This 18th IMB Report follows videoconference meetings that the Board held with the GPEI Strategy Committee, donors, wider polio partners and the governments of the polio-endemic countries on 29 and 30 June and 1 July 2020. The discussions were complex because they had to take account not only of the programmatic weaknesses and action needed to transform them before COVID-19 struck, but how to build the impact of COVID-19 into the GPEI’s ongoing strategic approach to polio eradication. The conversations also had to explore whether the period of pause and reflection, imposed on the Polio Programme by COVID-19, had caused the leadership of the Polio Programme to think differently about the path to eradication.