The Final Three Endemic Countries:
Pakistan - No new Polio cases reported this week.  Fifteen Polio cases reported in 2016 with 54 cases recorded in 2015  The most recent case, with the onset of paralysis on 10/02/16 was from the Sujawal, Sundh Southwest of Karachi.  No new Polio-positive environmental samples were collected last week.  In Pakistan, both the oral polio vaccine and the inactivated poliovirus vaccine are being used hand in hand to boost immunity; and committed healthcare workers are going to great lengths to build trust and to ensure every child is vaccinated.     
Afghanistan - No new Polio cases reported this week.  Eight Polio cases reported in 2016 with 20 cases recorded in 2015. The most recent case, with an onset of paralysis on 08/11/16 was from Paktika - near the Pakistan border. No new Polio-positive environmental samples have been collected in Afghanistan in 2016.    
 
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.  In response to the Polio cases reported in Borno, the government of Nigeria has declared a national public health emergency along with the governments of Cameroon, Central African Republic, Chad, and Niger.
 
Importation Countries - Ethiopia (0-2015, 1-2014), Cameroon (0-2015, 5-2014), Somalia (0-2015, 5-2014), Iraq (0-2015, 2- 2014), Syria (0-2015,1-2014), & Equatorial Guinea (0-2015, 5-2014).
   Our Goal is Global Polio Eradication!!
Terry Ziegler, Rotary District 5890 Polio Eradication Chair & Zone 21B/27 PHS Coordinator