The Final Three Endemic Countries:
Pakistan - No new Polio cases reported this week.  Twenty Polio cases reported in 2016 with 54 cases recorded in 2015  The most recent case, with the onset of paralysis on 12/22/16 was from the Killa Abdullah, Balochistan area.  One new Polio-positive environmental sample was collected from the Killa Abdullah, Balochistan area on 1/1/17.  A total of 50 environmental samples were tested positive for Polio Virus in Pakistan in 2016.     
Afghanistan - No new Polio cases reported this week.  Thirteen Polio cases reported in 2016 with 20 cases recorded in 2015. The most recent cases, with an onset of paralysis on 12/16/16 was from the Bermal district, Paktika Province - near the Pakistan border. One new Polio-positive environmental sample was collected in the Hilmand Province on 12/23/16.    
 
Nigeria - No new Polio cases reported this week.   Four Polio cases reported in 2016 - with no cases reported in 2015.  The most recent case was reported on 8/2016 on Borno State.  The detection of polio in Nigeria was a serious setback for the polio eradication program. With no cases detected in Nigeria or any other African country for two years, there was hope that Africa was polio-free.   
But, the outbreak response was swift and comprehensive, with Rotary, the Governments of Borno and Nigeria, the World Health Organization, and UNICEF conducting an immediate emergency vaccination response.