The best shot: reaching 22 million missed children Oslo, 14 October 2013
Dr Richard MIHIGO
Programme Coordinator Routine Immunization & New Vaccines
Trend in cumulated # of vaccinated children in the AFR Jan-July 2012-2013
5 Priority countries
No data
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MSF Seminar: The best shot, reaching 22 million missed children
Progress in New Vaccines introduction in AFR Penta PCV
Cape Verde
Rota
Cape Verde STP
Comoros Seychelles
46/46 countries
STP
Mauritius
Comoros Seychelles
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 In country EPI Not yet in country EPI Not AFR
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MSF Seminar: The best shot, reaching 22 million missed children
Mauritius
8 Countries : Botswana, the Gambia, Ghana, Malawi, Rwanda, South Africa, Tanzania, Zambia
MenAfriVac roll-out 2010 – 2014 (Early achievements 2010-2012)
No reported case of NmA among the vaccinated
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MSF Seminar: The best shot, reaching 22 million missed children
Changes in the South African EPI Programme, 2008-2010 $200.0 R1280 ($175.0) 5780 cm3 $175.0
Lessons from NV PIE: Vaccines cost R1,04 billion per year.
$150.0
Vaccine budgets should be ring-fenced: conditional grants
$125.0
Similar to the tuberculosis, HIV and school health budgets.
$100.0 $75.0 $50.0
Pneumococcal Rotavirus DTP-IPV-Hib DTP-Hib BCG, OPV, Measles, HepB
R185 ($25.0) 46 cm3 $25.0 $0.0 Schedule (2008)
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Schedule (2010)
MSF Seminar: The best shot, reaching 22 million missed children
Impact of NVI on immunization systems 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 6|
MSF Seminar: The best shot, reaching 22 million missed children
Reduction in Estimated Measles Deaths by WHO Region 2000 to 2011
36% 45% 100%
62%
70%
84%
90%
2015 reduction goal (95%) Source: WER. Progress in global control and regional elimination of measles, 2000–2011. 2013: Jan 18.
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MSF Seminar: The best shot, reaching 22 million missed children
71%
YF : A never-ending re-emerging disease Reported YF outbreaks, 1980-2010
Source: Imperial College London, 2012
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MSF Seminar: The best shot, reaching 22 million missed children
Darfur, Yellow fever epidemic, 2012
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MSF Seminar: The best shot, reaching 22 million missed children