director of Operations for UN Relief and Works Agency for Palestinian Refugees in the Near East (UNRWA) based in Gaza, and Chief of Polio Eradication for UNICEF working in Pakistan and Afghanistan.

On a personal level, Aidan was an extremely personable, open and gentle friend and colleague. He will be missed deeply both on a professional and on a personal level.

Aiden is survived by his wife and two children who he loved dearly. On behalf of the GPEI, we wish to extend our heartfelt condolences to Aidan’s family, friends, and colleagues. He will be greatly missed.

As we keep Aidan and his family in our thoughts, our colleagues at CDC worked with the CDC Foundation to establish a dedicated page on which you can contribute to the Bob Keegan Polio Eradication Heroes Fund in Aidan’s memory. Be sure to check the box where it says, “Dedicate my donation in honor or in memory of someone” and enter Aidan’s name.

Here is the page: Donate to CDC Foundation Impact Campaign

It is with deep sadness that we announce the sudden and tragic passing of Dr Chukwuemeka Agbo, Polio Technical Officer, on Sunday, 9 June 2024, in Amman, Jordan.

Known by colleagues and friends as Emeka, 45, was a valued member of the WHO workforce for the last ten years, supporting immunization, polio eradication, and Ebola outbreak response in the African and Eastern Mediterranean regions.

Emeka had recently joined the Polio Eradication team in Amman and in a short time made important contributions as the Regional Incident Support Manager for response to polio outbreaks in Sudan and Djibouti.

Prior to joining the Polio Eradication Programme in Amman, Emeka served as the GPEI Coordinator for Kenya where he managed the response to cholera and polio outbreaks. From February 2022 to December 2023, he served as the GPEI Coordinator in Malawi where he led the outbreak responses to the importation of wild poliovirus type 1, measles and cholera. Over a period of 10 years serving WHO and the Gates Foundation, Emeka successfully led large scale responses to disease outbreaks in the Horn of Africa.

Prior to joining WHO, Emeka worked in the private sector and with a non-profit organization as a medical officer in the Netherlands and Nigeria.

Colleagues across the Organization who have worked with him describe him as humble, energetic, considerate, kind and passionate about his work and a star performer. Emeka saw the work he did as a service. He lived and breathed WHO’s values, serving communities facing complex health and humanitarian crises with compassion. During his short time in Amman, he made deep connections with his colleagues who will miss him dearly.

Emeka is survived by his wife and three children who he loved dearly.

We are in touch with his family and are extending the deepest condolences from the entire WHO family.

Dr Tedros Adhanom Ghebreyesus, WHO Director-General and Dr Hanan Balkhy, WHO Regional Director for the Eastern Mediterranean

MONROVIA, Liberia, 04 June 2024 – Michael Essien, the celebrated football icon and coach, along with his wife, Akosua Puni Essien, are visiting Liberia to advocate for the eradication of polio. This visit aims to support the Liberian government’s ongoing efforts to eradicate polio, and increase child immunization, coinciding with the synchronized polio campaign across Liberia and six West African countries.

Liberia, having reported a resurgence of variant polio type 2 in wastewater, is now at the forefront of a critical fight against this disease. The nation has embarked on two rounds of nationwide immunization campaigns using the novel oral polio vaccine (nOPV2) to quickly stop the spread of the virus, with the second round set to begin on 7 June. While vaccine coverage rates are showing promising progress, the battle against polio requires unwavering commitment and action.

Mr. Adolphus Clark, Expanded Programme on Immunization (EPI) Manager in Liberia, has expressed his optimism about the campaign, stating, “Our collective efforts have brought us closer than ever to a polio-free Liberia. With the support of Michael and Akosua Essien and our global partners, we are renewing our commitment to ensure that every child is protected from this preventable disease.”

The campaign is one of hope and determination. Despite the challenges, the number of variant poliovirus cases has significantly declined, with no children paralyzed by polio since 2021. The focus remains on reaching zero cases and maintaining vigilance until polio is eradicated from the region and the world.

During their visit, the Essiens have engaged in a learning trip focused on immunization and polio eradication efforts in Liberia, understanding the vaccine infrastructure, and listening to personal stories from families and children receiving vaccines as well as the health care workers administering them. Michael also participated in a friendly football game with young athletes in Liberia.

Akosua Puni Essien has expressed her enthusiasm for the eradication efforts in Liberia, stating, “It is inspiring to see the coordinated efforts in Liberia to ensure every child receives vaccination to protect them from the polio virus. I urge all parents and caregivers to ensure that children under the age of five-years-old receive their vaccines – the polio vaccine is free, safe, and crucial for protecting our children from this devastating disease.”

The collective efforts of frontline workers, communities, local governments, Rotarians, and other global partners have been instrumental in the fight against polio in Liberia and worldwide. With continued dedication and support, the goal of eradicating polio in Liberia and Africa is within reach.

“Through unity and determination, most of the world has overcome the shadow of polio. Let its eradication be a beacon of hope, reminding us that with perseverance, even the most daunting challenges can be conquered,” said Michael Essien. “I am inspired by the tenacity of the Liberian people, and I know that together, we will finish the job so no child ever has to live in fear of polio again.”

The Essiens’ visit has been organized by the Gates Foundation and UNICEF, in coordination with the government of Liberia.

“The visit of Michael and Akosua Essien underscores the power of partnership in our fight against polio. Their presence boosts confidence in vaccination and highlights our shared commitment to a polio-free future for every child in West and Central Africa. Together, we can make polio history,” said Andy Brooks, UNICEF Representative in Liberia.

Notes to Editors

Photos from the visit are available upon request from: Mostafa Omar mosomar@unicef.org

Liberia Polio Situation

Liberia reported two variant polio type 2 detections from environmental sampling in 2023 and 6 so far in 2024. Environmental surveillance involves testing sewage or other environmental samples for the presence of poliovirus, often confirming it in the absence of clinical cases of paralysis. This comes after a period of almost two years without any detection of variant polio type 2 in Liberia. There have been no symptomatic cases in children since 2021. As a result, Liberia has been prioritized for 2 rounds of nationwide nOPV2 campaigns, with the first round implemented on 10 May synchronized with six West African countries and the second round scheduled to begin on 7 June.

Routine Immunization Overview in Liberia

Liberia has introduced seven vaccines into their routine immunization schedule: Pneumococcal Conjugate Vaccine (PCV), Rotavirus (RV), Inactive Polio Virus (IPV), Haemophilus Influenzae Tue B (HIB), Typhoid, and Measles containing vaccine (MCV2). Latest coverage rates from the 2023 WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) data report range from 78% for HIB to 59% for MCV2. IPV coverage rates have recently improved from 66% in 2019 to 71% in 2022.

The Strategic Round Table “All for Health, Health for All: the WHO Investment Case, 2025-2028” at the 77th World Health Assembly on 28 May 2024 in Geneva, Switzerland.

Ministers of Health, policy makers and public health experts from around the world met this week at the annual World Health Assembly (WHA) in Geneva, Switzerland, to set global public health policy. Aiming to agree ways forward on issues ranging from reaching all children with vaccines during the year that the world celebrates the 50^th anniversary of the EPI programme to dealing with growing antimicrobial resistance and reaching people living in areas of conflict with basic health services, delegates also discussed developments related to the Global Polio Eradication Initiative (GPEI). But why is this important? The decision to eradicate polio was taken long ago by the WHA – so why does it continue to feature on the agenda of the body that governs the World Health Organization?

While the GPEI is composed of six partners, the eradication effort and its strategy are fully owned and implemented by national governments, the Member States of the WHA. WHO, Rotary International, the US Centers for Disease Control and Prevention (CDC), UNICEF, the Gates Foundation and Gavi, the Vaccine Alliance support the global eradication strategy, monitor and evaluate implementation and fine-tune approaches. Between them, they provide expertise on the ground, scientific research, policy direction, financing, community engagement and advocacy. However, it is governments who are the primary owners of the global eradication effort, and communities who are the primary beneficiaries. All Member States and their populations will benefit equally from a polio-free world. The WHA is the primary convening mechanism for Member States, and the global ownership and decision-making related to polio eradication is taken by the WHA. In short, it is the ultimate and final oversight mechanism of the GPEI.

It started in 1988, when Member States adopted the goal of worldwide polio eradication. But that only marked the beginning of its oversight. Over the years, the WHA has adopted a number of strategic approaches to intensify the eradication effort, endorse new global vaccine solutions including the phased removal of oral polio vaccines (OPV), and to transition the polio assets, tools and knowledge to contribute to broader public health, agree on containment measures needed to safeguard a lasting polio-free world, address the need to minimize the international spread of polioviruses – which culminated in polio eradication being designated a Public Health Emergency of International Concern under the International Health Regulations.

Recognizing the unique nature of an eradication effort, the WHA has requested a comprehensive update on efforts to reach global eradication and to sustain a polio-free world at each annual WHA session (and via its Executive Board, typically held at the beginning of each year). This ensures that polio remains at the top of the global public health agenda, even as new global or regional public health threats emerge. In a demonstration of Member States holding one another accountable, the WHA expects the most up-to-date epidemiological and programmatic reports, a very clear picture of what challenges must be overcome, and who will be responsible to overcome them. This is particularly critical with a highly infectious disease that does not respect international borders.

So it is anything but ‘business as usual’, when Member States at the WHA examine the global polio situation and prospects for success. This year again, despite all the other critical public health issues being discussed, Member States spent time collectively reviewing the situation, examining challenges, celebrating successes and cautioning against complacence. Member States focused their discussions on the remaining endemic wild poliovirus type 1 (WPV1) strains in only a handful of districts of just two countries; reviewed the global emergency related to variant poliovirus type 2 outbreaks, limited to parts of a few countries with the most intense transmission; celebrated the African continent again becoming free of WPV1 following detection in 2022 of an imported poliovirus; called for bolstered integration efforts, and recognized recent announcements of new commitments by long-standing and new partners. Member States also discussed the new strategic framework for polio transition, which builds on lessons learned, and recognized the need for strong ownership and accountability during the polio post-certification era, to sustain a polio-free world.

Rotary International, representing its 1.2 million members worldwide as well as broader civil society, addressed Member States and reiterated its support to all countries in the effort. Most importantly, Member States unanimously reaffirmed their collected resolve to achieve a lasting polio-free world and committed to fully implementing strategic approaches in all areas, by mobilizing strong support and necessary resources.

“Progress in reducing both wild and variant polio virus in 2023, renewed access in areas critical to polio eradication, and recent investments renew hope and confidence that we will achieve our goal.

We applaud increased collaboration among the GPEI, Gavi and EPI to protect all children from vaccine preventable diseases. Such collaboration is essential to overcome challenges and fulfill the promise of a polio free world while also providing broader essential immunizations and services,” said Professor Pierre Hoffmeyer, Rotary International Representative to the United Nations in Geneva, addressing the WHA.

As GPEI partners, we take this opportunity to express our sincere and deepest gratitude, on behalf of the children of the world, for the WHA’s unwavering commitment to polio eradication. We in turn commit to doing everything we can to support you, the Member States. Together, let us realise the dream first dreamed up by Rotary International, and ensure that no child anywhere will ever again be paralysed by poliovirus.

Brazzaville, May 14, 2024 – Following thorough assessments in Malawi and Mozambique, an independent Polio Outbreak Response Assessment Team (OBRA) today recommended the closure of the wild poliovirus type 1 (WPV1) outbreak in Malawi and Mozambique, marking a significant milestone in the fight against polio in the African region.

The last WPV1 case in the African Region, linked to a strain circulating in Pakistan, was reported in Mozambique´s Tete Province in August 2022. A total of nine cases were detected in Mozambique and neighbouring Malawi, where the outbreak was declared in February 2022. In a coordinated response, more than 50 million children have been vaccinated to date against the virus in southern Africa.

The meticulous evaluation carried out by the OBRA team included two in-depth field reviews and supplementary data review, concluding that there is no evidence of ongoing wild polio transmission. The assessment considered the quality of the outbreak response, including the overall population immunity, supplementary immunization campaigns, routine immunization coverage, surveillance systems, vaccine management practices, and the level of community engagement.

The successful stopping of this outbreak reflects the unwavering commitment and collaborative efforts of African governments, health workers, communities and Global Polio Eradication Initiative (GPEI) partners, including Rotarians on the ground. Through robust surveillance, quality vaccination campaigns and enhanced community engagement, both countries have effectively controlled the spread of the virus, safeguarding the health and well-being of their children.

“This achievement is a testament to what can be accomplished when we work together with dedication and determination,” said Dr Matshidiso Moeti, WHO Regional Director for Africa. “I commend the governments of Malawi and Mozambique, as well as all those involved in the response, for their tireless efforts to contain the outbreak. It is now imperative that we continue to strengthen our immunization systems, enhance surveillance, and reach every child with life-saving vaccines.”

Health authorities, with high-quality technical support from GPEI, have put in place national prevention strategies in Malawi and Mozambique, as well as in all districts bordering other countries involved in the response. These include Tanzania, Zimbabwe and Zambia.

To date, more than 100 million vaccine doses have been administered in the most at-risk areas. The strategy to get ahead of this outbreak and stop it before it got out of hand relied on detailed micro-planning, including mapping of cross-border communities, migratory routes, cross-border entry/exit points, and transit routes for each of the cross-border facilities. Synchronization and coordination of vaccination plans across five countries, as well as the monitoring of vaccination activities, proved key to identifying and reaching all eligible children in the cross-border areas, to avoid the risk of paralysis due to the virus.

“The official closure of the outbreak is truly a success due to unfaltering determination and strong collaboration between the governments of Mozambique, Malawi and neighbouring countries, as well as between all partners and health workers. I want to particularly recognise the strong efforts of the vaccination teams working on the frontline to reach every last child,” said Etleva Kadilli, UNICEF Regional Director for Eastern and Southern Africa. “Going forward, routine immunisation must remain high up the priority list; no child is safe from polio until all children are vaccinated.”

To enhance polio surveillance, over the past two years, 15 new wastewater surveillance sites were established in the affected countries. These sites have a critical role to play in detecting silent circulating poliovirus in wastewater, ensuring that quality samples are sent to laboratories for timely confirmation and response to poliovirus presence.

Additionally, countries have scaled up efforts to protect children in high-risk areas by strengthening surveillance, and data and information management. World Health Organization (WHO) in the African Region’s Geographic Information Systems (GIS) Centre has analysed spatial and geographic data on visual maps, providing geographic real-time coverage information, including locating missing settlements, to improve vaccination coverage.

“Closing polio outbreaks is possible when national governments, local health workers, community mobilizers, and global partners come together to prioritize a rapid and timely response to protect children from this devastating disease,” said Dr. Chris Elias, president of Global Development at the Bill & Melinda Gates Foundation. “Malawi, Mozambique, and the entire Southern-African region are setting the example for what it takes to urgently improve vaccination campaigns and disease surveillance systems. Commitments like these will help us achieve a world free of all forms of poliovirus.”

Health experts, the OBRA team and GPEI coordinators on the ground underscored the pivotal role of enhanced polio surveillance, high quality community engagement in vaccination campaigns and timely outbreak response, including rapid deployment of experts and other field responders, to curb the virus.

Note to editors:

The notification of imported wild poliovirus in 2022 did not alter the certification of the African region as free of indigenous wild polio in August 2020, as the strain that was confirmed in southern Africa was imported.

Polio has no cure and can cause irreversible paralysis. However, the disease can be prevented and eradicated through administration of a safe, simple and effective vaccine.

As per the advice of an Emergency Committee convened under the International Health Regulations (2005), the risk of international spread of poliovirus remains a Public Health Emergency of International Concern (PHEIC). Countries affected by poliovirus transmission are subject to Temporary Recommendations. To comply with the Temporary Recommendations issued under the PHEIC, any country infected by poliovirus should declare the outbreak as a national public health emergency, ensure the vaccination of residents and long-term visitors and restrict at the point of departure travel of individuals, who have not been vaccinated or cannot prove the vaccination status.

The Global Polio Eradication Initiative is spearheaded by national governments, WHO, Rotary International, the US Centers for Disease Control and Prevention (CDC), UNICEF, the Bill & Melinda Gates Foundation and Gavi, the Vaccine Alliance. Since 1988, the incidence of wild poliovirus has been reduced by more than 99%, from more 350,000 annual cases in more than 125 endemic countries, to four cases in 2024 from two endemic countries (Pakistan and Afghanistan). In 2023, only 12 cases of WPV1 were detected globally.

A Rotary member since 1964, the Chicago, Illinois-born Sever worked for almost three decades as chief of the Infectious Diseases Branch at the National Institutes of Health. Later he served as a professor of pediatrics, obstetrics and gynecology, microbiology, immunology and tropical medicine at the George Washington University School of Medicine and Health Sciences. He published over 600 scientific papers in these fields.

On Sever’s recommendation in 1979, Rotary would embark on its decades-long effort to eradicate polio globally, expanding what began as a vaccination campaign in the Philippines. Because of his expertise and advocacy, Sever served on the International PolioPlus Committee (IPPC) from its inception in 1994 and was a member and vice chair. His tireless efforts were instrumental in driving the global campaign to eradicate polio.

Read more on the Rotary website.

The fight against polio in Pakistan reaches a critical juncture as a high-level delegation from the Global Polio Eradication Initiative (GPEI) concludes their visit from April 30 to May 3, underscoring the urgency for innovative strategies to reach children not being vaccinated and enhanced political commitment to achieve eradication.

Led by Dr. Chris Elias, Chair of the Polio Oversight Board (POB) and President of Global Development at the Bill & Melinda Gates Foundation, the delegation engaged in discussions with Pakistan’s political and security leadership to address persistent challenges in the final stages of eradication efforts. The delegation also comprised of WHO Regional Director for the Eastern Mediterranean Region, Dr Hanan Balkhy, UNICEF South Asia Regional Director, Sanjay Wijesekera, CDC’s Polio Eradication Branch Chief, Dr Omotayo Bolu, and Trustee Rotary Foundation and National Polio Plus Committee Chair, Aziz Memon.

In Islamabad, they met with Prime Minister Shehbaz Sharif, Acting Foreign Secretary Rahim Hayat Qureshi, Coordinator to the PM on Health Dr Malik Mukhtar Ahmed Bharath and Pakistan Army’s Engineer-in-Chief Lt-Gen Kashif Nazir.

The POB is the highest decision-making and oversight body of the GPEI – the largest international public health initiative aiming to end polio globally. This was the first high-level GPEI visit to Pakistan since the formation of the new government in March. The focus of the visit was to strengthen political commitment in Pakistan to eradicate polio.

“During my time in Pakistan, I have once again been impressed by the commitment from the federal and provincial governments to stopping polio transmission. With continued commitment across the country from leaders, and at all levels, I know the final push to defeat polio will be possible,” said POB Chair Dr Chris Elias.

The delegation also visited Peshawar and Lahore where they held meetings with the provincial chief ministers of Khyber Pakhtunkhwa and Punjab as well as provincial health ministers and chief secretaries to discuss their respective provinces’ progress and challenges on polio eradication.

“Engaging with Pakistan’s new political leadership during this visit has demonstrated the commitment of all partners to polio eradication, but we must use the coming months to leverage this commitment wisely, or we risk losing the momentum and the confidence that we can get the job done,” Dr Hanan Balkhy, WHO’s Regional Director for the Eastern Mediterranean Region.

She added: “Pakistan has the real opportunity to stop the endemic strain of poliovirus that has been restricted to south Khyber Pakhtunkhwa province. Strengthening the tailored responses to the increased detections of the imported poliovirus in the historic reservoirs is going to be critical to prevent largescale outbreaks in the coming months.”

Pakistan is one of only two polio-endemic countries. The country has made significant progress in reducing polio cases and eliminating diverse poliovirus strains in recent years. However, several challenges persist in its last mile of eradication, including disruptions to vaccination campaigns caused by insecurity, children being missed in vaccine campaigns and community distrust.

“We know what to do; we know how to do it. It is incumbent on all of us – government, health workers, partners and communities – to work together determinedly to keep every child in Pakistan safe from this deadly and preventable disease,” said UNICEF Regional Director for South Asia Mr Sanjay Wijesekera.

Recognizing the significance of tailored strategies, the delegation highlighted the imperative of reaching migrant populations in infected and high-risk districts. Drawing from successful experiences in India, where vaccination efforts focused on thoroughly mapped migrant populations were pivotal, it was stressed that similar approaches are indispensable for further progress. The delegation also underscored the indispensable role of Routine Immunization (RI) in sustaining hard-won gains in polio eradication. Collaboration with the Expanded Programme on Immunization (EPI) was highlighted as paramount, particularly in areas with pressing health needs.

Stronger political commitment was identified as a linchpin for addressing legitimate demands of deprived communities for services and galvanizing health workers. The delegation advocated for leveraging influence and support to engage community influencers, ensuring comprehensive community participation in vaccination.

Aziz Memon, Trustee Rotary Foundation/National Chair, Pakistan PolioPlus Committee said: “Rotary International congratulates the Government of Pakistan on its progress in the fight against polio and encourages a renewed and urgent commitment to addressing the remaining challenges the Polio Programme faces.”

“Rotary has invested almost US$427 million in polio eradication efforts in the country and affirms our continued support to the Polio Programme until the goal is accomplished and all children in Pakistan are protected from polio,” he said.

The visit coincided with the ongoing immunization campaign from April 29 to May 6, aimed at vaccinating over 24.4 million children under the age of five in 91 districts. Amidst these efforts, the GPEI delegation’s engagement signifies a pivotal moment in Pakistan’s fight against polio, urging concerted action and unwavering commitment from all stakeholders.

Note:

Polio is a highly infectious disease caused by poliovirus mainly affecting children under the age of five years. It invades the nervous system and can cause paralysis or even death. While there is no cure for polio, vaccination is the most effective way to protect children from this crippling disease. Each time a child under the age of five is vaccinated, their protection against the virus is increased. Repeated immunisations have protected millions of children from polio, allowing almost all countries in the world to become polio-free, except for the two endemic countries of Pakistan and Afghanistan.

For further information, please contact: Ms Hania Naeem, Communications Officer, NEOC,

Contact No:+923431101988

Email: hanianaim17@gmail.com

Islamic Development Bank Golden Jubilee, held in Riyadh, Saudi Arabia 28-04-24. © Tasneem Alsultan

On 28 April, the Islamic Development Bank (IsDB) and partners convened to celebrate the IsDB’s Golden Jubilee in Riyadh, Saudi Arabia. Over the last 50 years, the IsDB has been a leading partner in advancing health and development around the world, including through the polio eradication effort. Since 2013, the IsDB has provided US$ 587 million to the Global Polio Eradication Initiative (GPEI) and has been a key partner in promoting eradication and access to life-saving vaccines. To date, the IsDB is one of the largest providers of funding to the national polio eradication program in Pakistan – one of the last two countries where wild poliovirus remains endemic.

The same day, Saudi Arabia announced US$ 100 million in new funding to support the second phase of the IsDB’s Lives and Livelihoods Fund (LLF), which was launched last May. The LLF aims to lift the poorest out of poverty across 33 IsDB member countries through investments in primary health care, preventing infectious diseases like polio, enhancing smallholder farming, and improving infrastructure. This commitment follows a renewed pledge of US$ 50 million from the UAE to the LLF announced last week. To maximize the impact of every dollar, the Bill & Melinda Gates Foundation (BMGF) provides a 20% match of the total granted by donors to the LLF, up to US$ 100 million.

These pledges were part of a broader partnership of more than US$ 620 million announced by Saudi Arabia and BMGF, which also included US$ 500 million from Saudi Arabia to support the GPEI.

“The Islamic Development Bank warmly welcomes the Kingdom of Saudi Arabia’s generous contribution to the Global Polio Eradication Initiative. This vital support strengthens GPEI’s efforts to eliminate this devastating disease. We’re proud that IsDB and ISFD, our poverty alleviation arm, have been among the top financiers for Pakistan’s polio eradication efforts, providing over US$ 555 million since 2012,” stated Dr. Muhammad Al Jasser, IsDB President.

“We also applaud the Kingdom of Saudi Arabia’s new funding for the Lives and Livelihoods Fund. This innovative initiative tackles poverty barriers faced by families, communities, and entire countries. We express our sincere gratitude to all partners, existing and new, for their continued collaboration and commitment. Together, through these concerted efforts, we can achieve the critical last-mile results needed to create a truly polio-free world,” added the IsDB President.

“The fight to eradicate polio is a global effort, and it wouldn’t be possible without global partners. I’m grateful for the Islamic Development Bank’s ongoing support for polio eradication—through joint investments like the Lives and Livelihoods Fund, and particularly in Pakistan, one of only two countries where wild polio is still endemic. Eradicating polio is one of the most important legacies we can leave for future generations. And it will only be possible thanks to support from partners like the Islamic Development Bank,“ said Bill Gates, co-chair of the Bill & Melinda Gates Foundation.

Today, wild poliovirus is now endemic in just two countries – Pakistan and Afghanistan – and most variant poliovirus cases are increasingly confined to high-risk areas in just four countries – Nigeria, the Democratic Republic of the Congo, Somalia, and Yemen.

“The IsDB has played a key role in the fight against polio, helping the program reach millions of children with vaccines and strengthen health systems in the most critical areas to end this devastating disease.” said Dr. Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization, “We thank them for their partnership in global health over the past 50 years and look forward to many more.”

“Communities all over the world are healthier today because of long-standing commitments to global health from partners, including the IsDB. Together, with donors, governments, and health workers, we can deliver a historic win for children and families everywhere and end polio for good,” said Catherine Russell, Executive Director of UNICEF.

The GPEI has the tools and strategies needed to ensure children today and for generations to come are protected from paralysis or even death due to polio. But in many of the places where polio remains, there are complex challenges to reaching all children with vaccines and other life-saving interventions, including vaccine misinformation, political insecurity, environmental disasters, and broader humanitarian crises. Continued support from donors like the IsDB will be critical to help countries build better health systems and overcome the final obstacles to stop polio for good.

“Raising funds to eradicate polio has been a long-standing mission of Rotary International, and we recognize the critical role every dollar plays in immunizing children. On behalf of the organization, I want to thank the Islamic Development Bank for their great partnership spanning 50 years in the fight against polio. We’ve come a long way in as many years, showing that together with full support and collaboration, we can overcome any obstacle in our path to achieve our promise to deliver a polio-free world to children everywhere,” said Mike McGovern, Chair of the International PolioPlus Committee at Rotary International.

For more information on the IsDB and its Golden Jubilee celebrations, see here.

About Islamic Development Bank (IsDB) Group

Rated AAA by the major rating agencies of the world, the Islamic Development Bank is the premier multilateral development bank of the Global South that has been working for 50 years to improve the lives of the communities it serves by delivering impact at scale. The Bank brings together 57 Member Countries across four continents, touching the lives of nearly 1 in 5 of the world population. Its mission is to equip people to drive their own economic and social progress at scale, putting the infrastructure in place enabling them to fulfil their potential. Headquartered in Jeddah, Kingdom of Saudi Arabia, IsDB has regional hubs and centers of excellence in 11 of its Member Countries. Over the years, the Bank has evolved from a single entity into a group comprising five entities: Islamic Development Bank (IsDB), the Islamic Development Bank Institute (IsDBI) tasked with research and training, the Islamic Corporation for the Insurance of Investment and Export Credit (ICIEC), the Islamic Corporation for the Development of the Private Sector (ICD), and the International Islamic Trade Finance Corporation (ITFC).

The President of the Republic of Madagascar, Andry Rajoelina, and the First Lady, Mialy Rajoelina, received a high-level delegation from the Global Polio Eradication Initiative (GPEI) on April 25, 2024 in Ambohitsorohitra palace in the capital, Antananarivo.

The delegation included the Regional Director of the World Health Organization (WHO) for Africa, Dr Matshidiso Moeti, the President of the Polio Oversight Board, Dr Chris Elias, the Regional Director of UNICEF for Eastern and Southern Africa, Etleva Kadilli, and the Director of Health Systems Strengthening and Immunization from Gavi, the Vaccine Alliance, Alex de Jonquieres.

To read more about the meeting, a press release is available here in French.

24-30 April marks World Immunization Week, an opportunity to highlight vaccines as one of humanity’s greatest achievements, saving millions of lives every year. This year, World Immunization Week will celebrate 50 years of the Expanded Programme on Immunization (EPI) – a collaborative initiative aimed at ensuring universal access to life-saving vaccines for everyone, everywhere. EPI served as an inspiration for Rotary International to launch PolioPlus in 1985, which led to the founding of the Global Polio Eradication Initiative three years later. The GPEI continues to work with its partners around the world to help strengthen immunization systems everywhere.

To mark EPI’s 50^th anniversary, WHO, UNICEF, Gavi, the Vaccine Alliance, and the Bill & Melinda Gates Foundation are collectively launching ‘Humanly Possible’, a global campaign to mark the profound achievements of EPI, and to call on leaders to prioritize investments in immunization. A dedicated campaign website, with key data, messages and calls to action will go live on 24 April.

The stories below highlight some ways in which women are breaking barriers, driving change and inching us closer to a polio-free world wherever they take charge – from doorsteps to laboratories to decision-making tables.

Driving regional solidarity for polio eradication

Dr Hanan Balkhy, WHO Regional Director for the Eastern Mediterranean

Dr Hanan Balkhy made history in February 2024 when she became the first woman to take up the post of WHO Regional Director for the Eastern Mediterranean. With unwavering determination, she embarked on her new role with a clear vision: to eradicate polio during her tenure.

In her nomination speech, she shared her inspiration, drawn from success stories of joint efforts across the WHO Eastern Mediterranean Region. Dr Balkhy fervently believes in the need for collective action to overcome the obstacles in the path to polio eradication.

Dr Balkhy will convene the Regional Subcommittee for Polio Eradication and Outbreaks. To champion the Region’s work to consign polio to history, she will support the regional polio eradication programme, remove obstacles and work closely with global and regional decision-making bodies.

She calls upon all stakeholders to unite with resolute determination until polio becomes nothing more than a distant memory.

Blazing a trail with the Regional Subcommittee

Her Excellency Dr Hanan Mohamed Al Kuwari, Minister of Public Health, Qatar

An inspiration to women globally, Qatari Minister of Public Health H.E. Dr Hanan Mohamed Al Kuwari has been harnessing decision-makers’ power to galvanize action for polio eradication.

As Co-Chair of the Regional Subcommittee for Polio Eradication and Outbreaks since 2022, she has created a strong sense of solidarity among Member States of the Region and partners, reminding them of the urgent need to prioritize polio eradication. Using every possible chance to highlight the challenges faced by countries with wild or variant poliovirus cases, she has mobilized action to reach vulnerable children with polio vaccines and other health services.

Dr Al Kuwari has used her platform and voice to reveal issues faced by polio eradicators in the Region and offer solutions. At the same time, she has raised the visibility of the trailblazing Regional Subcommittee’s goals and work.

Read more on the WHO EMRO website.

Adapted from the Annual Letter

The story of wild poliovirus is one powerful example of how philanthropy can catalyze progress. At one point, 7,000 children were paralyzed from wild poliovirus every week. Philanthropists, like Rotarians—who are able to take risks and dedicate resources that others could not—organized efforts to support eradication solutions, government efforts in polio-affected countries, and frontline heroes to reach children in even the most remote parts of the world. As a result of these global efforts, in 2023, the number of people infected by wild poliovirus dropped to 12 for the entire year.In the case of polio, philanthropy helped make the seemingly impossible possible. Many more of the greatest challenges that face our world today already have solutions—existing and emerging—that can save lives. As I share in my letter, philanthropy now has a chance to step forward and turn those solutions into real impact for people.There’s already so much generosity in the world, and together, we can tap into it and make certain everyone has the opportunity to live a healthy and productive life. Find out what we can achieve in my 2024 annual letter.

Mark Suzman,
CEO, Bill & Melinda Gates Foundation

The Global Polio Eradication Initiative has two goals laid out in its current strategy: to interrupt all remaining transmission of endemic wild poliovirus type 1 (WPV1) and to stop all outbreaks of variant poliovirus type 2 (cVDPV2). 2023 was a critical year for progressing on each of these, and while our urgent and diligent work to end polio must continue into 2024, the GPEI achieved incredible things in the past twelve months.

Continuing work in endemic countries

Despite significant geo-political and environmental challenges in the two remaining WPV1-endemic countries, Pakistan and Afghanistan, the polio programme has continued to reach greater numbers of children with polio vaccines.

WHO Representative in Afghanistan, Dr. Luo Dapeng, vaccinating children against measles in a mobile clinic in Baba Wali Village of Kandahar province. © WHO/Afghanistan

Wild polio transmission was beaten back to just a handful of districts in eastern Afghanistan and the southern area of Khyber Pakhtunkhwa province in Pakistan. In both countries, efforts are increasingly focused on reaching and vaccinating the last remaining ‘zero dose’ children – children who have received no vaccines of any kind. The number of these missed children continues to dwindle, with the success of improved collaboration with the national immunisation program, new efforts like Pakistan’s Nomad Vaccination Initiative and focused vaccination activities at border crossings between the two countries. Just one family of the virus remains endemic in each country, and coupled with this increasing geographic restriction, the situation resembles the end of wild polio eradication efforts in former virus hotspots like India, Nigeria and Egypt.

In addition, after a wild poliovirus outbreak that was confirmed in southeast Africa in early 2022, neither Malawi nor Mozambique has reported a WPV case since August 2022 thanks to a concerted subregional emergency response across five neighbouring countries. We are hopeful that this outbreak will be officially closed in the coming months, affirming that countries have what it takes to protect children from this devastating disease and keep wild polio out of Africa.

Progress on variant polio outbreaks

Thanks to the novel oral polio vaccine type 2 (nOPV2), strong political commitment and community-based efforts to reach more children with the vaccine, the number of cases of variant poliovirus type 2 (cVDPV2) continued to decline in 2023.

Nearly 1 billion doses of nOPV2, a comparably safe, effective, but more genetically stable version of the existing type 2 oral polio vaccine (mOPV2), have now been administered across 35 countries, protecting millions of children from illness and paralysis.

Emergency response to variant polio outbreaks is continuing, notably in the most consequential geographies for the programme—where children are at the highest risk of encountering and spreading poliovirus. In northern Nigeria, for example, variant polio cases have fallen by 90% since a peak in 2021, thanks to concerted commitment from government, unique community programs to improve the reach of vaccines and the extensive rollout of nOPV2. Across these consequential geographies, the programme will continue to focus on increasing access, acceptance and campaign quality, which have helped make incredible progress in Nigeria, and continue to innovate until we end polio for good everywhere.

Finally, In September 2023, after a massive vaccination response in the shadow of ongoing war, Ukraine officially stopped its outbreak of type 2 variant polio that began in 2021. New York, London and Jerusalem, where high-profile outbreaks began in 2022, have not detected the virus in recent months. Still, the emergence of polio in these areas is a reminder that as long as poliovirus exists anywhere, it is a threat to people everywhere.

nOPV2 Vaccination at Guilding Angel School Tunga, Minna, Niger. © WHO/AFRO

A global effort

Most importantly, thanks to the efforts of the GPEI and its partners, health workers vaccinated more than 400 million children in 2023, preventing an estimated 650,000 cases of paralysis from polio and saving the lives of up to 60,000 children. Building full, healthy futures was at the core of Rotary International’s mission when it began this fight to end polio for good in 1985, and when the GPEI was launched in 1988—35 years ago.

This year, the Independent Monitoring Board (IMB) conducted a rigorous mid-term review of the GPEI’s progress towards its strategic goals. This welcome counsel is already helping inform and guide the GPEI’s own ongoing analysis and strengthening of its strategic approaches to achieve a polio-free world, as the programme published its initial response to the mid-term review, under the guidance of the Polio Oversight Board (POB).

Achieving and sustaining a polio-free world has proven harder – and taken longer – than anyone could have imagined. But making history is never easy, and we are confident that together we can eradicate a second human disease from this earth, and build stronger, more resilient health systems along the way.

2023 has firmly set the stage for success. With the complexities of the world today, this programme still inspires to bring about the very best in our humanity.

Thank you to all who have contributed to this effort so far and continue to do so. Let us double down and make the dream of a polio-free world a reality.

Led by Dr Chris Elias, Chair of the Polio Oversight Board and President Global Development, Bill & Melinda Gates Foundation, the delegation included WHO Regional Director for the Eastern Mediterranean Region Dr Ahmad Al-Mandhari, UNICEF South Asia’s Deputy Regional Director Noala Skinner, CDC’s Polio Eradication Branch Chief Dr Omotayo Bolu, Chief Programme Strategy Officer from Gavi-the Vaccine Alliance, Aurelia Nguyen, Trustee of Rotary International Foundation Aziz Memon, and High Commissioner of Canada in Pakistan Leslie Scanlon, who represented all donors to the GPEI.

Read more

Last month, the Bill & Melinda Gates Foundation partnered with The Moth to host an exceptional storytelling event, Don’t Stop Now: Stories from the Final Push to End Polio. Held in New York City during the UN General Assembly, the event was an inspiring night of powerful personal stories from individuals whose lives have been impacted by polio.

The event was hosted by Dr. Richard Besser, President and CEO of the Robert Wood Johnson Foundation, and opening remarks were provided by Chris Elias, President of the Global Development Division at the Bill & Melinda Gates Foundation. Storytellers included Safia Ibrahim (Public Engagement Manager at Results Canada and polio survivor), Wasif Mahmood (Head of Communications at UNICEF Pakistan), and Oyewale Tomori (past President of the Nigerian Academy of Science, past Virologist at WHO AFRFO), who all told powerful stories about their lived polio experiences, inspiring the audience to keep up the fight to end this devastating disease. Special guest EXILE TETSUYA (Japanese artist and polio advocate) also provide remarks on his own polio eradication advocacy efforts.

BRUSSELS, 11 October 2023 – Today, the European Commission (EC), the European Investment Bank (EIB) and the Bill & Melinda Gates Foundation (BMGF), along with the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) announced a new financing partnership to advance polio eradication efforts and strengthen healthcare systems. Of the expected €1.1 billion, €500 million in new funding will go to the Global Polio Eradication Initiative (GPEI) – specifically to its implementing partners, WHO and UNICEF – and €500 million to programs that expand innovation and research capacity in low- and middle-income countries.

This announcement comes at a critical time for global eradication efforts. When the GPEI was established in 1988, wild poliovirus paralyzed an estimated 350,000 children in over 125 countries every year. Today, only two endemic countries remain – Pakistan and Afghanistan – and 80% of variant poliovirus cases are found in only four subnational regions. Promising trends in affected countries, like shrinking genetic diversity of the virus and increasingly geographically confined outbreaks, suggest that in most places the virus is on its last leg.

Now, new commitments from European leaders puts the program one step closer to seizing the historic opportunity we have to overcome final hurdles and end polio for good. The expected funds will allow polio vaccinations to reach nearly 370 million children annually, with a focus on targeting remaining un- or under-vaccinated children who typically live in some of the world’s hardest-to-reach areas.

By focusing on such communities, the program is able to deliver broader health benefits to low resource settings, including routine immunizations, counseling on breastfeeding, Vitamin A supplementation and more. This not only fosters healthier communities today, but also strengthens health systems to better prepare for and respond to emerging health threats, as the polio program and workforce has done against COVID-19, Ebola, and other diseases.

Partners announced the new financing partnership at the “Healthy Hopes: Reasons for optimism in science and global cooperation” event in Brussels. The event featured a keynote speech from Stella Kyriakides, European Commissioner for Health and Food Safety, remarks from Dr. Tedros Adhanom Ghebreyesus, Director-General of WHO, and a panel discussion featuring Catherine Russell, Executive Director of UNICEF and European leaders – Koen Doens, Director-General at the EC’s Directorate General for International Partnerships, Werner Hoyer, President of the EIB, and Caroline Gennez, Belgium’s Minister for Development. The event concluded with a fireside chat with Bill Gates, Co-Chair of the BMGF.

European leaders re-affirmed their commitment to ending polio for good and called on the rest of the world to join them and the GPEI partners in the fight for a polio-free world. They underscored the need for global cooperation in the final stretch to eradicate this devastating disease.

In his remarks, Dr. Tedros reminded attendees about the incredible progress that has been made toward a polio-free world, the tools and strategies we have at our disposal that will get the job done, and the importance of donors like the EC and EIB in unlocking the GPEI’s ability to utilize them. Catherine Russell reinforced the ever-narrowing window of opportunity we have to end polio for good and affirmed her confidence in the program’s ability to stop all virus transmission in the immediate future while meeting the broader health needs of communities now.

During the fireside chat, Bill Gates expressed his optimism about what this new investment represents for the future of eradication efforts and global health. By finding innovative ways to partner, European leaders are helping us achieve a world where no child is paralyzed by this preventable disease.

Increased support from donors, leaders of polio-affected countries and partners is essential to protect the incredible progress made so far, achieve high vaccination coverage and end polio for good. A polio-free world is in sight, but stakeholders at all levels must stay committed to achieving this goal and building strong health systems to protect children today and future generations.