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Thirty years of a Unique Partnership to End Polio-GPEI

Posted on by Dr. John F. Vertefeuille - Incident Manager for the CDC Polio Response and Branch Chief of the Polio Eradication Branch, Global Immunization Division, Center for Global Health, Centers for Disease Control and Prevention
Chad Polio Vaccination Innovation Outbreak
Chad Polio Vaccination Innovation Outbreak

In 1988, CDC joined three other partners (World Health Organization (WHO), United Nation International Children Fund (UNICF) and Rotary International to launch the ambitious Global Polio Eradication Initiative (GPEI). The world was a dangerous place with respect to polio. A case of polio occurred every 90 seconds, meaning 350,000 children had paralytic polio every year. As GPEI’s eradication efforts accelerated, the Bill and Melinda Gates Foundation joined the four partners to create the current GPEI core membership. Currently, there have been 22 cases globally this year. We are undoubtedly on the “last mile” of the road to zero. The results to date are clear- the unique public/private partnership has resulted in the fewest cases of polio in history and one of the broadest public health surveillance systems ever administered.

Dr. John F. Vertefeuille
Dr. John F. Vertefeuille

Though it is important to take note of the progress made, we should not lose sight of the mile in front of us. The drastic decline in the number of cases is an incredible feat, but more hard work must be done. The remaining pockets of the globe where polio persists include security challenged areas that limit access to children for vaccination and case detection, fragile public health systems that need bolstering to deliver these services, and remote, hard to reach geographies.

Where are we today? We still have on-going transmission in Afghanistan and Pakistan. Even though Nigeria has not reported a wild poliovirus case in over two years, we still have areas inaccessible to vaccination teams and surveillance officers in Northeast Nigeria. We are still making inroads in each of these countries by gaining access to areas once unreachable by vaccination teams and by increasing the number of children receiving vaccination. We are responding to several outbreaks of circulating vaccine-derived polio virus (cVDVP) in the Democratic Republic of the Congo (DRC), Nigeria, in the Horn of Africa, including Somalia and Kenya, and in Papua New Guinea. In addition to interrupting transmission of wild polio virus (WPV), we also have to aggressively pursue vaccinating children in these areas not only to stop current outbreaks, but also to prevent future ones.

This last mile will be an extremely complex one and while we are very close to eradication, we need to remain clear-eyed about that road ahead and resolute in our pursuit of completing this work. As long as polio remains anywhere in the world, the global community remains at risk. Failure to stop polio in the last remaining countries could result in as many as 200,000 new cases every year, within 10 years, all over the world. This reminds us that the goal is not to go from the current high-level investment to nothing at all, but to continue our relentless pursuit of global eradication. If not, we run the risk of perpetually investing considerable sums of money and resources to keep the world’s population vaccinated.

Polio Vaccine
Polio Vaccine

Over the last 30 years, our success in stopping outbreaks and preventing the spread of disease have been due to the collaborative strength of GPEI. This collaboration has not only extended between institutions, stakeholders, and nations, but between millions of volunteer vaccinators worldwide to community health workers, local leaders, program managers, scientists, policy makers to men, women, and children who have mobilized to eradicate polio.

In January 2014, I recall participating in a particularly meaningful polio campaign in a rural part of Kano state northern Nigeria. We were traveling a densely populated street with a festive marching band. Their purpose was to draw crowds to encourage children to get polio vaccine. In the midst of all the chaos, sounds, and structures, a 7-8 year old young girl approached. She whispered something into the local supervisor’s ear. Very quickly, he said, “We have to go! Quick- it’s important! “. Unsure of what was happening, we followed them through a few streets and arrived at a very different scene- one that was desolate and quiet. There was a riverbed with no water, sand everywhere, and half built concrete structures lining the street. As they lead us to a house, the supervisor shared, “A baby was born last night”. The little girl entered the home and proudly emerged with her father and new baby brother. At that moment, the baby received his birth dose of polio vaccine. It was clear that the little girl was thrilled to have a new baby brother and was eager to give him a present. What she didn’t fully comprehend was the gravity of the gift she’d provided – the gift of a lifetime without polio. This young girl had contributed to our global effort! We are so close to having that opportunity for generations to come.

GPEI has administered 15 billion doses of polio vaccine since 2000 and immunized 2.5 billion children. Although this is impressive, CDC is committed with our GPEI and country partners to ensure that every last child receives polio vaccine.

As we celebrate World Polio Day and the 30th Anniversary of GPEI, remember that just because we’ve seen a 99% decline in annual polio cases doesn’t signal success. It represents a successful milestone that encourages us to finish strong and race through that last mile. Now is not the time to relax, but to accelerate our pursuit of a polio-free world.

Posted on by Dr. John F. Vertefeuille - Incident Manager for the CDC Polio Response and Branch Chief of the Polio Eradication Branch, Global Immunization Division, Center for Global Health, Centers for Disease Control and PreventionLeave a commentTags , ,

Getting to the Heart of the Matter in Latin America and the Caribbean

“I don’t get migraines, I don’t get dizzy spells any longer,” explains Ms. Williams, a patient at a polyclinic on the Caribbean island nation of Barbados. “It is working for me where I have no problems now with high blood pressure. Yes, I’m hypertensive, but I’m controlled.” Ms. Williams was enrolled as a patient in Read More >

Posted on by Bethany Hall, Scientific Health Communications FellowLeave a commentTags

Rapid Detection Accelerates India’s Response to Nipah Outbreak

  On May 17, 2018, almost two weeks after his brother died of febrile illness, a male patient in his mid-twenties visited a hospital in Kerala, India, with a fever. A day later, he was dead — but not before his doctors noticed his symptoms were consistent with encephalitis.Recognizing the potential danger, they immediately sent Read More >

Posted on by Dr. Kayla Laserson, CDC India Country DirectorLeave a comment

Zambia: A regional leader in NPHI development and emergency management

The Zambia National Public Health Institute (ZNPHI) is young but is already emerging as a leader for public health in Southern Africa. We are proud of our growth over the past four years and the increasing role we have assumed in the region. As ZNPHI  Southern Africa’s first regional workshop on public health emergency management Read More >

Posted on by Dr. Victor Mukonka, Director of the Zambia National Public Health InstituteLeave a comment

CDC works with countries to identify children infected with hepatitis B virus and generate the evidence for hepatitis B vaccine birth dose introduction

Around the world, approximately 257 million people are infected with hepatitis B virus (HBV), and about 700,000 die every year as result of the long-term, chronic health threats from HBV, including liver disease and cancer. But, such suffering can be prevented with a vaccine! More tragic still, newborn babies infected at birth by their mothers, Read More >

Posted on by Anna Akua Minta, (CDC/CGH/GID)Leave a comment

Community-based Surveys are Informing Local Cessation Smoking Campaigns for Indigenous Australians

Australia is a global leader in tobacco control, with a continuous comprehensive strategy initiated in the late 1980s that includes advertising restrictions, price increases, plain packaging, and mass media campaigns. However, after three decades, limited progress has occurred with regard to smoking prevalence among Australia’s Aboriginal and Torres Strait Islander population. Cigarette smoking prevalence among Read More >

Posted on by Alyson Wright, National Centre for Epidemiology and Population Health, Australian National UniversityLeave a comment

How Senegal is tracking the Silent Killer

How Senegal is tracking the Silent Killer At a packed clinic in the middle of Dakar, Senegal, a busy nurse secures a blood pressure cuff around a patient’s arm. “After I take the blood pressure, I record it here,” the nurse says enthusiastically, showing a patient treatment card to Dr. Monica LaBelle, a CDC Foundation Read More >

Posted on by Bethany Hall, MPHLeave a comment

The Global Polio Eradication Initiative History Project: Documenting the Eradication of Polio

L to R: Oral Historian Hana Crawford, Project Manager Mary Hilpertshauser, Archivist Laura Frizzell

The Global Polio Eradication Initiative (GPEI) is a partnership led by five organizations: the World Health Organization (WHO), Rotary International, the U.S. Centers for Disease Control and Prevention (CDC), the United Nations Children’s Fund (UNICEF), and the Bill & Melinda Gates Foundation. The goal of GPEI is to eradicate polio worldwide. Based at the David Read More >

Posted on by Oral Historian Hana Crawford, Project Manager Mary Hilpertshauser, Archivist Laura FrizzellLeave a commentTags , , , ,

Tetanus: Eliminating the Forgotten, Deadly Disease

FETP Resident Pheobe Hilda Alitubeera searching for tetanus cases in health facility registers.

As a clinician, seeing a patient with a preventable disease like tetanus is heartbreaking. The most common signs are painful spasms of the muscles of the jaw (lockjaw) and spine. But, in the worst cases, tetanus impairs breathing, and without medical intervention, nearly 100% of patients die. Tetanus rarely occurs in the U.S. because we’ve Read More >

Posted on by Dr. Rebecca Casey, EIS Officer, Global Immunization DivisionLeave a commentTags , , , ,

Preventing Cervical Cancer in Cambodia: Evaluating the HPV Vaccination Demonstration Project

A nine-year old girl and her grandmother being interviewed in Svay Rieng province about her knowledge on HPV vaccine

Cervical cancer claims the lives of a quarter of a million women every year with almost nine out of ten deaths occurring in developing countries.   Cervical cancer is caused by human papillomavirus (HPV), a virus that can cause cancers in the mouth, throat, and reproductive tract, as well as genital warts. Safe and effective vaccines Read More >

Posted on by Julie Garon, MPH - Vaccine Introduction Team, GIDLeave a commentTags , , ,