The Strategic Advisory Group of Experts on immunization (SAGE) met on 11-12 April 2012 in Geneva, Switzerland. On polio eradication, the group was presented with the latest summaries of both the global and national emergency action plans for Nigeria, Pakistan and Afghanistan, as well as a summary of the current financing gap affecting the Global Polio Eradication Initiative (GPEI) and its impact on fully implementing the emergency activities. The SAGE expressed serious alarm at the funding situation, and strongly appealed for donor and government support. Globally, the GPEI continues to be faced with a >US$1 billion shortfall in its 2012-2013 budget. Insufficient financing has forced the programme to cancel or substantially scale back polio vaccination activities during the first half of 2012. A continued funding crisis will preclude the full implementation of the emergency plans. Conclusions and recommandations [pdf] - will be available by 25 May
Conclusion and recommandations [pdf] English ¦ French
Presentations to the SAGE on polio eradication.GPEI Context and Issue [pdf]Current situation and Operational Priorities throught mid-2012 [pdf]Conclusions and recommandations [pdf]
Conclusions and recommendations.
The SAGE reviewed progress towards the achievement of the global milestones of the Global Polio Eradication Initiative (GPEI) Strategic Plan 2010-2012. The group noted the strong achievements in key endemic historic reservoirs, notably India and Nigeria, but at the same time expressed concern at increased transmission in Pakistan; ongoing and new outbreaks in central Africa (Angola, Democratic Republic of the Congo and the Republic of Congo) and parts of central Asia; and, the urgent need to fill sub-national surveillance gaps in key areas. The SAGE highlighted the need to urgently fill the ongoing funding gap of US$810 million for the life of the new Strategic Plan.
Presentations to the SAGE on polio eradication
Summary, conclusions and recommendations published in:Weekly Epidemiological Record 2011;86(1-2):1-16 (English, French)
Conclusions and recommendations English | français
SAGE reviewed the Independent evaluation of the major barriers to interrupting poliovirus transmission, and emphasized the need for more intensive work to counter the low rates of routine immunization in endemic and persistently re-infected countries. It urged the global Polio Eradication Initiative to rapidly consider the important role of nongovernmental organizations (NGOs) in districts that are difficult to access, and the targeted use of inactivated polio vaccine (IPV) in areas of compromised oral polio vaccine efficacy. SAGE also strongly supported the proposal for an enhanced research agenda and the rapid scale-up of bivalent oral polio vaccine use. Finally, SAGE reviewed the IPV working group recommendations for the draft WHO position paper on routine polio immunization. Conclusions and recommendations English [pdf] | French [pdf]
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