Does Bill Gates or the WHO know or even care? In India in 1997, the definition of polio changed, and many paralysis cases shifted to AFP – Acute Flaccid Paralysis. If we use the old polio definition, we can see paralysis cases have shot up and only began to decline in 2012, with the number of oral polio vaccine (OPV) doses administered to children each year gradually reduced. “(a) Up to 1996 all reported cases of acute flaccid paralysis (AFP) were labeled as polio cases, but no follow up was done. (b) From 1997 onwards, an AFP case has been labeled as polio in the presence of one or more of the following: (i) wild polio virus detected in stool sample, (ii) residual paralysis observed after a period of 60 days of onset of paralysis. (iii) the patient has died, or (iv) the patient is lost to follow up.” Yash Paul, “Polio Eradication Programme: A Failure,” Economic and Political Weekly, vol. 41, no. 43/44, November 4-10, 2006, pp. 4538–4540. “A total of 640,000 children developed NPAFP in the years 2000–2017, suggesting that there were an additional 491,000 paralyzed children above our expected numbers for children with NPAFP.” Rachana Dhiman, Sandeep C. Prakash, V. Sreenivas, and Jacob Puliye, “Correlation between Non-Polio Acute Flaccid Paralysis Rates with Pulse Polio Frequency in India,” International Journal of Environmental Research and Public Health, August 2018, vol. 15, issue 8, pp. 1755–1762.