Rotary announces US$100 million to eradicate polio

Rotary (www.Rotary.org) is giving US$100 million in grants to support the global effort to end polio, a vaccine-preventable disease that once paralyzed hundreds of thousands of children each year.

The funding comes as Rotary and its partners in the Global Polio Eradication Initiative (GPEI) (http://PolioEradication.org) address the final—and most pressing—challenges to ending poliovirus transmission, and as Nigeria approaches three years without any reported cases of wild poliovirus, bringing the Africa region closer to polio-free status.

“Routine immunization in high-risk states is helping us prevent new cases of wild polio,” said Dr. Tunji Funsho, chair or Rotary’s Nigeria PolioPlus Committee. “Although the polio infrastructure has become stronger and allows us to also respond to other serious health concerns, we must remain committed to ensuring the political and financial support necessary to ending polio in Nigeria and around the globe for good.”

While there were only 33 cases of wild poliovirus reported in 2018, the last mile of eradication has proven to be the most difficult. Barriers to eradication–like weak health systems, insecurity, and mobile and remote populations–must be overcome. As long as a single child has polio, all children are at risk, which underscores the need for continued funding and commitment to eradication.

To support polio eradication efforts in endemic countries, Rotary is allocating half the funds it announced today to: Afghanistan ($16.3 million), Nigeria ($10.2 million), and Pakistan ($25.2million).

Additional funding will support efforts to keep vulnerable countries polio-free include: Chad ($102,395), Democratic Republic of the Congo ($9.5 million), Ethiopia ($2.6 million), Iraq ($6 million), Kenya ($6.3 million), Mali ($1.2 million), Somalia ($1.4 million), South Sudan ($1.2 million), Syria ($1.7 million), and Yemen ($2.1 million).

The World Health Organization (WHO) (www.WHO.int) will receive $1.3 million to conduct research, and will also receive support for surveillance activities in its Africa ($10.9 million) and Eastern Mediterranean ($4 million) Regions.

Rotary has committed to raising $50 million a year to be matched 2-to-1 by the Bill and Melinda Gates Foundation, amounting to $150 million for polio eradication annually. Rotary has contributed more than $1.9 billion to fight the disease, including matching funds from the Gates Foundation, and countless volunteer hours since launching its polio eradication program, PolioPlus, in 1985. In 1988, Rotary became a spearheading partner in the Global Polio Eradication Initiative with the World Health Organization, UNICEF, and the U.S. Centers for Disease Control and Prevention. The Gates Foundation later joined. Since the initiative launched, the incidence of polio has plummeted by more than 99.9 percent, from about 350,000 cases in 1988 to 33 cases of wild poliovirus in 2018. 

“Zero polio transmission and health for all”, WHO Director-General gives new year’s wish to the people of Afghanistan and Pakistan

WHO/N. Jin
Dr Tedros meets 21-year-old Sajeda, who is being treated for a gunshot wound at the WHO-supported Trauma Care Hospital run by Italian NGO Emergency in Kabul

WHO Director-General Dr Tedros Adhanom Ghebreyesus highlighted WHO’s commitment to the final push to eradicate polio on a 4-day visit to Afghanistan and Pakistan – the only two countries where wild poliovirus cases were reported last year. He also commended the governments of both countries for their efforts to provide universal access to health services.

Dr Tedros, together with WHO Regional Director for the Eastern Mediterranean Dr Ahmed Al-Mandhari, met with heads of state and senior government officials in both countries and witnessed first-hand WHO-supported health programmes.

He also visited the Emergency Operations Centre for Polio Eradication in Islamabad, Pakistan, where he commended the work of government and partners as “one team under one roof” and highlighted the critical importance of working closely with Afghanistan to prevent cross-border transmission.

“We must all give our best on this last mile to eradicate polio once and for all. My wish for 2019 is for zero polio transmission. You have WHO’s full support to help reach every child and stop this virus for good,” Dr Tedros said.

On his visit to Afghanistan on 5-6 January, Dr Tedros met with HE President Dr Ashraf Ghani, HE Chief Executive Dr Abdullah Abdullah, the Council of Ministers, representatives of key partners and nongovernmental organizations active in health.

Together with HE Minister of Public Health Dr Ferozuddin Feroz, he launched the newly developed Integrated Package of Essential Health Services. This package includes the most cost-effective evidence-based interventions that reflect the most common causes of mortality and morbidity in the country. It keeps the focus on primary health care but also adds noncommunicable diseases and trauma care. Dr Tedros confirmed WHO’s support to the government to develop financing options to help ensure access to health services for all Afghans.

Dr Tedros also visited the WHO-supported Trauma Care Hospital run by the Italian NGO Emergency in Kabul, where Dr Tedros thanked humanitarian workers for their important work. He praised the close collaboration between WHO, Ministry of Health and International NGOs like Emergency, so that provision of essential trauma care can be accessed by people who need it most.

In Pakistan on 7-8 January, Dr Tedros met with Prime Minister Imran Khan and several senior officials including Federal Minister for National Health Regulations & Coordination Mr Aamer, Mehmood Kiani, Minister of Foreign Affairs and Federal Minister for Human Rights Dr Shireen Mazari.

Dr Tedros accompanied the President of Pakistan, Arif Alvi, to the launch of the first Pakistan Nursing and Midwifery Summit and the Nursing Now campaign. Pakistan faces a critical shortage of health workers including nurses and midwives. The country needs more than 720 000 nurses to achieve universal health coverage by 2030.

He also visited a basic health centre in Shah Allah Ditta where WHO signed an agreement with the Government of Pakistan to develop a model health care system for universal health coverage in Islamabad. Dr Tedros commended the Government for its initiatives to tax tobacco and sugary drinks, as well as its plans to increase the health budget to 5% of GDP by 2023 (from the current 0.9% of GDP).

Dr Tedros chairs polio board

The visit took place shortly after WHO Director-General Dr Tedros Adhanom Ghebreyesus took over the Chair of the Polio Oversight Board, which guides and oversees the Global Polio Eradication Initiative – spearheaded by national governments, WHO, Rotary International, UNICEF, CDC and the Bill & Melinda Gates Foundation – as a clear sign that the eradication of this disease is a priority for WHO.  

As recently as 30 years ago, wild poliovirus paralysed more than 350 000 children in more than 125 countries every year. In 2018 there were fewer than 30 reported cases in just two countries – Afghanistan and Pakistan.

Polio eradication requires high immunization coverage everywhere, worldwide, to block transmission of this extremely contagious virus. Unfortunately, children are still missing out on vaccination for various reasons including lack of infrastructure, remote locations, population movement, conflict and insecurity and resistance to vaccination.

Failure to eradicate polio from these last remaining strongholds could result in a resurgence of the disease, with as many as 200 000 new cases predicted worldwide every year within 10 years.