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Global issue 20

Inbox Vital statistics Behind the numbers Polio eradication In 1988, when the Global Polio Eradication Initiative (GPEI) was formed, more than 350,000 cases of polio were recorded in 125 polio-endemic countries worldwide. Nigeria Number of cases 2014: 6 Number of cases 2013: 53 Immunisation coverage: 67% Cameroon Number of cases 2014: 5 Number of cases 2013: 4 Immunisation coverage: 88% Endemic countries Re-infected countries Pakistan, Nigeria and Afghanistan are the last polio-endemic countries. In these regions insecurity, poor sanitation and inefficient health systems have meant that vaccination levels are below the 80 per cent required for effective countrywide immunisation. Polio cases worldwide 400,000 350,000 300,000 250,000 200,000 150,000 100,000 50,000 The largest international public–private partnership for health, the GPEI is led by the World Health Organization (WHO), Rotary International, UNICEF, and the US Centers for Disease Control Syria Number of cases 2014: 1 Number of cases 2013: 35 Immunisation coverage: 79% Ethiopia Number of cases 2014: 1 Number of cases 2013: 9 Immunisation coverage: 80% Equatorial Guinea Number of cases 2014: 5 Number of cases 2013: 0 Immunisation coverage: 40% and Prevention (CDC). Its campaign has resulted in a decrease of polio cases of more than 99 per cent globally – now 80 per cent of the world’s people live in polio-free regions. Iraq Number of cases 2014: 2 Number of cases 2013: 0 Immunisation coverage: 79% Pakistan Number of cases 2014: 235 Number of cases 2013: 93 Immunisation coverage: 66% Afghanistan Number of cases 2014: 18 Number of cases 2013: 14 Immunisation coverage: 90% Somalia Number of cases 2014: 5 Number of cases 2013: 194 Immunisation coverage: 24% Kenya Number of cases 2014: 0 Number of cases 2013: 14 Immunisation coverage: 84% GPEI uses national immunisation days and comprehensive vaccination campaigns to target outbreaks in endemic countries and re-infected areas like Iraq and Syria, where new cases are thought to have been imported from Pakistan. In March 2014 WHO announced a significant victory in the fight against polio. India, which for many years was the source of half of the world’s polio cases, was declared free of the virus. GPEI’s objective, a polio-free world by 2018, could be within its grasp. 0 1985 1990 1995 2000 2005 2010 2015 Polio cases Sources: The Global Polio Eradication Initiative, WHO vaccine-preventable diseases: monitoring system 2014 global summary 12 l www.global -br ief ing.org f i rst quar ter 2015 global


Global issue 20
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