From: Jeffrey Epstein <jeevacation®gmail.com> To: Boris Nikolic •t: Ina> Subject: first draft, conclusion and recommendaitons to follow Date: Sun, 05 May 2013 02:15:52 +0000 Contacts: Over 5 days, between 27 April and 1 May, met enough sources to acquire a fairly clear picture of the present state of play. These contacts/discussions included non-official sources (from FATA tribal areas as well as Frontier areas) in Peshawar, the seat of both the tribal FATA Secretariat as well as the Provincial Govt; and official sources in the national capital Islamabad -- including by coincidence Dr Waqar Ajmal, the Pakistani technical polio person in the Foundation, who is based in Seattle but was visiting Pakistan. Background: The information acquired in small meetings, to encourage a more open sharing of views, leads to the conclusion that religion-based refusal is a very small part of the problem; the rest is pressure tactics by not only the Taliban but also local communities (see below); one-upmanship; poor follow-up & monitoring; the security situation (i.e. the one-day polio eradication campaign with anti-polio drops cannot be carried out if the Pak Govt is carrying out a military operation in the area); problems relating to the anti-polio campaign visavis the other routine immunizations; and the vast amount of jobs & money involved. Funding is not a problem, eg. FATA about to sign MOU with UAE Govt, which will give a huge grant covering all polio vaccination campaigns 100% for the next 3 years (see below). Mis-reporting & under-reporting: A major new issue, conceded by only one official source, but comparable to similar mis- or under-reporting in the developing countries, a phenomenon well-known to UN social development agencies. Could be part of the picture when very low polio cases were reported in years past. Right now, the entire country is in a pre-election mode: suicide bombings by the Taliban against "secular" parties; bombings by unknown grou