Vaccine choice and stockpile |
mOPV2 stockpile designed for mOPV2 use up to 5 years post-OPV2 cessation, then anticipated shift to IPV |
period of allowed mOPV2 use extended up to 8 years after OPV2 cessation (through 2023) (43), then extended indefinitely with anticipated use of nOPV2 (44, 45) |
Scope |
respond in all subpopulations in the blocks with R0 ≥ 10, otherwise just in outbreak subpopulation |
respond in outbreak subpopulation and 4 worst-performing neighboring subpopulations within the same block when R0 ≥ 10, otherwise just in outbreak subpopulation |
Days to first round |
45 for first detection in block, 30 for other subpopulations in block |
45 for first detection in block, 30 for other subpopulations in block |
Size |
4 rounds in blocks with R0 < 12, 6 rounds in blocks with R0 ≥ 12, all rounds 30 days apart |
2 rounds separated by 30 days with 2 additional rounds after detection of breakthrough transmission |
Intensity |
true coverage 80%, repeatedly missed probability 70% |
same as subpopulation-specific pSIAs, which ranges from true coverage 15%, repeatedly missed probability 95% to true coverage 80%, repeatedly missed probability 70% [see details in Kalkowska et al. (27)] |
Target |
greater of < 5 years old or all cohorts born since OPV cessation (whichever is larger) |
< 5 years old |