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11 Jun 2014 description

EXECUTIVE SUMMARY

Eighteen months ago, as 2012 drew to a close, optimism was running high for the Global Polio Eradication Initiative. Polio transmission in India had been interrupted. The three remaining endemic countries (Pakistan, Nigeria, Afghanistan) had made significant programmatic improvements. Some believed that success was imminent; that polio would soon be history.
Within a matter of months, this optimism quickly unwound:

• Targeted killing of polio vaccinators in Pakistan shocked the world and created major operational constraints.