The Eastern Mediterranean Region consist of 22 countries. Nineteen countries have been polio free for more than three years and Somalia has not had any cases since March 2007. The remaining two countries (Afghanistan and Pakistan) are still endemic and have not succeeded in interrupting indigenous circulation of the wild polio virus. Extensive efforts are underway to interrupt the wild virus circulation in these two remaining countries. The Region is always under the risk of importations. Sudan has suffered from these importations more than once, the last of which was in the south with the most recent case on 27 June 2009.