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Global Immunizations A Crucial Tool for Child Survival. Congressional Briefing Honorary Hosts Rep. Nita Lowey and Sen. Bob Casey B-340 Rayburn House Office Building June 13, 2012 12:00 – 1:30 PM. Yvonne (Bonnie) Maldonado, MD FAAP Departments of Pediatrics and Health Research and Policy - PowerPoint PPT Presentation
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Global Immunizations A Crucial Tool for Child Survival
Congressional BriefingHonorary Hosts Rep. Nita Lowey and Sen. Bob Casey
B-340 Rayburn House Office BuildingJune 13, 2012
12:00 – 1:30 PM
Global Childhood Survival: Vaccine Preventable Deaths
Yvonne (Bonnie) Maldonado, MD FAAPDepartments of Pediatrics and Health Research and PolicyStanford University School of Medicine
Current Global Impact of Immunization on Vaccine-Preventable Diseases
Disease # of Preventable Cases
Hepatitis B 900,000Measles 888,000Haemophilus influenzae type b (Hib)
400,000
Pertussis (Whooping cough) 346,000Neonatal Tetanus 215,000Tetanus 195,000Yellow Fever 30,000Diphtheria 5,000Poliomyelitis 720TOTAL 2,979,720Source: WHO
Global Child Deaths Due to Vaccine Preventable Diseases
Source: WHO
~2.9M preventable deaths
Reducing Vaccine Preventable Deaths
Source: WHO
• Addressing vaccine preventable infectious disease deaths would achieve half of the UN MDG goal by 2015
Vaccine Preventable Diseases
Smallpox Measles Polio
PolioPolio
Congenital Rubella
Tetanus
Current Global Priorities for Immunizations
Andrea GayExecutive DirectorChildren’s Health, United Nations Foundation
Measles, U.S. 2011• 222 reported cases to CDC/NCIRD• 72 importations from 20-22 countries• 17 outbreaks (3-21 cases)• US resident cases (N=196): 85% unvaccinated
or unknown vaccination status, 9% 1 dose, 6% 2 doses
• 70 (32%) hospitalized– 41% <12 m, 38% 1-4 y, 20% 5-19 yrs., 31% ≥20 y – 97% unvaccinated, 3% 1 dose
Measles, U.S., 2001-2011Importations by WHO Region
Measles, U.S. 2011Geographic Distribution of Cases (n=222)
Measles, 2011
Global collaboration - perspective from a country’s successes and
challenges
Dr. Adenike GrangeInternational Pediatric Association (IPA)
Nigeria- Population and Health Profile 2010
• Total population 158,423,000
• Annual no. of births 6,332,000
• Annual no. of under-5 deaths 861,000
• Infant mortality rate (under 1) 88,000
• Life expectancy at birth (years) 51
167
228 230207 197
126 125 112 105
0
100
200
300
1980 1990 2000 2004
Year
Mor
talit
y ra
tes
per 1
,000
liv
e bi
rths
U5MR IMR
Target forMDG4
Polio Cases, Nigeria – 2003-2012
2006 2007 2008 2009 2010 2011 20120
200
400
600
800
1000
1200 1122
285
798
358
21 6215
Year
No
of c
ases
18
Playing Poker with PolioMaiming our
children for life
The FEAT of POLIO
My commitment to the people of this country is that between now and 2015 we will work day and night to make sure that we eradicate polio.
For that reason, we have also increased the amount of money we bring into polio eradication from $17 million to $30 million and if we have challenges, we will look for more money
The President Speaks My commitment to the people of this
country is that between now and 2015 we will work day and night to make sure that we eradicate polio.
For that reason, we have also increased the amount of money we bring into polio eradication from $17 million to $30 million and if we have challenges, we will look for more money
NPHCDA & PARTNERS SURGE IN HR TECHNICAL ASSISTANCE
21
WHO: • 1,500 additional workers at ward
level in 10 statesUNICEF:• Recruitment of 7 international
polio communication consultants• 557 volunteer community
mobilizers for Kano, Kebbi, SokotoCDC• Epidemiologist and data manager
at NPHCDA• Increasing STOP to 22-25 members
and deployed for 5 monthsBMGF:• Sub-national SIA and RI consultant
Strategy = Partnerships
Redeemer’s University,
Nigeria
FACE OF NIGERIA’s CHILD Tears, Pain
Global Childhood Survival: A Personal Perspective
Alanna Levine, MD FAAPPediatrician, Orangetown Pediatric AssociatesSpokesperson, American Academy of Pediatrics
Global Immunizations A Crucial Tool for Child Survival
Q&A