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Пресс-релиз
20 Апрель 2020
ВОЗ и ЮНИСЕФ: Продолжение оказания услуг по плановой иммунизации имеет жизненно важное значение во время пандемии COVID-19
https://www.unicef.org/eca/ru/%D0%9F%D1%80%D0%B5%D1%81%D1%81-%D1%80%D0%B5%D0%BB%D0%B8%D0%B7%D1%8B/%D0%B2%D0%BE%D0%B7-%D0%B8-%D1%8E%D0%BD%D0%B8%D1%81%D0%B5%D1%84-%D0%BF%D1%80%D0%BE%D0%B4%D0%BE%D0%BB%D0%B6%D0%B5%D0%BD%D0%B8%D0%B5-%D0%BE%D0%BA%D0%B0%D0%B7%D0%B0%D0%BD%D0%B8%D1%8F-%D1%83%D1%81%D0%BB%D1%83%D0%B3-%D0%BF%D0%BE-%D0%BF%D0%BB%D0%B0%D0%BD%D0%BE%D0%B2%D0%BE%D0%B9-%D0%B8%D0%BC%D0%BC%D1%83%D0%BD%D0%B8%D0%B7%D0%B0%D1%86%D0%B8%D0%B8-%D0%B8%D0%BC%D0%B5%D0%B5%D1%82-%D0%B6%D0%B8%D0%B7%D0%BD%D0%B5%D0%BD%D0%BD%D0%BE-%D0%B2%D0%B0%D0%B6%D0%BD%D0%BE%D0%B5
ЖЕНЕВА/КОПЕНГАГЕН, 20 апреля 2020 г. Пандемия COVID-19 является суровым напоминанием о том, что инфекционные болезни не знают границ. Уязвимыми оказываются все страны, независимо от уровня доходов или прочности их систем здравоохранения. Скорость и разрушения, которые демонстрирует новый коронавирус, полностью изменили жизнь во всем Европейском регионе, где десятки миллионов людей живут в условиях самоизоляции на протяжении недель, и где погибли более 100 000 человек. Острая необходимость в вакцине против COVID-19 подчеркивает ту ведущую роль, которую играет иммунизация в защите жизней людей и экономики. По мере того как ученые всего мира работают над созданием вакцины против нового коронавируса и растет потенциал здравоохранения в плане реагирования на COVID-19, национальные программы плановой иммунизации приобретают еще бóльшее значение, чем когда-либо ранее. Правительства всего Европейского региона должны использовать любую имеющуюся возможность для защиты людей от тех многочисленных болезней, против которых уже существуют вакцины. В случае пропуска плановой вакцинации возрастает риск вспышек болезней. В 2018 г. около 527 000 детей пропустили первую дозу коресодержащей вакцины в Европейском регионе ВОЗ. Годом позже, в 2019 г. вирус кори обнажил пробелы в иммунизации в Европе, став причиной заражения более 100 000 человек во всех возрастных группах. Защита детей, подростков и взрослых путем вакцинации от болезней, предупреждаемых с помощью вакцин, является обязательным условием устойчивости систем здравоохранения. «Мы знаем, что уязвимость к инфекционным болезням где-либо является угрозой для общественного здравоохранения во всем мире, – отметила г-жа Афшан Хан, Региональный директор, Отделение ЮНИСЕФ по странам Европы и Центральной Азии. – Крайне важно, чтобы во время этого кризиса продолжалась работа программ плановой иммунизации при одновременном обеспечении надлежащей защиты как медицинских работников, так и вакцинируемых. Приоритет следует отдавать охвату наиболее уязвимых детей, которые пропустили в прошлом плановую иммунизацию». Если в это беспрецедентное время ответные меры в связи с COVID-19 на местном уровне приводят к временным перебоям в оказании услуг по плановой иммунизации, странам следует запланировать возобновление оказания услуг по иммунизации в кратчайшие сроки после стабилизации ситуации. Страны должны быть готовы к проведению вакцинации лиц с повышенным риском и к обеспечению того, чтобы у всех людей, включая наиболее маргинализированных, был равный доступ к вакцине против COVID-19, после того  как она станет доступной. «Мы можем избежать дальнейшего воздействия COVID-19 на наши системы здравоохранения, обеспечив продолжение вакцинации людей всех возрастов в соответствии с национальными графиками. Я призываю страны даже в это трудное время продолжать оказание услуг по иммунизации и стимулировать спрос на вакцинацию на протяжении всей жизни человека. Обеспечение приоритетности иммунизации является одной из моих четырех основных областей моей работы и занимает центральное место в концепции ВОЗ в отношении здоровья в новой Европейской программе работы», – заявил д-р Ханс Генри П. Клюге, директор Европейского регионального бюро ВОЗ. ВОЗ и ЮНИСЕФ будут и впредь поддерживать усилия правительств по укреплению их программ иммунизации, в том числе посредством стратегического планирования для оказания услуг по иммунизации на справедливой основе, усиления эпиднадзора за болезнями, предупреждаемыми с помощью вакцин, а также обеспечения участия и просвещения местных сообществ. В новом будущем, в которое мы сейчас вступаем, вакцины будут по-прежнему служить основой для обеспечения здоровья и благополучия для всех. Именно благодаря солидарности, совместным действиям и неустанной приверженности принципу «не оставить никого без внимания» мы сможем вместе создать более здоровое будущее.   #ВакциныРаботают Georgia immunization UNICEF/UN0326765/Georgia
Пресс-релиз
16 Апрель 2020
Из-за стремительного роста пандемии COVID-19 существует риск того, что более 117 миллионов детей пропустят вакцинацию против кори
https://www.unicef.org/eca/ru/%D0%9F%D1%80%D0%B5%D1%81%D1%81-%D1%80%D0%B5%D0%BB%D0%B8%D0%B7%D1%8B/%D0%B8%D0%B7-%D0%B7%D0%B0-%D1%81%D1%82%D1%80%D0%B5%D0%BC%D0%B8%D1%82%D0%B5%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE-%D1%80%D0%BE%D1%81%D1%82%D0%B0-%D0%BF%D0%B0%D0%BD%D0%B4%D0%B5%D0%BC%D0%B8%D0%B8-covid-19-%D1%81%D1%83%D1%89%D0%B5%D1%81%D1%82%D0%B2%D1%83%D0%B5%D1%82-%D1%80%D0%B8%D1%81%D0%BA-%D1%82%D0%BE%D0%B3%D0%BE-%D1%87%D1%82%D0%BE-%D0%B1%D0%BE%D0%BB%D0%B5%D0%B5-117
АТЛАНТА/ЖЕНЕВА/НЬЮ-ЙОРК, 14 апреля 2020 г.: На фоне продолжающегося глобального распространения COVID-19 более 117 миллионов детей в 37 странах могут пропустить жизненно важную прививку против кори. Кампании иммунизации против кори уже приостановлены в 24 странах, и будут отложены в других странах. В этот сложный период Инициатива по борьбе с корью и краснухой выражает солидарность с семьями, местными сообществами, правительствами и группами реагирования на чрезвычайные ситуации и присоединяется к нашим глобальным партнерам в области иммунизации и здравоохранения, включая наших партнеров из ГАВИ (Альянса по вакцинам) и Глобальной инициативы по ликвидации полиомиелита (ГИЛП), в рамках нашей общей целенаправленной работы и борьбы с угрозой COVID-19. Пандемия, охватившая весь мир, требует скоординированных усилий и выделения ресурсов для обеспечения защиты медицинских работников первичного звена во всем мире, которые непосредственно сталкиваются с этой новой угрозой и принимают ответные меры. Одновременно мы должны поддерживать и усилия по защите основных служб иммунизации - сейчас и в будущем. Всемирная организация здравоохранения (ВОЗ) выпустила новые руководящие принципы , одобренные Стратегической консультативной группой экспертов по иммунизации, которые помогут странам в проведении мероприятий по иммунизации во время пандемии COVID-19. В данных руководящих принципах содержится рекомендация правительствам временно приостановить кампании профилактической иммунизации в случае отсутствия активной вспышки болезни, предупреждаемой с помощью вакцины. Партнеры Инициативы по борьбе с корью и краснухой, включая Американский Красный Крест, Центры по контролю и профилактике заболеваний США, ЮНИСЕФ, Фонд ООН и ВОЗ, полностью согласны с этими рекомендациями. Мы также призываем страны продолжать оказание услуг по плановой иммунизации, обеспечивая при этом безопасность местных сообществ и медицинских работников. В рекомендациях также содержится просьба к правительствам провести тщательный анализ рисков и пользы при принятии решения о целесообразности приостановки кампаний вакцинации в ответ на вспышки, с возможностью отложить проведение кампаний, если риск передачи COVID-19 считается недопустимо высоким. В том случае, если из-за распространения COVID-19 будет принято трудное решение о приостановке вакцинации, мы призываем лидеров активизировать усилия по отслеживанию невакцинированных детей, с тем чтобы наиболее уязвимые группы населения смогли получить прививки против кори, как только это станет возможным. Хотя мы и осознаем, что во время угрозы COVID-19 - и после ее устранения - к системам здравоохранения и медицинским работникам первичного звена будут предъявляться многочисленные требования, нужно помнить о том, что предоставление всех услуг по иммунизации, включая вакцинацию против кори, играет ключевую роль для спасения жизней, которые, в противном случае, были бы потеряны из-за болезней, предупреждаемых с помощью вакцин. Инициатива по борьбе с корью и краснухой поддерживает необходимость защитить общины и медицинских работников от COVID-19 посредством приостановки проведения массовых кампаний там, где высоки риски заболевания. Однако это не должно означать постоянный пропуск вакцинации детьми. Сейчас необходимо предпринять неотложные усилия на местном, национальном, региональном и глобальном уровнях, чтобы подготовиться к устранению пробелов в иммунизации, результатом которых может стать инфицирование вирусом кори, путем обеспечения наличия вакцин и их незамедлительного предоставления детям и уязвимым группам населения для их защиты от болезни. Несмотря на то, что безопасная и эффективная вакцина существует уже более 50 лет, число случаев заболевания корью за последние годы стремительно возросло, и в 2018 г. корь унесла более 140 000 жизней, в основном детей и младенцев, причем все эти случаи смерти можно было предотвратить. На этом и без того опасном фоне в настоящий момент в 24 странах были приостановлены или отложены кампании профилактической и ответной вакцинации против кори, с тем чтобы помочь предотвратить дальнейшее распространение COVID-19. Кампании, которые планируется провести позднее в 2020 г. еще в 13 странах, возможно, не будут  проведены. Приостановка запланированных мероприятий по иммунизации может оказать свое воздействие в общей сложности на более чем 117 миллионов детей, многие из которых живут в регионах, где продолжаются вспышки кори, в 37 странах. Эта ошеломляющая цифра не включает в себя число детей, которые не могут быть вакцинированы из-за влияния COVID-19 на услуги по  плановой иммунизации. Дети в возрасте младше 12 месяцев чаще умирают от вызванных корью осложнений, и, если циркуляция вируса кори не будет остановлена, риск заражения этой болезнью будет возрастать с каждым днем. Инициатива по борьбе с корью и краснухой приветствует героизм медицинских работников и работников служб неотложной помощи во всем мире, и мы признаем ту жизненно важную роль, которую они играют в предоставлении четкой и достоверной информации, а также профилактического и поддерживающего лечения в своих сообществах.  Мы должны инвестировать в медицинских работников и обеспечить их защиту от инфицирования, а также расширение их прав и возможностей в рамках устойчивых и функционирующих систем первичной медико-санитарной помощи. Они являются первым рубежом защиты от глобальных эпидемий. Мы также отдаем должное роли родителей и опекунов в обеспечении вакцинации их детей и соблюдении рекомендаций по сохранению физической дистанции в соответствии с национальными руководствами. Наконец, мы призываем государственных и местных лидеров реализовать эффективные стратегии коммуникации для вовлечении местных сообществ, для поддержания высокого спроса и предложения вакцинации и оказания помощи в обеспечении здоровой жизни для каждого ребенка, особенно в это сложное время. ### Примечания для редактора Об Инициативе по борьбе с корью и краснухой: Инициатива по борьбе с корью и краснухой (M&RI) – это глобальное партнерство, созданное Американским Красным Крестом, Центрами по контролю и профилактике заболеваний США, ЮНИСЕФ, Фондом Организации Объединенных Наций и ВОЗ с целью навсегда освободить мир от кори, краснухи и синдрома врожденной краснухи. Со времени своего основания в 2001 г. Инициатива содействовала вакцинации свыше 2,9 миллиарда детей и спасла более 21 миллиона жизней благодаря расширению охвата вакцинацией, повышению эффективности систем мониторинга, оценки и реагирования на болезни, а также укреплению доверия населения к иммунизации и повышению ее востребованности. Для достижения этих целей Инициатива тесно сотрудничает с ГАВИ (Альянсом по вакцинам). Для получения дополнительной информации посетите наш веб-сайт www.measlesrubellainitiative.org и следите за нашими сообщениями в  Twitter . Дополнительная информация о кори: Информационный бюллетень ВОЗ; обновления информации ЦКПЗ о кори ; самые последние данные ВОЗ по эпиднадзору за корью Руководящие принципы ВОЗ по иммунизации во время вспышки COVID-19 приведены по этой ссылке Для получения дополнительной информации о COVID-19 посетите веб-страницу https://www.unicef.org/coronavirus/covid-19 Для получения информации о работе ЮНИСЕФ по иммунизации посетите веб-страницу https://www.unicef.org/immunization Kyrylo UNICEF/UN0201071/Krepkih
Press release
17 Апрель 2020
Maintaining routine immunization services vital during the COVID-19 pandemic – WHO and UNICEF
https://www.unicef.org/eca/node/5936
GENEVA/COPENHAGEN, 20 April 2020 - The COVID-19 pandemic is a stark reminder that infectious diseases know no borders. All countries are vulnerable, regardless of income levels or the strength of their health care systems. Across the European Region, where tens of millions of people have been living in lockdown for weeks, and over 100,000 people have died, the speed and devastation of the novel coronavirus has completely upended lives. The urgent need for a COVID-19 vaccine underscores the pivotal role immunizations play in protecting lives and economies. As scientists around the world work to develop a vaccine against the novel coronavirus and health care capacities are stretched in responding to COVID-19, national routine immunization programmes are more critical than ever before. Governments across the Region must use every opportunity possible to protect people from the many diseases for which vaccines are already available. When routine vaccinations are missed, the risk of disease outbreaks increases. In 2018, approximately 527 000 children missed their first-dose of measles-containing vaccine in the WHO European Region. One year later in 2019, the measles virus exposed immunity gaps in Europe, infecting over 100 000 people, across all age-groups. Protecting children, adolescents and adults from vaccine-preventable diseases through vaccination is a must for the sustainability of health care systems. “We know that vulnerability to infectious diseases anywhere is a threat to public health everywhere,” said Ms. Afshan Khan, UNICEF Regional Director for Europe and Central Asia. “It is critical that routine immunization programmes continue during this crisis, while adequately protecting health workers and individuals receiving vaccinations. Reaching the most vulnerable children who have missed routine immunizations in the past should be prioritized.” If, during these unprecedented times, local COVID-19 response measures cause temporary interruptions of routine immunization services, countries should plan to resume immunization services as quickly as possible after the situation stabilizes. Countries should be prepared to vaccinate those at higher risk and ensure everyone, including the most marginalized, will have equal access to a COVID-19 vaccine when it becomes available. “ We can prevent further impact of COVID-19 on our healthcare systems by assuring that individuals of all ages remain vaccinated according to national schedules. I urge countries to maintain immunization service delivery and drive demand for vaccination, through the life-course even at this difficult time. Prioritizing immunization is one of my four flagship areas and central to WHO’s vision for health in the new European Programme of Work” said Dr Hans Henri P. Kluge, WHO Regional Director for Europe. WHO and UNICEF will continue to support governments’ efforts to strengthen their immunization programmes, including through strategic planning for equitable provision of immunization, strengthening vaccine-preventable disease surveillance and community engagement and education. As we step into a new future, vaccines will continue to serve as a foundation for health and wellbeing for all. It is through solidarity, joint action and tireless commitment to leaving no one behind that we can create a healthier future together.   #Vaccineswork Georgia immunization UNICEF/UN0326765/Georgia
Press release
15 Июль 2020
WHO and UNICEF warn of a decline in vaccinations during COVID-19
https://www.unicef.org/eca/press-releases/who-and-unicef-warn-decline-vaccinations-during-covid-19
GENEVA/NEW YORK, 15 July 2020 – The World Health Organization and UNICEF warned today of an alarming decline in the number of children receiving life-saving vaccines around the world. This is due to disruptions in the delivery and uptake of immunization services caused by the COVID-19 pandemic. According to new data by WHO and UNICEF , these disruptions threaten to reverse hard-won progress to reach more children and adolescents with a wider range of vaccines, which has already been hampered by a decade of stalling coverage. The latest data on vaccine coverage estimates from WHO and UNICEF for 2019 shows that improvements such as the expansion of the HPV vaccine to 106 countries and greater protection for children against more diseases are in danger of lapsing. For example, preliminary data for the first four months of 2020 points to a substantial drop in the number of children completing three doses of the vaccine against diphtheria, tetanus and pertussis (DTP3). This is the first time in 28 years that the world could see a reduction in DTP3 coverage – the marker for immunization coverage within and across countries. “Vaccines are one of the most powerful tools in the history of public health, and more children are now being immunized than ever before,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “But the pandemic has put those gains at risk. The avoidable suffering and death caused by children missing out on routine immunizations could be far greater than COVID-19 itself. But it doesn’t have to be that way. Vaccines can be delivered safely even during the pandemic, and we are calling on countries to ensure these essential life-saving programmes continue.”   COVID-19 disruptions Due to the COVID-19 pandemic, at least 30 measles vaccination campaigns were or are at risk of being cancelled, which could result in further outbreaks in 2020 and beyond. According to a new UNICEF, WHO and Gavi pulse survey ,  conducted in collaboration with the US Centers for Disease Control, the Sabin Vaccine Institute and Johns Hopkins Bloomberg School of Public Health, three quarters of the 82 countries that responded reported COVID-19 related disruptions in their immunization programmes as of May 2020. The reasons for disrupted services vary. Even when services are offered, people are either unable to access them because of reluctance to leave home, transport interruptions, economic hardships, restrictions on movement, or fear of being exposed to people with COVID-19. Many health workers are also unavailable because of restrictions on travel or redeployment to COVID response duties as well as a lack of protective equipment. “COVID-19 has made previously routine vaccination a daunting challenge,” said UNICEF Executive Director Henrietta Fore. “We must prevent a further deterioration in vaccine coverage and urgently resume vaccination programs before children’s lives are threatened by other diseases. We cannot trade one health crisis for another.”   Stagnating global coverage rate Progress on immunization coverage was stalling before COVID-19 hit, at 85 per cent for DTP3 and measles vaccines. The likelihood that a child born today will be fully vaccinated with all the globally recommended vaccines by the time she reaches the age of 5 is less than 20 per cent. In 2019, nearly 14 million children missed out on life-saving vaccines such as measles and DTP3. Most of these children live in Africa and are likely to lack access to other health services. Two-thirds of them are concentrated in 10 middle- and low-income countries: Angola, Brazil, Democratic Republic of the Congo, Ethiopia, India, Indonesia, Mexico, Nigeria, Pakistan, and Philippines. Children in middle-income countries account for an increasing share of the burden.   Progress and challenges, by country and region There has been some progress. Regional coverage for the third dose of DTP in South Asia has increased by 12 percentage points over the last 10 years, notably across India, Nepal and Pakistan. However, that hard-won progress could be undone by COVID-19 related disruptions. Countries that had recorded significant progress, such as Ethiopia and Pakistan, are now also at risk of backsliding if immunization services are not restored as soon as feasible. The situation is especially concerning for Latin America and the Caribbean, where historically high coverage has slipped over the last decade. In Brazil, Bolivia, Haiti and Venezuela, immunization coverage plummeted by at least 14 percentage points since 2010. These countries are now also confronting moderate to severe COVID19-related disruptions.    As the global health community attempts to recover lost ground due to COVID-19 related disruptions, UNICEF and WHO are supporting countries in their efforts to reimagine immunization and build back better by: Restoring services so countries can safely deliver routine immunization services during the COVID-19 pandemic, by adhering to hygiene and physical distancing recommendations and providing protective equipment to health workers; Helping health workers communicate actively with caregivers to explain how services have been reconfigured to ensure safety; Rectifying coverage and immunity gaps; Expanding routine services to reach missed communities, where some of the most vulnerable children live. ### Notes to editors Download photos , the report, data files and b-roll from UNICEF here or from WHO here . After 2pm CET 15 July, read the analysis of the data in this report, Are we losing ground? . Review presentation and graphs related to the data here . Nurses in Kosovo immunizing children when vaccination programme was resumed UNICEF/2020/S.Karahoda Nurses in Kosovo immunizing children when vaccination programme was resumed
Press release
19 Октябрь 2020
UNICEF to stockpile over half a billion syringes by year end, as part of efforts to prepare for eventual COVID-19 vaccinations
https://www.unicef.org/eca/press-releases/unicef-stockpile-over-half-billion-syringes-year-end-part-efforts-prepare-eventual
NEW YORK, 19 October 2020 – As the world awaits a COVID-19 vaccine, UNICEF has begun  laying the groundwork  for the rapid, safe and efficient delivery of the eventual vaccine by purchasing and pre-positioning syringes and other necessary equipment. As soon as COVID-19 vaccines successfully emerge from trials and are licensed and recommended for use, the world will need as many syringes as doses of vaccine. To begin preparations, this year, UNICEF will stockpile 520 million syringes in its warehouses, part of a larger plan of 1 billion syringes by 2021, to guarantee initial supply and help ensure that syringes arrive in countries before the COVID-19 vaccines. During 2021, assuming there are enough doses of COVID-19 vaccines, UNICEF anticipates delivering over 1 billion syringes to support COVID-19 vaccination efforts on top of the 620 million syringes that UNICEF will purchase for other vaccination programmes against other diseases such as measles, typhoid and more. “Vaccinating the world against COVID-19 will be one of the largest mass undertakings in human history, and we will need to move as quickly as the vaccines can be produced,” said Henrietta Fore, UNICEF Executive Director. “In order to move fast later, we must move fast now. By the end of the year, we will already have over half a billion syringes pre-positioned where they can be deployed quickly and cost effectively. That’s enough syringes to wrap around the world one and a half times.”  In line with the longstanding collaboration between the two partners, Gavi will reimburse UNICEF for the procurement of the syringes and safety boxes, which shall then be used for the  COVID-19 Vaccine Global Access Facility (COVAX Facility)  and for other Gavi-funded immunization programmes if necessary. Besides syringes, UNICEF is also buying 5 million safety boxes so that used syringes and needles can be disposed in a safe manner by personnel at health facilities, thus preventing the risk of needle stick injuries and blood borne diseases. Every safety box carries 100 syringes. Accordingly, UNICEF is “bundling” the syringes with safety boxes to ensure enough safety boxes are available to go along with the syringes. Injection equipment such as syringes and safety boxes have a shelf life of five years. Lead-times for such equipment are also long as these items are bulky and need to be transported by sea freight.  Vaccines , which are heat sensitive, are normally transported more quickly by air freight. In addition to saving time, early purchase of syringes and safety boxes also reduces pressure on the market and pre-empts potential early spikes in demand when vaccines do become available. As the key procurement coordinator for Gavi, the Vaccine Alliance, UNICEF is already the  largest single vaccine buyer in the world , procuring more than 2 billion doses of vaccines annually for routine immunization and outbreak response on behalf of nearly 100 countries. Every year,  UNICEF provides vaccines  for almost half of the world’s children and procures and supplies around 600-800 million syringes for regular immunization programmes. COVID-19 vaccines will likely treble or quadruple that number, depending on the number of COVID-19 vaccines that are ultimately produced and secured by UNICEF. “Over two decades, Gavi has helped an additional 822 million children from the world’s most vulnerable countries access critical, life-saving vaccines,” said Seth Berkley, CEO of Gavi. “This would not have been possible without our partnership with UNICEF, and it is this same collaboration that will be essential to Gavi’s work with the COVAX Facility.” To make sure that vaccines are transported and  stored at the right temperature , UNICEF, along with WHO, is also mapping out existing cold chain equipment and storage capacity – in the private as well as public sector – and preparing necessary guidance for countries to receive vaccines. “We are doing everything we can to deliver these essential supplies efficiently, effectively and at the right temperature, as we already do so well all over the world,” Fore said. Even prior to the COVID-19 pandemic, with support from Gavi and in partnership with WHO,  UNICEF has been upgrading  the existing cold chain equipment across health facilities in countries to ensure that vaccines remain safe and effective throughout their journey. Since 2017, over 40,000 cold-chain fridges, including solar fridges, have been installed across health facilities, mostly in Africa. In most countries, UNICEF is promoting solar technologies to help countries maintain supply chains.  In South Sudan , the least electrified country in the world, where temperatures frequently exceed 40 degrees Celsius, more than 700 health facilities have been equipped by UNICEF with solar power fridges, approximately 50 per cent of health facilities in the country. A health volunteer fills a syringe UNICEF/UN070241/Hatcher-Moore
Press release
13 Апрель 2020
More than 117 million children at risk of missing out on measles vaccines, as COVID-19 surges
https://www.unicef.org/eca/press-releases/more-117-million-children-risk-missing-out-measles-vaccines-covid-19-surges
ATLANTA/GENEVA/NEW YORK, 14 April 2020: “As COVID-19 continues to spread globally, over 117 million children in 37 countries may miss out on receiving life-saving measles vaccine. Measles immunization campaigns in 24 countries have already been delayed; more will be postponed. “During this challenging period, the Measles & Rubella Initiative (M&RI) expresses solidarity with families, communities, governments and emergency responders and joins our global immunization and health partners, including those within Gavi, the Vaccine Alliance and the Global Polio Eradication Initiative (GPEI) in our collective focus and fight against the threat of COVID-19. The pandemic sweeping the globe requires a coordinated effort and commitment of resources to ensure frontline health workers around the world are protected, as they face and respond to this new threat. At the same time, we must also champion efforts to protect essential immunization services, now and for the future. “The World Health Organization (WHO) has issued new  guidelines  endorsed by the Strategic Advisory Group of Experts on Immunization -- to help countries to sustain immunization activities during the COVID-19 pandemic. The guidelines recommend that governments temporarily pause preventive immunization campaigns where there is no active outbreak of a vaccine-preventable disease. M&RI partners, which include the American Red Cross, the U.S. Centers for Disease Control and Prevention, UNICEF, the United Nations Foundation and WHO, strongly agree with these recommendations. We also urge countries to continue routine immunization services, while ensuring the safety of communities and health workers. The recommendations also ask governments to undertake a careful risk-benefit analysis when deciding whether to delay vaccination campaigns in response to outbreaks, with the possibility of postponement where risks of COVID-19 transmission are deemed unacceptably high. “If the difficult choice to pause vaccination is made due to the spread of COVID-19, we urge leaders to intensify efforts to track unvaccinated children, so that the most vulnerable populations can be provided with measles vaccines as soon as it becomes possible to do so. While we know there will be many demands on health systems and frontline workers during and beyond the threat of COVID-19, delivering all immunization services, including measles vaccines, is essential to saving lives that would otherwise be lost to vaccine-preventable diseases. “The M&RI supports the need to protect communities and health workers from COVID-19 through a pause of mass campaigns, where risks of the disease are high. However, this should not mean that children permanently miss out. Urgent efforts must be taken now at local, national, regional and global levels to prepare to close the immunity gaps that the measles virus will exploit, by ensuring that vaccines are available and that they reach children and vulnerable populations, as quickly as possible, to keep them safe. “Despite having a safe and effective vaccine for over 50 years, measles cases surged over recent years and claimed more than 140,000 lives in 2018, mostly of children and babies – all of which were preventable. Against this already dangerous backdrop, preventive and responsive measles vaccination campaigns have now been paused or postponed in 24 countries to help avert further spread of COVID-19. Campaigns expected to take place later in 2020 in an additional 13 countries may not be implemented. Together, more than 117 million children in 37 countries, many of whom live in regions with ongoing measles outbreaks, could be impacted by the suspension of scheduled immunization activities. This staggering number does not include the number of infants that may not be vaccinated because of the effect of COVID-19 on routine immunization services.  Children younger than 12 months of age are more likely to die from measles complications, and if the circulation of measles virus is not stopped, their risk of exposure to measles will increase daily.   “The M&RI salutes the heroism of health and emergency workers across the globe, and we recognize the vital role they play in delivering clear, trusted information, as well as preventive and supportive care within their communities. We must invest in health workers and ensure they are protected from infection and empowered as part of sustainable and functioning primary health systems. They are the first line of defense against global epidemics. We also recognize the role of parents and caregivers in ensuring their children are vaccinated by following physical distancing recommendations in line with national guidance. Finally, we call on countries and local leaders to implement effective communication strategies to engage communities, ensure supply and demand for vaccination remains strong, and help assure a healthy life for every child especially in this challenging time.” #####   Notes to Editor   About Measles & Rubella Initiative: The Measles & Rubella Initiative (M&RI) is a global partnership, founded by the American Red Cross, the U.S. Centers for Disease Control and Protection, UNICEF, the United Nations Foundation and WHO, that is committed to achieving and maintaining a world without measles, rubella and congenital rubella syndrome. Founded in 2001, the Initiative has helped vaccinate over 2.9 billion children and save over 21 million lives by increasing vaccination coverage, improving disease response, monitoring and evaluation, and building public confidence and demand for immunization. The Initiative works closely with Gavi, the Vaccine Alliance to achieve these goals. For more information, visit us at  www.measlesrubellainitiative.org  and follow  us on Twitter . More information on measles: WHO  factsheet ; CDC  measles  updates; Latest  WHO measles surveillance data For WHO guidelines for immunization during COVID-19,  click here For more information about COVID-19, visit  https://www.unicef.org/coronavirus/covid-19 For UNICEF’s work immunization, visit  https://www.unicef.org/immunization   Kyrylo UNICEF/UN0201071/Krepkih
Press release
18 Декабрь 2020
UNICEF outlining plans to transport up to 850 tonnes of COVID-19 vaccines per month on behalf of COVAX, in ‘mammoth and historic’ logistics
https://www.unicef.org/eca/press-releases/unicef-outlining-plans-transport-850-tonnes-covid-19-vaccines-month-behalf-covax
NEW YORK, 18 December 2020 – UNICEF could potentially transport up to 850 tonnes of COVID-19 vaccines per month in 2021, should such quantities become available, according to a new assessment. This is more than double the average weight of vaccines UNICEF transports every month. The assessment is part of  UNICEF’s work  to lead on the procurement and delivery of COVID-19 vaccines for 92 low- and lower middle-income countries on behalf of the  COVAX Facility , in collaboration with the Pan American Health Organization (PAHO). “This is a mammoth and historic undertaking,” said Henrietta Fore, UNICEF Executive Director. “The scale of the task is daunting, and the stakes have never been higher, but we are ready to take this on.” The UNICEF assessment looked at global airfreight capacity and transport routes to better understand the challenges of delivering COVID-19 vaccines in 2021. It found that commercial airlines will be able to deliver vaccines to almost all 92 low- and lower-middle-income countries, which are among the 190 economies participating in the COVAX Facility, at an estimated cost of up to US$70 million. Comparing vaccine volume estimates against commercial and cargo routes across the globe, the assessment also found that current air cargo capacity would be sufficient to make deliveries covering 20 per cent of the population for most of the 92 countries. COVID-19 vaccines are expected to be primarily shipped using existing passenger and cargo flight capacity, although charters or alternative transport options may still be needed for some small countries and others with access issues. UNICEF is working with airlines and the wider logistics industry to prioritise the delivery of COVID-19 vaccines around the world. One major challenge in the COVID-19 vaccine operation is local cold chain capacity for vaccine storage within some low- and lower-middle-income countries. UNICEF, WHO and Gavi, the Vaccine Alliance, developed a  guidance note on supply and logistics  to help countries develop their supply chain strategies to receive, store, distribute and manage COVID-19 vaccines and related products. Given the range of storage temperatures required for COVID-19 vaccines, countries will continue to train logisticians and health workers on how to keep COVID-19 vaccines at the right temperatures. As part of  a programme that started in 2017 , with support from Gavi, UNICEF continues to procure and support the installation of 70,000 cold-chain fridges in lower-income countries by the end of 2021, which will help in the roll-out of COVID-19 vaccines that need to be stored at 2 to 8 degrees Celsius. Almost half of these will be solar powered. UNICEF, WHO and Gavi are also working to help countries prepare and develop  national deployment and vaccination plans  for the large-scale roll out of COVID-19 vaccines. Currently, countries are continuing to  monitor their readiness  against key milestones, which include expediting regulatory approvals and putting in place ways to monitor vaccine safety. In addition, a UNICEF meeting this week with more than 300 vaccine procurement experts globally, including government officials, looked at ways to procure and roll-out COVID-19 vaccines and strengthen regulatory systems and supply chains. Funding is critical. UNICEF has called for US$410 million to help countries with the delivery of vaccines, therapeutics and diagnostic tools in 2021. Further, UNICEF estimates a funding gap of US$133 million to cover in-country vaccine logistics and the required cold chain equipment for the poorest 92 countries. “With the imminent arrival of globally approved COVID-19 vaccines, we can begin to see signs of hope. But hope will not be restored by the vaccine alone,” said Fore. “Countries need urgent technical and financial support to strengthen their capacities for cold and supply chains, to train health workers, and to work with communities in combatting misinformation and building trust in vaccines. Without urgent funding and support, many of the poorest countries still risk being left behind.” ###### About COVAX COVAX is the vaccines pillar of the  ACT-Accelerator . It is co-led by the Coalition for Epidemic Preparedness Innovation (CEPI), Gavi, the Vaccine Alliance, and the World Health Organization (WHO) – working in partnership with developed and developing country vaccine manufacturers, UNICEF, the World Bank, Civil Society Organisations and others. COVAX is the only global initiative that is working with governments and manufacturers to ensure COVID-19 vaccines are rapidly available worldwide to economies of all financial means.  Find out more about UNICEF’s work on the COVID-19 vaccines  here , or about UNICEF’s work on immunization  here . Download photos and broll here:  UNICEF shipment UNICEF/UNI319459/Rocio Ortega
Press release
16 Февраль 2021
Leading airlines commit to helping UNICEF in its historic mission of transporting COVID-19 vaccines around the world
https://www.unicef.org/eca/press-releases/leading-airlines-commit-helping-unicef-its-historic-mission-transporting-covid-19
COPENHAGEN, 16 February 2021 – UNICEF is today launching the Humanitarian Airfreight Initiative. Under this landmark initiative, over  10 leading airlines  are signing agreements with UNICEF to support the prioritization of delivery of COVID-19 vaccines, essential medicines, medical devices and other critical supplies to respond to the pandemic. The Initiative will also act as a global logistics preparedness mechanism for other humanitarian and health crises over the longer term.  “Delivery of these life-saving vaccines is a monumental and complex undertaking, considering the sheer volumes that need to be transported, the cold chain requirements, the number of expected deliveries and the diversity of routes” said Etleva Kadilli, Director of UNICEF Supply Division. “We are grateful to these airlines for joining forces with the UNICEF Humanitarian Airfreight Initiative to support the roll-out of COVID-19 vaccines.” The UNICEF Humanitarian Airfreight Initiative brings together the airlines covering routes to over 100 countries, in support of  the COVAX Facility  – the global effort aimed at equitable access to COVID-19 vaccines. Based on the COVAX Facility’s indicative distribution and first round allocation plan, 145 countries will receive doses to immunize around three per cent of their population, on average, starting in the first half of 2021, subject to all requirements being met and final allocation plans. In addition to prioritizing shipments of these life-saving supplies, the airlines will take measures such as temperature control and security, while also adding freight capacity to routes where needed. Their commitments are critical to the timely and secure delivery of vaccines and critical supplies.  Safe, timely and efficient transportation of life-saving supplies is critical to supporting access to essential services for children and families. COVAX deliveries and the subsequent vaccination of frontline workers will support health and social care systems to safely resume these critical services. Man next to a plane UNICEF/UNI319459/Rocio Ortega
Press release
30 Апрель 2020
Greta Thunberg and NGO Human Act launch a child rights driven coronavirus campaign for UNICEF
https://www.unicef.org/eca/press-releases/greta-thunberg-and-ngo-human-act-launch-child-rights-driven-coronavirus-campaign
NEW YORK, 30 April 2020 – Climate activist Greta Thunberg today launched a child rights driven  campaign  with Danish NGO Human Act to support UNICEF’s efforts to address the COVID-19 pandemic and protect children from its direct and knock-on consequences. These include food shortages, strained healthcare systems, violence and lost education. “Like the climate crisis, the coronavirus pandemic is a child-rights crisis,” said Thunberg. “It will affect all children, now and in the long-term, but vulnerable groups will be impacted the most. I’m asking everyone to step up and join me in support of UNICEF’s vital work to save children's lives, to protect health and continue education.” The  campaign  is being launched with an initial donation on behalf of Human Act and the Greta Thunberg Foundation to UNICEF of $200,000. Greta Thunberg was recently awarded for her global activism by Human Act who granted her foundation the prize money of $100,000. This sum will now go to UNICEF along with an additional $100,000 from Human Act.   Proceeds from the campaign will go directly towards UNICEF’s emergency programmes to fight COVID-19, including through the provision of soap, masks, gloves, hygiene kits, protective equipment, life-saving information and other support to healthcare systems. A  report  issued this month by the United Nations warned that children risk being among the biggest victims of the COVID-19 pandemic. While children have been largely spared from the direct health effects of the disease up to this point, the crisis is having a profound effect on their overall wellbeing. All children, of all ages and in all countries, are being affected, in particular by the socio-economic impacts and, in some cases, by the mitigation measures implemented to stem the spread of the disease. UNICEF’s global COVID-19 response focuses on working with partners to help reduce the transmission of the virus and mitigate its impact on children while ensuring that essential services for children continue. This includes: Ensuring access and availability of key supplies and services for children, women and vulnerable populations. Scaling up messages about handwashing with soap. Supporting governments with the procurement of personal protective equipment for health care workers, including gowns, gloves and masks as well as oxygen concentrators and medicines. Supporting distance learning opportunities for children who can’t access school. Providing mental health and psychosocial support to children and families affected. Helping maintain essential immunization and other services for children. “The coronavirus pandemic is the greatest struggle the world has seen in generations,” said UNICEF Executive Director Henrietta Fore. “Children and young people are among the most severely impacted by the knock-on effects of COVID-19, so it is only natural that they would want to do something about it. Through her activism, Greta Thunberg has proven that young people are ready to take a stand and lead change in the world. UNICEF is very pleased that Greta and her supporters have not only chosen to take a stand against this pandemic, but to do so in partnership with UNICEF.” ### Notes to editors Multimedia content can be downloaded  here . About the campaign Access the campaign landing page here:  www.unicef.org/coronavirus/join-greta About Human Act Foundation Human Act is a Danish NGO working internationally to fight extreme poverty and to promote freedom, peace and justice for all. For more information please contact; Ingeborg Ekblom, UNICEF Sweden +46709955916 /  ingeborg.ekblom@unicef.se Dailo Alonso UNICEF, Geneva + 41 79 601 9917 / dalonso@unicef.org  Greta Thunberg UNICEF/UNI325446/Hellberg
Press release
03 Март 2021
COVID-19: Schools for more than 168 million children globally have been completely closed for almost a full year, says UNICEF
https://www.unicef.org/eca/press-releases/covid-19-schools-more-168-million-children-globally-have-been-completely-closed
NEW YORK, 3 March 2021 – Schools for more than 168 million children globally have been completely closed for almost an entire year due to COVID-19 lockdowns, according to new data released today by UNICEF. Furthermore, around 214 million children globally – or 1 in 7 – have missed more than three-quarters of their in-person learning. The analysis on school closures report notes that 14 countries worldwide have remained largely closed since March 2020 to February 2021. Two-thirds of those countries are in Latin America and the Caribbean, affecting nearly 98 million schoolchildren. Of the 14 countries, Panama has kept schools closed for the most days, followed by El Salvador, Bangladesh, and Bolivia. “As we approach the one-year mark of the COVID-19 pandemic, we are again reminded of the catastrophic education emergency worldwide lockdowns have created. With every day that goes by, children unable to access in-person schooling fall further and further behind, with the most marginalized paying the heaviest price,” said Henrietta Fore UNICEF Executive Director. “We cannot afford to move into year two of limited or even no in-school learning for these children. No effort should be spared to keep schools open, or prioritise them in reopening plans.” Table 1: Number of countries/children where schools have remained closed since March 2020* Region Schools have remained closed almost an entire year (# of countries) School children affected Number (in millions) School children affected Per centage East Asia & the Pacific 1 25 15% Middle East & North Africa 3 9 5% East & Southern Africa 0 n.a. n.a. Western & Central Africa 0 n.a. n.a. Europe & Central Asia 0 n.a. n.a. Latin America & the Caribbean 9 98 58% South Asia 1 37 22% TOTAL 14 168 100% School closures have devastating consequences for children’s learning and wellbeing. The most vulnerable children and those unable to access remote learning are at an increased risk of never returning to the classroom, and even being forced into child marriage or child labor.  According to latest data by UNESCO , more than 888 million children worldwide continue to face disruptions to their education due to full and partial school closures. The majority of schoolchildren worldwide rely on their schools as a place where they can interact with their peers, seek support, access health and immunization services and a nutritious meal. The longer schools remain closed, the longer children are cut off from these critical elements of childhood. To call attention to the education emergency and raise awareness about the need for governments to keep schools open, or prioritise them in reopening plans, UNICEF today unveiled ‘Pandemic Classroom,’ a model classroom made up of 168 empty desks, each desk representing the million children living in countries where schools have been almost entirely closed – a solemn reminder of the classrooms in every corner of the world that remain empty. “This classroom represents the millions of centers of learning that have sat empty—many for almost the entire year. Behind each empty chair hangs an empty backpack—a placeholder for a child’s deferred potential,” said Fore. “We do not want shuttered doors and closed buildings to obscure the fact that our children’s futures are being put on indefinite pause. This installation is a message to governments: we must prioritize reopening schools, and we must prioritize reopening them better than they were before.” As students return to their classrooms, they will need support to readjust and catch up on their learning. School reopening plans must incorporate efforts to recover children’s lost education. UNICEF urges governments to prioritise the unique needs of every student, with comprehensive services covering remedial learning, health and nutrition, and mental health and protection measures in schools to nurture children and adolescents’ development and wellbeing. UNICEF’s  Framework for Reopening Schools , issued jointly with UNESCO, UNHCR, WFP and the World Bank, offers practical advice for national and local authorities. ##### Notes to Editors * Countries were identified based on the number of instruction days since 11 March 2020, the reference date for when schools were fully closed, to February 2021. The data reflect school closure status over the past 11 months. In cases where countries had less than 10 days of fully opened schooling and less than 12 days of partially open schooling, they were deemed as remaining closed for almost a year of instruction time. The analysis covers from the pre-primary education to the upper secondary education. Backpack installation UNICEF/UN0423792/Chris Farber/UNICEF via Getty Images
Press release
15 Ноябрь 2019
30 years of child rights: Historic gains and undeniable achievements, but little progress for the world’s poorest children - UNICEF
https://www.unicef.org/eca/press-releases/30-years-child-rights-historic-gains-and-undeniable-achievements-little-progress
NEW YORK, 18 November 2019 – There have been historic gains overall for the world’s children since the Convention on the Rights of the Child was adopted 30 years ago. However, many of the poorest children are yet to feel the impact, according to The Convention on the Rights of the Child at a Crossroads , a new report released today.  Part of commemorations marking the 30 th anniversary of the CRC, the report looks at the undeniable achievements of the past three decades, proof that where there is political will and determination, children’s lives improve.   “There have been impressive gains for children over the past three decades, as more and more are living longer, better and healthier lives. However, the odds continue to be stacked against the poorest and most vulnerable,” said UNICEF Executive Director Henrietta Fore. “In addition to the persistent challenges of health, nutrition and education, children today have to contend with new threats like climate change, online abuse and cyberbullying. Only with innovation, new technologies, political will and increased resources will we help translate the vision of the Convention on the Rights of the Child into a reality for all children everywhere.” Citing progress in child rights over the past three decades, the report notes that:  The global under-five mortality rate has fallen by about 60 per cent. The proportion of primary-school-aged children not in school decreased from 18 per cent to 8 per cent. The guiding principles of the CRC – non-discrimination; the best interests of the child; the right to life, survival and development; and the right to protection – have influenced numerous constitutions, laws, policies and practices globally. However, the report notes, this progress has not been even.  In low and middle-income countries children from the poorest households are twice as likely to die from preventable causes before their fifth birthday than children from the richest households.   According to recent available data, only half of children from the poorest households in sub-Saharan Africa are vaccinated against measles, compared to 85 per cent of children from the richest households.   Despite a decline in child marriage rates globally, the poorest girls in some countries are more at risk today than they were in 1989. The report also addresses age-old and new threats affecting children around the world:  Poverty, discrimination and marginalization continue to leave millions of the most disadvantaged children at risk: Armed conflicts, rising xenophobia and the global migration and refugee crisis all have a devastating impact on global progress. Children are physically, physiologically and epidemiologically most at risk of the impacts of the climate crisis: Rapid changes in climate are spreading disease, increasing the intensity and frequency of extreme weather events, and creating food and water insecurity. Unless urgent action is taken, the worst for many children is yet to come. Although more children are immunized than ever before, a slowdown in immunisation coverage rates over the past decade is threatening to reverse hard-won gain in children’s health: Measles vaccination coverage has stagnated since 2010, contributing to a resurgence of the deadly disease in many countries. Almost 350,000 cases of measles were recorded in 2018, more than double the total in 2017. The number of out-of-school children has stagnated and learning outcomes for those in school remain poor: Globally, the number children who are not in primary level has remained static since 2007. Many of those who are in school are not learning the basics, let alone the skills they need to thrive in today’s economy. To accelerate progress in advancing child rights, and to address stagnation and backsliding in some of these rights, the report calls for more data and evidence; scaling up proven solutions and interventions; expanding resources; involving young people in co-creating solutions; and applying the principles of equity and gender equality in programming. But it also recognizes that while all these elements are necessary to bring about change, our rapidly changing world also requires new modalities to confront emerging opportunities and challenges, and to truly embed the rights of children as a global cause again.  To find these pathways, over the next 12 months UNICEF plans to undertake a global dialogue on what it will take to make the promise of the convention a reality for every child. The discourse will be inclusive, involving children and young people, parents and caregivers, education and social workers, communities and governments, civil society, academia, the private sector and the media. And it will influence the way the organization does business in the future.  “The Convention stands at a crossroads between its illustrious past and its future potential. It is up to us to recommit, take decisive steps and hold ourselves accountable,” said Fore. “We should take our lead from young people who are speaking up and speaking out for their rights as never before, we must act now – boldly and creatively.” Children from the local underprivileged Roma community playing in the streets of their community in the town of Shumen, Northern Bulgaria. UNICEF supports families at risk through the work of mobile units composed by social workers. UNICEF/ Bulgaria / Giacomo Pirozzi
Press release
10 Сентябрь 2020
COVID-19 could reverse decades of progress toward eliminating preventable child deaths, agencies warn
https://www.unicef.org/eca/press-releases/covid-19-could-reverse-decades-progress-toward-eliminating-preventable-child-deaths
NEW YORK/ GENEVA, 9 September 2020– The number of global under-five deaths dropped to its lowest point on record in 2019 – down to 5.2 million from 12.5 million in 1990,  according to new mortality estimates  released by UNICEF, the World Health Organization (WHO), the Population Division of the United Nations Department of Economic and Social Affairs and the World Bank Group. Since then, however, surveys by UNICEF and WHO reveal that the COVID-19 pandemic has resulted in major disruptions to health services that threaten to undo decades of hard-won progress. “The global community has come too far towards eliminating preventable child deaths to allow the COVID-19 pandemic to stop us in our tracks,” said Henrietta Fore, UNICEF Executive Director. “When children are denied access to health services because the system is overrun, and when women are afraid to give birth at the hospital for fear of infection, they, too, may become casualties of COVID-19. Without urgent investments to re-start disrupted health systems and services, millions of children under five, especially newborns, could die.” Over the past 30 years, health services to prevent or treat causes of child death such as preterm, low birthweight, complications during birth, neonatal sepsis, pneumonia, diarrhea and malaria, as well as vaccination, have played a large role in saving millions of lives. Now countries worldwide are experiencing disruptions in child and maternal health services, such as health checkups, vaccinations and prenatal and post-natal care, due to resource constraints and a general uneasiness with using health services due to a fear of getting COVID-19. A  UNICEF survey  conducted over the summer across 77 countries found that almost 68 per cent of countries reported at least some disruption in health checks for children and immunization services. In addition, 63 per cent of countries reported disruptions in antenatal checkups and 59 per cent in post-natal care. A  recent WHO survey  based on responses from 105 countries revealed that 52 per cent of countries reported disruptions in health services for sick children and 51 per cent in services for management of malnutrition. Health interventions such as these are critical for stopping preventable newborn and child deaths. For example, women who receive care by professional midwives trained according  to internationals standards are 16 per cent less likely to lose their baby and 24 per cent less likely to experience pre-term birth,  according to WHO . "The fact that today more children live to see their first birthday than any time in history is a true mark of what can be achieved when the world puts health and well-being at the centre of our response,” said Dr. Tedros Adhanom Ghebreyesus, WHO Director-General. “Now, we must not let the COVID-19 pandemic turn back remarkable progress for our children and future generations. Rather, it’s time to use what we know works to save lives, and keep investing in stronger, resilient health systems.” Based on the responses from countries that participated in the UNICEF and WHO surveys, the most commonly cited reasons for health service disruptions included parents avoiding health centers for fear of infection; transport restrictions; suspension or closure of services and facilities; fewer healthcare workers due to diversions or fear of infection due to shortages in personal protective equipment such as masks and gloves; and greater financial difficulties. Afghanistan, Bolivia, Cameroon, the Central African Republic, Libya, Madagascar, Pakistan, Sudan and Yemen are among the hardest hit countries. Seven of the nine countries had high child mortality rates of more than 50 deaths per 1000 live births among children under five in 2019. In Afghanistan, where 1 in 17 children died before reaching age 5 in 2019, the Ministry of Health reported a significant reduction in visits to health facilities. Out of fear of contracting the COVID-19 virus, families are de-prioritizing pre- and post-natal care, adding to the risk faced by pregnant women and newborn babies. Even before COVID-19, newborns were at highest risk of death. In 2019, a newborn baby died every 13 seconds. Moreover, 47 per cent of all under-five deaths occurred in the neonatal period, up from 40 per cent in 1990. With severe disruptions in essential health services, newborn babies could be at much higher risk of dying. For example, in Cameroon, where 1 out of every 38 newborns died in 2019, the UNICEF survey reported an estimated 75 per cent disruptions in services for essential newborn care, antenatal check-ups, obstetric care and post-natal care. In May, initial modelling by Johns Hopkins University showed that  almost 6,000 additional children  could die per day due to disruptions due to COVID-19. These reports and surveys highlight the need for urgent action to restore and improve childbirth services and antenatal and postnatal care for mothers and babies, including having skilled health workers to care for them at birth. Working with parents to assuage their fears and reassure them is also important. “The COVID-19 pandemic has put years of global progress to end preventable child deaths in serious jeopardy,” said Muhammad Ali Pate, Global Director for Health, Nutrition and Population at the World Bank. “It is essential to protect life-saving services which have been key to reducing child mortality. We will continue to work with governments and partners to reinforce healthcare systems to ensure mothers and children get the services they need.” "The new report demonstrates the ongoing progress worldwide in reducing child mortality,” said John Wilmoth, Director of the Population Division of the United Nations Department of Economic and Social Affairs. “While the report highlights the negative effects of the COVID-19 pandemic on interventions that are critical for children’s health, it also draws attention to the need to redress the vast inequities in a child's prospects for survival and good health.” ###### A child and his mother while waiting to receive medical care UNICEF/UNI347480/Poveda
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