7_Dr Mihigo_State of play_Experience from the WHO regional office for Africa

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