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We are proud of these accomplishments, and we are closer than ever to achieving our goal of worldwide eradication. But we must recognize that our greatest enemy is complacency. We cannot slacken our efforts now, because as long as there is wild poliovirus anywhere, the disease can easily spread again. The number of cases in endemic countries is down this year, but the number of cases in countries where polio has been reintroduced has increased significantly - Polio is still endemic in Afghanistan, India, Nigeria, and Pakistan. Difficult terrain, civil unrest, remote settlements, poor sanitation, and terrible poverty are just some of the obstacles to immunization. But we, and our partners in the Global Polio eradication Initiative, are determined to continue our work with persistence and creativity. I have been inspired by the incredible strides already made this year. In one 10-day period, a total of 222,270,331 children in 22 countries were immunized against polio. The effort and the commitment are phenomenal. This is a testament to the resolve that has brought us this far - and that will soon bring us to our goal of complete eradication.
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