Transcript Global Immunizations Briefing - American Academy of Pediatrics

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
Global Childhood Survival:
Vaccine Preventable Deaths
Yvonne (Bonnie) Maldonado, MD FAAP
Departments of Pediatrics and Health Research and Policy
Stanford University School of Medicine
Current Global Impact of Immunization
on Vaccine-Preventable Diseases
Disease
# of Preventable Cases
Hepatitis B
900,000
Measles
888,000
Haemophilus influenzae type b (Hib)
400,000
Pertussis (Whooping cough)
346,000
Neonatal Tetanus
215,000
Tetanus
195,000
Yellow Fever
Diphtheria
Poliomyelitis
TOTAL
Source: WHO
30,000
5,000
720
2,979,720
Global Child Deaths Due to Vaccine
Preventable Diseases
~2.9M preventable deaths
Source: WHO
Reducing Vaccine Preventable Deaths
• Addressing vaccine
preventable infectious
disease deaths would
achieve half of the UN
MDG goal by 2015
Source: WHO
Vaccine Preventable Diseases
Smallpox
Measles
Polio
Congenital Rubella
Polio
Polio
Tetanus
Current Global Priorities for
Immunizations
Andrea Gay
Executive Director
Children’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., 2001-2011
Importations by WHO Region
Measles, U.S. 2011
Geographic Distribution of Cases (n=222)
Measles, 2011
Global collaboration - perspective
from a country’s successes and
challenges
Dr. Adenike Grange
International 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
Mortality rates per 1,000
live births
300
228
230
207
197
200
126
125
167
112
105
100
Target for
MDG4
0
1980
1990
2000
2004
Year
U5MR
IMR
Polio Cases, Nigeria – 2003-2012
1200
1122
No of cases
1000
798
800
600
358
400
285
200
21
62
0
2006
2007
2008
2009
Year
2010
2011
15
2012
18
Playing Poker with Polio
Maiming our children for life
The FEAT of POLIO
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
WHO:
•
1,500 additional workers at ward
level in 10 states
UNICEF:
•
Recruitment of 7 international
polio communication consultants
•
557 volunteer community
mobilizers for Kano, Kebbi, Sokoto
CDC
•
Epidemiologist and data manager
at NPHCDA
•
Increasing STOP to 22-25 members
and deployed for 5 months
BMGF:
•
Sub-national SIA and RI consultant
21
Strategy = Partnerships
FACE OF NIGERIA’s CHILD
Tears, Pain
Redeemer’s
University,
Nigeria
Global Childhood Survival:
A Personal Perspective
Alanna Levine, MD FAAP
Pediatrician, Orangetown Pediatric Associates
Spokesperson, American Academy of Pediatrics
Global Immunizations
A Crucial Tool for Child Survival
Q&A