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Presentation by Dr Richard Mihigo, WHO Africa region, at the MSF Oslo Seminar "The best shot: reaching 22 million missed children - A seminar on accelerating access to vaccination". Session: State of play - observations from vaccination stakeholders - WHO regional office for Africa
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The best shot: reaching 22 million missed children Oslo, 14 October 2013
Dr Richard MIHIGO Programme Coordinator
Routine Immunization & New Vaccines
MSF Seminar: The best shot, reaching 22 million missed children 2 |
Trend in cumulated # of vaccinated children in the AFR Jan-July 2012-2013
No data
Priority countries5
MSF Seminar: The best shot, reaching 22 million missed children 3 |
Progress in New Vaccines introduction in AFR
STP
Comoros
Seychelles
Mauritius
Cape Verde
Cape Verde
STP
Comoros
Seychelles
Mauritius
23/46 Countries : Angola, Benin, Botswana, Burundi, Cameroon, Congo, Central Afr Rep, DRC, Ethiopia, Gambia, Ghana, Kenya, Madagascar, Malawi, Mali, Mozambique, Rwanda, STP, Sierra Leone, South Africa, Tanzania, Uganda, Zimbabwe 8 Countries : Botswana, the Gambia, Ghana, Malawi,
Rwanda, South Africa, Tanzania, Zambia
46/46 countries
Penta
PCV
Rota
In country EPI Not yet in country EPI Not AFR
MSF Seminar: The best shot, reaching 22 million missed children 4 |
MenAfriVac roll-out 2010 – 2014 (Early achievements 2010-2012)
No reported case of NmA among the vaccinated
MSF Seminar: The best shot, reaching 22 million missed children 5 |
Changes in the South African EPI Programme, 2008-2010
R185 ($25.0)46 cm3
R1280 ($175.0)5780 cm3
$0.0
$25.0
$50.0
$75.0
$100.0
$125.0
$150.0
$175.0
$200.0
Schedule (2008) Schedule (2010)
PneumococcalRotavirusDTP-IPV-HibDTP-HibBCG, OPV, Measles, HepB
:Lessons from NV PIE Vaccines cost R1,04 billion per year.
Vaccine budgets should be ring-fenced: conditional grants Similar to the tuberculosis, HIV and school health budgets.
MSF Seminar: The best shot, reaching 22 million missed children 6 |
Storage & transport: –Increasing volume of vaccines
delivering more vaccines Work force:
–Increasing workload for handling & delivering more vaccines
–Increasing complexity of product characteristics requires different qualification
Injection safety:
–Increasing risk of programmatic errors in handling more vaccines
Waste management:
–Increasing pressure on the environment from more injection waste
Impact of NVI on immunization systems
MSF Seminar: The best shot, reaching 22 million missed children 7 |
Reduction in Estimated Measles Deaths by WHO Region 2000 to 2011
71% 90% 84%
45%
2015 reduction goal (95%)
70%
Source: WER. Progress in global control and regional elimination of measles, 2000–2011. 2013: Jan 18.
62% 100%
36%
MSF Seminar: The best shot, reaching 22 million missed children 8 |
YF : A never-ending re-emerging disease
Source: Imperial College London, 2012
Reported YF outbreaks, 1980-2010 Darfur, Yellow fever epidemic, 2012
MSF Seminar: The best shot, reaching 22 million missed children 9 |
