Dear members and viewers of technet viewers We wish to share the following and hope to achieve something by clearing the backlog of infants accumulated for receving 1st and 2nd doses of fractional doses of 0.1mL IPV intradermally, sice April 2016. For curative service providers CPM stands for Chlor pheniramine maleate – an antihistamine but for public health personnel CPM is Critical Path Method: “the longest path of the network, if any activity along the critical path is delayed, the entire project will be delayed” as we studied from Park’s textbook of Preventive and Social Medicine. In the last week of October, we posted a “mini ViMOSA” – dreaming to clear 80 to 85% of backlog of 57 infants of PHC Guthigar for IPV: 35 for the 1st dose and 22 for 2nd dose accumulated since April 2016. We also prepared similar list of sister planning unit – PHC Kollamogru with 44 backlog infants: 32 for the 1st dose and 12 for the 2nd dose of IPV accumulated since April 2016. MOH is common to both the PHCs. We were all set for mobilizing to clear the backlog to their nearest vaccination session sites. We assumed that we would somehow be able to get 4 vials of 25 ID doses per vial. But we could not get even a single vial extra, on the contrary there was shortage and the backlog grew by “accretion”. 7 states and one UT (Odisha, Maharastra, Telangana, Andhra, Karnataka, Kerala, Tamilnadu and Puduchery) comprising 94 lakhs infants with >85% BCG coverage was selected for administering 0.1mL IPV intradermally. We thought, ~85% coverage of IPV has to be attained for achieving the objectives of introducing IPV in the UIP. On the contrary, as of now there is a huge gap of ~65% between the first doses of Pentavalent/OPV and IPV at 6 weeks and ~80% between 3rd doses of Pentavlent/OPV and IPV at 14 weeks in the above two good performing planning units. All other planning units of 7 states and one UT may be experiencing the same. We found that the “SHORT SUPPLY” is the CPM and hope the supply will improve in the near future so that the present cohort of infants born since April 2016 will complete the ‘eIPV’ course before their first birth day. By missing one “CPM”, we utterly failed and our dream got shattered in November but not disheartened because we are going to achieve something in the Christmas month of December. Silver line: In December we will be getting 2 vials (50 doses) extra which we wish to use for clearing the backlog of 2nd dose of IPV on priority as these infants have to come only once for completing ‘eIPV’ course. We thought of sharing our failure also with the technet-21 members and viewers for thinking & acting positively. Holla and team