Global Polio Eradication Initiative

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Global Polio Eradication Initiative (GPEI)
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Polio Vaccination - India (17103454848).jpg
Polio vaccine in the DRC (8330379372).jpg
Polio Vaccination - Egypt (16868521330).jpg
National Stop Transmission of Polio - Nigeria (16871251069).jpg
Checking for Polio Vaccination Marks - Pakistan (16867652008).jpg
text: GPEI, from top left to right: polio vaccination in India (2002), a morning briefing on how to vaccinate children in Pakistan, polio vaccine in the DRC, polio vaccination in Egypt, polio sequelle, checking for polio vaccination marks in Pakistan, bear in mind the live virus drops taken orally cause polio and reestablish the virus in the wild.
CountryWorldwide
Launched1988
Website Official website

The Global Polio Eradication Initiative is an initiative created in 1988, just after the World Health Assembly resolved to eradicate the disease poliomyelitis. [1] Led by the World Health Organization, it is the largest international public health initiative in history. [2]

Contents

History

In 1987 Rotary International began a campaign to raise U.S. $100 million by its 100th anniversary, for the purpose of dealing with global polio. [3] The following year, the World Health Assembly voted for the Global Polio Eradication Initiative. At the time, there were 125 countries with endemic polio. [4] Efforts were built upon those used to control wild poliovirus in the Americas in the early 1980s, and on lessons from smallpox eradication. [1] Its first coordinator was Nick Ward. [5]

Strategy and structure

The strategy for the eradication of polio rests on immunising every at-risk child until there is no one left for the disease to transmit to, and the disease eventually dies out.

The initiative is spearheaded by the following organisations in the form of multistakeholder governance:

Key tactics used by the GPEI include strengthening childhood immunisation through oral vaccines, conducting surveillance through investigation of acute flaccid paralysis cases among children under 15 years old (in order to determine areas where the virus is truly eradicated), and conducting "mop up" campaigns in areas where cases of polio have been identified. [7]

Funding

At the peak of its work, the programme directly employed 4000 people across 75 countries and managed a budget of nearly U.S. $1 billion. [8]

As of 2021, the GPEI had raised 18 billion dollars in funding, [9] with annual contributions around 800 million to 1 billion dollars. Around 30% of the funding came from the Gates Foundation 30% from developed governments, 27% from countries at risk of polio, and the rest was made up of donations from nonprofits, private funders, and other foundations. [10]

Evaluation

In 1995 the Global Certification Commission was created to oversee the certification of the eradication of wild-type poliovirus transmissions. Certification for the six WHO regions requires all of the countries in that region to be certified by the commission. By 2000, both the regions of the Western Pacific and the Americas met the criteria to be certified free of polio transmissions. [11] By 2012 the initial number of estimated cases in 1988 of 350,000 across 125 endemic countries had dropped to 650 confirmed cases. As of 2020, five of the six WHO regions are now certified polio-eradicated (Europe, the Americas, Africa, South-East Asian, and Western Pacific Region). India was certified polio-free in 2014, [12] and Africa was declared polio free in 2020. [13] The only countries with endemic polio were Afghanistan and Pakistan as of 2021. [14]

See also

Related Research Articles

<span class="mw-page-title-main">Polio</span> Infectious disease caused by poliovirus

Poliomyelitis, commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 75% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe symptoms develop such as headache, neck stiffness, and paresthesia. These symptoms usually pass within one or two weeks. A less common symptom is permanent paralysis, and possible death in extreme cases. Years after recovery, post-polio syndrome may occur, with a slow development of muscle weakness similar to that which the person had during the initial infection.

<span class="mw-page-title-main">Polio vaccine</span> Vaccine to prevent poliomyelitis

Polio vaccines are vaccines used to prevent poliomyelitis (polio). Two types are used: an inactivated poliovirus given by injection (IPV) and a weakened poliovirus given by mouth (OPV). The World Health Organization (WHO) recommends all children be fully vaccinated against polio. The two vaccines have eliminated polio from most of the world, and reduced the number of cases reported each year from an estimated 350,000 in 1988 to 33 in 2018.

The oral polio vaccine (OPV) AIDS hypothesis is a now-discredited hypothesis that the AIDS pandemic originated from live polio vaccines prepared in chimpanzee tissue cultures, accidentally contaminated with simian immunodeficiency virus and then administered to up to one million Africans between 1957 and 1960 in experimental mass vaccination campaigns.

<span class="mw-page-title-main">Pulse Polio</span> Indian governmental immunisation campaign

Pulse Polio is an immunisation campaign established by the government of India to eliminate poliomyelitis (polio) in India by vaccinating all children under the age of five years against the polio virus. The project fights polio through a large-scale, pulse vaccination programme and monitoring for poliomyelitis cases.

<span class="mw-page-title-main">Ali Maow Maalin</span> Hospital worker, last naturally acquired case of smallpox (1954–2013)

Ali Maow Maalin was a Somali hospital cook and health worker from Merca who is the last person known to have been infected with naturally occurring Variola minor smallpox. He was diagnosed with the disease in October 1977 and made a full recovery. Although he had many contacts, none of them developed the disease, and an aggressive containment campaign was successful in preventing an outbreak. Smallpox was declared to have been eradicated globally by the World Health Organization (WHO) two years later. Maalin was subsequently involved in the successful poliomyelitis eradication campaign in Somalia, and he died of malaria while carrying out polio vaccinations after the re-emergence of the poliovirus in 2013.

<span class="mw-page-title-main">Polio eradication</span> Effort to permanently eliminate all cases of poliomyelitis infection

Polio eradication, the permanent global cessation of circulation of the poliovirus and hence elimination of the poliomyelitis (polio) it causes, is the aim of a multinational public health effort begun in 1988, led by the World Health Organization (WHO), the United Nations Children's Fund (UNICEF) and the Rotary Foundation. These organizations, along with the U.S. Centers for Disease Control and Prevention (CDC) and The Gates Foundation, have spearheaded the campaign through the Global Polio Eradication Initiative (GPEI). Successful eradication of infectious diseases has been achieved twice before, with smallpox in humans and rinderpest in ruminants.

<span class="mw-page-title-main">History of polio</span> History of poliomyelitis infections

The history of polio (poliomyelitis) infections began during prehistory. Although major polio epidemics were unknown before the 20th century, the disease has caused paralysis and death for much of human history. Over millennia, polio survived quietly as an endemic pathogen until the 1900s when major epidemics began to occur in Europe. Soon after, widespread epidemics appeared in the rest of the world. By 1910, frequent epidemics became regular events throughout the developed world primarily in cities during the summer months. At its peak in the 1940s and 1950s, polio would paralyze or kill over half a million people worldwide every year.

Mass vaccination is a public policy effort to vaccinate a large number of people, possibly the entire population of the world or of a country or region, within a short period of time. This policy may be directed during a pandemic, when there is a localized outbreak or scare of a disease for which a vaccine exists, or when a new vaccine is invented.

<span class="mw-page-title-main">Eradication of infectious diseases</span> Elimination of a disease from all hosts

The eradication of infectious diseases is the reduction of the prevalence of an infectious disease in the global host population to zero.

<i>The Final Inch</i> 2009 American film

The Final Inch is a short documentary about the effort to eradicate polio. It was directed by Irene Taylor Brodsky and focuses on health workers on the front lines of the fight to eliminate the disease. It was filmed on location in Afghanistan, Pakistan, and India and received a nomination for an Academy Award for Best Documentary at the 81st Academy Awards.

<span class="mw-page-title-main">Muhammad Ali Pate</span> Nigerian physician and politician (born 1968)

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Pakistan is one of the two remaining countries in the world where poliomyelitis (polio) is still categorized as an endemic viral infection, the other one being Afghanistan. While it has yet to fully eradicate Polio, there has been a downwards trend in the number of reported cases per year; the total count of wild poliovirus cases in Pakistan in 2019 was 147, compared to 84 in 2020, 1 in 2021, 20 in 2022 and 6 in 2023.

Jon Andrus, an American physician, epidemiologist and immunization specialist, is the former deputy director of the Pan American Health Organization (PAHO).

<span class="mw-page-title-main">World Polio Day</span>

World Polio Day was established by Rotary International to commemorate the birth of Jonas Salk, who led the first team to develop a vaccine against poliomyelitis. Use of this inactivated poliovirus vaccine and subsequent widespread use of the oral poliovirus vaccine developed by Albert Sabin led to establishment of the Global Polio Eradication Initiative (GPEI) in 1988. Since then, GPEI has reduced polio worldwide by 99 percent.

India National PolioPlus Society is a non-profit organization. The Initiative has achieved significant progress toward its goals. There has been a dramatic decline in cases everywhere in the seventeen years since the target was set in 1988.

Isao Arita was a Japanese physician, virologist and vaccination specialist who headed the World Health Organization (WHO) Smallpox Eradication Unit in 1977–85. During this period, smallpox became the first infectious disease of humans to be eradicated globally. For this work, he and his colleagues were awarded the Japan Prize in 1988. He also advised the successful programme to eradicate poliovirus from the Western Pacific region.

Dr. Robert Kezaala is a medical doctor, epidemiologist, scholar and public health leader in the field of immunization and health emergencies. Currently he is serving as a Senior Health Advisor and team lead for Accelerated Immunization Initiatives: measles, rubella, epidemic meningitis and yellow fever control and Immunization in Emergencies at the United Nations Children’s Fund.

<span class="mw-page-title-main">Michael J. Ryan (doctor)</span> Irish doctor and Chief Executive Director of the WHO Health Emergencies Programme

Michael Joseph Ryan is an Irish epidemiologist and former trauma surgeon, specialising in infectious disease and public health. He is executive director of the World Health Organization's Health Emergencies Programme, leading the team responsible for the international containment and treatment of COVID-19. Ryan has held leadership positions and has worked on various outbreak response teams in the field to eradicate the spread of diseases including bacillary dysentery, cholera, Crimean–Congo hemorrhagic fever, Ebola, Marburg virus disease, measles, meningitis, relapsing fever, Rift Valley fever, SARS, and Shigellosis.

The World Health Organization (WHO) created the Global Commission for the Certification of the Eradication of Poliomyelitis in 1995 to independently verify the eradication of wild poliovirus. The GCC certified the worldwide eradication of indigenous wild poliovirus type 2 on 20 September 2015, and wild poliovirus type 3 on 17 October 2019. In addition, five of the six World Health Organization Regions certified their status as free of indigenous transmission of all three serotypes of wild poliovirus :

The Developing Countries Vaccine Manufacturers Network (DCVMN) is a voluntary non-partisan public health alliance of health organizations and vaccine manufacturers. It has the goal of protecting people globally against known and emerging infectious diseases through the provision of a consistent supply of high quality vaccines at affordable prices for developing countries, to achieve vaccine equity. DCVMN includes manufacturers in Brazil, China, Cuba, India, Indonesia, Mexico, South Africa and other low and middle income countries (LMICs). It was established in 2000/2001, and is headquartered in Switzerland. As of 2021, the President is Sai D. Prasad, and the CEO is Rajinder Suri.

References

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  2. Duintjer Tebbens, Radboud J.; et al. (December 16, 2010). "Economic analysis of the global polio eradication initiative". Vaccine. 29 (2): 334–343. doi:10.1016/j.vaccine.2010.10.026. ISSN   0264-410X. PMID   21029809.
  3. Brookes, Tim (2007). The End of Polio?: Behind the Scenes of the Campaign to Vaccinate Every Child on the Planet. American Public Health Association. p. 74. ISBN   978-0-87553-186-1.
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  5. "Certification of Poliomyelitis Eradication" Archived October 8, 2020, at the Wayback Machine . Fifteenth meeting of the European Regional Certification Commission Copenhagen, 19–21 June 2002, p. 25
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  8. Aylward, Bruce (2011). "2. Lessons from the late stages of the global polio eradication initiative". In Cochi, Stephen L.; Dowdle, Walter R. (eds.). Disease Eradication in the 21st Century: Implications for Global Health. Cambridge: The MIT Press. pp. 13–24. ISBN   978-0-262-01673-5.
  9. "GPEI-Historical Contributions, 1988-2020".
  10. "Vaccination funding landscape". Givewell.org. Retrieved June 20, 2016.
  11. Technical Consultative Group to the World Health Organization on the Global Eradication of Poliomyelitis (2002). ""Endgame" Issues for the Global Polio Eradication Initiative". Clinical Infectious Diseases. 34 (1): 72–77. doi: 10.1086/338262 . PMID   11731948.
  12. "Marking five years of polio-free certification, WHO South-East Asia Region uses polio legacy to enhance overall immunization".
  13. "Africa eradicates wild poliovirus". October 10, 2023.
  14. "Data Monitoring". Global Polio Eradication Initiative. Retrieved June 20, 2016.