Заявление Исполнительного директора ЮНИСЕФ Генриетты Фор относительно сбоев в предоставлении услуг по иммунизации и базовых медицинских услуг в связи с пандемией COVID-19
Загрузить мультимедийный контент о вспышке COVID-19, мытье рук и вакцинах можно здесь: https://uni.cf/2WydpEk . Nurse Milka Babic performs immunization UNICEF/UNI218376/Pancic
Statement by UNICEF Executive Director Henrietta Fore on the disruption of immunization and basic health services due to the COVID-19 pandemic
: “Around the world, the COVID-19 pandemic is overstretching health services as health workers are diverted to support the response. “Physical distancing is leading parents to make the difficult decision to defer routine immunization. “Medical goods are in short supply and supply chains are under historic strain due to transport disruptions. Flight cancellations and trade restrictions by countries have severely constrained access to essential medicines, including vaccines. “As the pandemic progresses, critical life-saving services, including immunization, will likely be disrupted, especially in Africa, Asia and the Middle East where they are sorely needed. “At the greatest risk are children from the poorest families in countries affected by conflicts and natural disasters. “We are particularly concerned about countries that are battling measles, cholera or polio outbreaks while responding to COVID-19 cases, such as Afghanistan, the Democratic Republic of Congo, Somalia, the Philippines, Syria and South Sudan. Not only would such outbreaks tax already stretched health services, they could also lead to additional loss of lives and suffering. At a time like this, these countries can ill-afford to face additional outbreaks of vaccine-preventable diseases. “The message is clear: We must not allow lifesaving health interventions to fall victim to our efforts to address COVID-19. “UNICEF is committed to supporting basic health care and immunization needs in the worst affected countries, and to doing so in a way that limits the risk of COVID-19 transmission. We are working hard to ensure adequate vaccine supplies are available in countries that need them. We are in close communication with global vaccine suppliers to ensure production is not disrupted and supply is managed in the best possible manner under these difficult circumstances. We are also providing greater support to governments to continue the supply of vaccines during this pandemic. “In the days to come, governments may have to temporarily postpone preventive mass vaccination campaigns in many places to ensure that the delivery of immunization services does not contribute to COVID-19 spread, and to follow recommendations on physical distancing. “UNICEF strongly recommends that all governments begin rigorous planning now to intensify immunization activities once the COVID -19 pandemic is under control. These vaccination activities must focus on children who will miss vaccine doses during this period of interruption and prioritize the poorest and most vulnerable children. To successfully roll-out vaccines against COVID -19 when they become available, we need to ensure that our immunization programmes remain robust and can reach those that will need these vaccines the most. “Immunization remains a life-saving health intervention. As the world's biggest buyer and supplier of vaccines, UNICEF will continue to play a pivotal role in supporting governments’ current and future immunization efforts.” Nurse Milka Babic performs immunization UNICEF/UNI218376/Pancic
Moving with the times: 1980–1988
UNICEF launches the Child Survival and Development Revolution, a drive to save the lives of millions of children each year. Special emphasis is placed on four low-cost measures: growth monitoring, oral rehydration therapy, promotion of breastfeeding, and immunization (together they are sometimes referred to by the acronym GOBI) A series of posters introduced in the 1980s features the tagline, “What would you like to be when you grow up? Alive!” UNICEF poster UNICEF На серии плакатов, выпущенных в 1980-х годах, размещен слоган “Что бы ты хотел делать, когда вырастешь? Жить!”
As the COVID-19 pandemic begins to enter a new phase, UNICEF reminds the world that ‘the light at the end of the tunnel needs to shine for all’
“COVID-19 is the first truly global crisis we have seen in our lifetimes. No matter where we live, the pandemic affects every one of us. Children have been seriously impacted. However, with more news about promising vaccines, and as we begin to imagine a day when COVID-19 is behind us, our guiding principle must be that the light at the end of the tunnel needs to shine for all. “This is why UNICEF has enthusiastically joined the Advance Market Commitment of the COVAX Facility to allow low- and lower-middle income countries access to COVID-19 vaccines. It is the best way to make sure that, as vaccines become available, no country is pushed to the back of the line. This would not only be fundamentally unfair, it would be unwise. The whole world will remain vulnerable to the virus until countries with the weakest health systems are protected from it as well. “In order for the COVAX Facility to work and guarantee equitable and affordable access to low- and lower-middle income countries, we need a global commitment to support and capitalize it, but also to finance the delivery of vaccines and associated supplies such as syringes and safety boxes. Governments must work together to ensure that COVID-19 vaccines are affordable and accessible to all countries. High-income countries should invest financially in the Advance Market Commitment and in UNICEF’s COVID-19 vaccine delivery efforts. All countries should take a strong stand against export controls on – and unnecessary stockpiling of – commodities for the COVID-19 response. “UNICEF is also leveraging our unique strengths in community engagement and vaccine supply to make sure that countries participating in the COVAX Facility have safe, fast and equitable access to the vaccine. This is an enormous undertaking and many challenges still lay ahead. As the largest vaccine buyer in the world, procuring more than 2 billion doses annually for routine immunization and outbreak response on behalf of nearly 100 countries, UNICEF is c oordinating and supporting the procurement, international freight , and in-country distribution of COVID-19 vaccines for the COVAX Facility. “Together with WHO, PAHO, GAVI and other partners at the global and regional levels, UNICEF is also working to support countries to ‘ready’ their immunization programmes for this historic roll-out. This includes assessing capacity and helping countries to strengthen their cold and supply chains so that they have adequate infrastructure to transport and store the vaccines for delivery to the frontlines. “However, the existence of a safe and effective COVID-19 vaccine alone will not end the pandemic. We need a diverse set of tools to help slow the spread of COVID-19, including diagnostics and treatments, as well as a continuance of preventive measures such as hand washing, physical distancing and mask wearing. UNICEF is providing governments with access to personal protective equipment, validated testing approaches, and proven treatments. In addition, UNICEF continues to work with multilateral partners to support governments with infection prevention control, water, sanitation and hygiene supplies, physical distancing, surveillance, contact tracing, case identification and community referral systems to stem the pandemic. “Lastly, we continue to help countries ensure the continuity of key essential services for women, children and young people – especially the most vulnerable. COVID-19 related disruptions have had a heavy impact on children: on their safety, their well-being, their future. Even as the fight against the disease enters into a hopeful new phase, we must not forget the work ahead of us to respond, recover and reimagine a better world for children.” ###
Through pandemics and epidemics, hope stays alive
For more than 70 years, we have been working to improve the lives of children and their families. Our mission is made possible by a strong network of talented and dedicated staff that includes physicians, clinicians, logistics experts and communication specialists. As the global COVID-19 pandemic unfolds, we look back at UNICEF's history of responding to health crises the world over, and look ahead to recovering from this one. Филиппины UNICEF/UN03784 Индия, 1961 год. Медицинский работник делает девочке прививку против оспы. UNICEF/UNI41906 Disease prevention Since its beginnings, UNICEF has been at the forefront of disease prevention and revolutionizing children’s health. Working closely with partners like the World Health Organization (WHO), we have seen the eradication of smallpox and the near eradication of polio. Since 1988, the number of children affected by polio has reduced by 99 per cent. Today, some of the same lessons we’ve learned in contact tracing in communities are being applied to reach vulnerable children and their families in some of the remotest parts of the world. Бангладеш, 1989 год. Посол доброй воли ЮНИСЕФ Одри Хепбёрн делает прививку от полиомиелита ребёнку в клинике. In the 1980s UNICEF led the child survival revolution — a shift from treating health issues to preventing them — helping to reduce child deaths by up to nearly 80 per cent in some countries. Our worldwide distribution of oral rehydration solution has helped reduce the number of deaths from diarrhoea — a leading killer of young children — by 60 per cent between 2000 and 2007. Mass immunization campaigns have also played a huge role in protecting children against preventable diseases. For measles alone, about 20 million young people’s lives were saved between 2000 and 2015 thanks to such efforts by UNICEF and partners. HIV and AIDS In 1987, AIDS became the first disease to be debated on the floor of the UN General Assembly. As Member States convened, UNICEF and WHO were already monitoring possible interactions between the disease and immunization and breastfeeding. As infections spread, UNICEF geared its research, policy, planning and fundraising to better understand how to prevent mother-to-child transmission. To equip the public with facts, we supported health education around the world, particularly in sub-Saharan Africa, working tirelessly to inform, educate and protect against stigma and discrimination around HIV and AIDS. Медицинский работник берёт кровь для исследования на ВИЧ Since 2010, 1.4 million HIV infections among children have been averted. The reduction in mother-to-child transmission is viewed as a public health success story. Jointly with partners, UNICEF has set ambitious targets for ending AIDS by 2030. Малыши обнимаются в приюте Swine flu In 2009, the swine flu pandemic swept across the world primarily affecting children and young adults who were otherwise in good health. UNICEF put measures in place to prepare for possible local outbreaks in 90 countries. These measures remained in place after the pandemic with an eye on future outbreaks. Mедицинские работники посещают дома Ebola Within two and a half years of the 2014 outbreak of Ebola in West Africa, more than 28,616 cases and 11,310 deaths had been recorded. During the crisis, UNICEF helped in providing care for ostracized children suspected of being infected, children who lost parents and guardians to Ebola, and the millions who were out of school. Since 2018, with the start of the second-biggest Ebola epidemic ever recorded, we have been working with partners across the region to prevent transmission and protect affected children. Within a year, UNICEF and partners had trained more than 32,400 teachers on how to teach children about Ebola prevention and how to make schools a protective environment. Медицинский работник измеряет температуру Coronavirus (COVID-19) The ongoing COVID-19 pandemic has upended family life around the world. Economic shutdowns, school closures and confinement measures are all having a heavy impact on children now and the longer-term repercussions risk their safety, their well-being and their future. UNICEF is calling for swift global action without which, this health crisis risks becoming a child-rights crisis. ЮНИСЕФ Южный Судан, 2020 год. ЮНИСЕФ располагает сетью, состоящей из 2500 социальных активистов, работающих в течение года для повышения осведомлённости людей о важности соблюдения правил гигиены, иммунизации, питания, защиты детей и образования. UNICEF is on the ground in more than 190 countries, partnering with governments, health workers and other front-line responders to keep children healthy, safe and learning, no matter who they are or where they live. COVID-19 is one of the biggest fights in our history, yet, it is a fight that together we can win. Are you with us?
Strengthening the implementation of health policies
The initiative also promotes and supports multi-disciplinary approaches and teams to address the complex causes of health problems among refugee and migrant children – from trauma, anxiety and over-crowded conditions, to lack of hygiene facilities and immunization. As a result, support from the ‘RM Child-health’ initiative builds trust between refugee and migrant families and health providers. At the Centre for refugees and migrants near Bela Palanka in south-eastern Serbia, for example, the needs of refugee and migrant women have shaped the development of the Community Centre run by ADRA, with its Mother and Baby Corner for women with infants. Here, women can take part in language classes, sports activities and, crucially, in workshops about their own health and rights. “ The most important thing is that all the advice from our doctor is in line with their economic circumstances and current living situation [in Reception centres],” explains social worker Andja Petrovic. “The advice is tailored to their life and I think they particularly like that, because they can see that their situation is acknowledged. Because when they go to a doctor [in other facilities], they get advice that they can’t follow because they don’t have the living conditions for it.” Also in Serbia, funding from the ‘RM Child-health Initiative’ supports work by UNICEF and the Institute of Mental Health that looks beyond the provision of basic health care to assess the scale and nature of substance abuse among refugee and migrant communities. This cutting-edge field research will guide the development of materials and capacity building specifically for health and community workers who are in regular contact with young refugees and migrants, helping these workers to identify and tackle substance abuse by connecting children and youth to support services. As one researcher involved in the research commented: “Most of those children have spent several years without a home or any sense of stability. They can't make a single plan about the future since everything in their life is so uncertain. I can't begin to imagine how frightening that is.” By building greater rapport between frontline workers and children, and by equipping those workers with the support, skills and resources they need, the ‘RM Child-health’ initiative is helping to transform health policies into health practice. This vital work has been particularly crucial in 2020, as frontline workers have had to confront – and adapt to – the greatest public health crisis in living memory: the COVID-19 pandemic. Logo This story is part of the Project ‘Strengthening Refugee and Migrant Children’s Health Status in Southern and South Eastern Europe’, Co-funded by the Health Programme of the European Union (the ‘RM Child-Health’ initiative).It represents the views of the author only and is her sole responsibility; it cannot be considered to reflect the views of the European Commission and/or the Consumers, Health, Agriculture and Food Executive Agency or any other body of the European Union. The European Commission and the Agency do not accept any responsibility for use that may be made of the information it contains.
Five opportunities for children we must seize now
History and science tell us vaccines are the best hope we have of ending this virus and rebuilding our lives and our livelihoods. Yet, as Ridhi reminds us, there is a real risk the What you need to know about a COVID-19 vaccine COVID-19 vaccines will not reach all who need it. Vaccine hesitancy will have a profound effect on our ability to overcome COVID-19. A study of nearly 20,000 adults from 27 countries found that roughly 1 in 4 of them would decline a COVID-19 vaccine. A similar study of Americans showed that unclear and inconsistent messaging from public health officials and politicians could reduce vaccine use. Meanwhile, vaccine misinformation has become a big and growing business. Anti-vaccination entrepreneurs have increased their online following by at least 20 per cent during the pandemic. According to Avaaz, the top 10 websites identified by researchers as spreading health misinformation had almost four times as many views on Facebook as information from established health sites. In short, we are losing serious ground in the fight for trust. And without trust, any COVID-19 vaccine will be useless. But with the global roll-out of COVID-19 vaccines, we now have the opportunity to truly reach every child with life-saving immunizations. The light at the end of the tunnel needs to shine for all.