End Polio Now Questions

Read-only quiz
1.

Which year marked the launch of Rotary International’s PolioPlus program, before the

Global Polio Eradication Initiative was established?

Correct answer shown
1979
1985 - Correct
1988
1991
2.

Which combination correctly identifies the four founding partners of the Global Polio

Eradication Initiative (GPEI), launched in 1988?

Correct answer shown
WHO, Rotary International, UNICEF and the US CDC - Correct
WHO, UNESCO, UNICEF and the World Bank
Rotary International, UNICEF, Gavi and the World Bank
WHO, the US CDC, the Gates Foundation and Gavi
3.

What is the principal difference between wild poliovirus and circulating vaccine-derived

poliovirus (cVDPV)?

Correct answer shown
Wild poliovirus occurs naturally; cVDPV can emerge when weakened vaccine virus circulates for a prolonged period in under-immunised populations and changes genetically - Correct
Wild poliovirus affects adults; cVDPV affects only infants
Wild poliovirus spreads through water; cVDPV spreads only through the air
Wild poliovirus causes paralysis; cVDPV cannot cause paralysis
4.

Why is acute flaccid paralysis (AFP) surveillance important in polio eradication?

Correct answer shown
It identifies every child who has received an incomplete vaccination schedule
It detects suspected paralysis cases for investigation and laboratory testing for poliovirus - Correct
It measures the nutritional status of children
It confirms polio eradication from a single negative patient sample
5.

Which statement best explains why environmental surveillance is used alongside AFP

surveillance?

Correct answer shown
It replaces the need to investigate suspected paralysis cases
It detects poliovirus in sewage samples, potentially identifying circulation even when no paralytic cases have been reported - Correct
It measures the effectiveness of every individual child's vaccination
It identifies only wild poliovirus and cannot detect vaccine-derived strains
6.

Which organisation has played a major role in supplying oral polio vaccine and supporting

immunization activities as part of GPEI?

Correct answer shown
UNICEF - Correct
UNESCO
International Labor Organization (ILO)
World Trade Organization (WTO)
7.

Why can a country that has eliminated indigenous wild poliovirus still face a risk of polio

transmission?

Correct answer shown
Poliovirus can re-enter through international travel or spread from areas where it continues to circulate - Correct
Certification automatically expires every year
The virus reappears in every country during winter
Routine vaccination immediately becomes ineffective after certification
8.

India was certified polio-free by the WHO South-East Asia Regional Certification

Commission in 2014. What was the key epidemiological milestone preceding this certification?

Correct answer shown
India had reported no wild poliovirus cases for at least three consecutive years - Correct
India had stopped all polio vaccination campaigns
India had eliminated every case of acute flaccid paralysis
India had discontinued all poliovirus surveillance
9.

What is the main purpose of maintaining high population immunity against polio in high-

risk areas?

Correct answer shown
To prevent sustained transmission by reducing the number of susceptible people - Correct
To eliminate the need for disease surveillance
To ensure that only symptomatic children receive vaccines
To replace sanitation and other public-health measures entirely
10.

What is the significance of the commitment by the Bill & Melinda Gates Foundation to

match Rotary’s contributions to polio eradication?

Correct answer shown
It multiplies the impact of eligible Rotary contributions, subject to the terms of the matching agreement - Correct
It transfers responsibility for all polio vaccination to Rotary
It guarantees that every district's fundraising is matched without limit
It replaces funding from governments and other GPEI partners