4 Objectives of Eradication Endgame Plan

The Four Major Objectives to the 2013-2018 Polio Eradication and Endgame Strategic Plan: 
  1. Poliovirus Detection and Interruption: Through the effective implementation of national emergency plans, the goal is to detect and interrupt wild poliovirus transmission in the remaining endemic countries by the end of 2014. While interruption cannot be guaranteed by an exact date, and various factors could intervene, GPEI will meet this objective by raising population immunity to levels high enough to interrupt transmission in currently infected areas - as well as achieve those immunity levels in areas prone to outbreaks and re-importation - and by rapidly containing outbreaks in endemic and re-infected countries, as well as other countries to which virus is exported from endemic or re-infected countries. 
  2. Routine Immunization Strengthening and OPV Withdrawal: To manage vaccine-derived poliovirus risks, it is recommended that all Oral Polio Vaccine be removed from vaccination campaigns and routine immunization. The first stage in this is the withdrawal of OPV 2. To do this entails the strengthening of routine immunization systems, meeting several pre-requisites to enable the necessary tOPV-bOPV switch and the introduction of affordable IPV globally. 
  3. Containment and Certification: As a small number of essential facilities will retain poliovirus stocks, planning for safe handling and bio-containment of facility-based poliovirus is critical to manage risks related to re-introduction of poliovirus into the population. This will require international consensus on updated bio-containment requirements and national application of those requirements. Following interruption of wild poliovirus transmission, the necessary processes for certifying the global eradication of wild poliovirus will begin, under the oversight of the Global Certification Commission. 
  4. Legacy Planning: As the polio program approaches key eradication milestones, successful legacy planning will include the mainstreaming and transfer of essential polio functions, assets and infrastructure to benefit other development goals and global health priorities. This will  require detailed consultation, and planning and implementation processes to ensure the investments made in polio eradication provide public health dividends for years to come.