The Final Three Endemic Countries
Pakistan - One new polio case reported this week.  Sixteen cases have been reported in 2016 with 54 cases reported in 2015. 
Three 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 - Three new polio cases reported this week.  Twelve polio cases reported in 2016 with 20 cases recorded in 2015.  The most recent cases involved an onset of paralysis and was located near Paktika near the Pakistan border.
Nigeria - No new polio cases reported this week.  Four have been reported in 2016 and none reported in 2015.  The most recent case was reported on August 20th in Borno State.  A regional outbreak response in northeastern Nigeria continued to be implemented, both in response to the WPV1 cases detected in August and the circulating vaccine-deprived poliovirus type 2 isolates, detected in Borno from an environmental sample (collected in MARCH) and a healthy contact of one of the WPV1 cases (from (AUGUST).  
 
Terry Zigler, Rotary District 5890 Polio Eradication Chair and Zone 21B/27 PHS Coordinator