A significant decline in the genetic variety of wPV was seen in Pakistan and Afghanistan and Africa. 

Meanwhile, the international spread of cVDPV is still persistent, despite the steady fall in both the number of patients and the number of circulating lineages.  

Weak immunization systems further impacted by the COVID-19 pandemic, Inaccessibility to vaccines, population displacement, limited immunization coverage, and immunity gap contribute to the ongoing transmission of Polio.  

Considering the current scenario, the committee agreed that the risk of global transmission of wild poliovirus and cVDPV remains a Public health emergency of international concern and thus recommended extending the temporary recommendations for a further three months.