13 результатов для:
02/23/2021
UNICEF begins shipping syringes for the global rollout of COVID-19 vaccines under COVAX
https://www.unicef.org/eca/press-releases/unicef-begins-shipping-syringes-global-rollout-covid-19-vaccines-under-covax
 – UNICEF has sent 100,000 syringes and 1,000 safety boxes for COVID-19 vaccinations to the Maldives by air freight from UNICEF’s humanitarian warehouse in Dubai—part of the first wave of COVID-19-related syringe shipments to begin rolling out in the coming days. Others in the first wave of shipments include Côte d'Ivoire and São Tomé and Príncipe. The 0.5 ml syringes and safety boxes are expected to arrive in Malé, Maldives on Tuesday. Over the next few weeks, UNICEF will ship more than 14.5 million 0.5 ml and 0.3 ml auto-disable syringes to more than 30 countries. While the 0.5 ml syringes are meant for use with the Serum Institute of India/AstraZeneca vaccine, the 0.3 ml ones are to be used with the Pfizer-BioNTech vaccine. “In this global fight against the COVID-19 pandemic, syringes are as vital as the vaccine itself,” said UNICEF Executive Director Henrietta Fore. “It is critical to have adequate supplies of syringes already in place in every country before the vaccine arrives so that the vaccine can be administered safely. This would allow immunization to start immediately and help turn the tide on this terrible virus.” The countries that will receive syringes in this initial tranche are from those included in the  COVAX indicative distribution  and that have put in requests to UNICEF to supply syringes. These shipments will support the country rollout of COVID-19 vaccines, and is part of work by the  COVAX Facility  to provide vaccines to all participating countries. The 0.5 ml syringes are being dispatched from UNICEF’s humanitarian warehouse in Dubai, while the 0.3 ml & 2 ml syringes will be transported directly from a manufacturer in Spain. The consignments will also include safety boxes for the safe disposal of syringes. Both syringes are of the auto-disable type, which means they cannot be used again after a single dose of vaccine has been administered. This reduces the risk of infection from blood-borne diseases as a result of syringe re-use. In all, UNICEF will be supplying up to 1 billion syringes and 10 million safety boxes to countries in 2021 to ensure they are ready for COVID-19 vaccinations. In order to meet the demand for these vital supplies,  UNICEF created a stockpile  of almost half a billion syringes in its warehouses in Copenhagen and Dubai in preparation for the broader rollout of COVID-19 vaccines in 82 low- and lower middle-income countries. UNICEF has been working with airlines, logistics operators and freight forwarders to ensure the syringes are treated as priority freight, whether they are being shipped direct from a manufacturer or from UNICEF warehouses to the destination country’s port of entry. Although the first deliveries will be transported by air, most of the syringes and safety boxes will be transported by sea due to the large amount of space they take up as cargo. UNICEF is aiming to make 2 billion COVID-19 doses available for delivery in 2021. Even before COVID-19, UNICEF was already the largest single vaccine buyer in the world, procuring over 2 billion vaccines annually in order to reach almost half of the world’s children under 5. In addition, the agency procures and supplies around 600-800 million syringes for regular immunization programmes annually. COVAX is a global collaboration co-led by Gavi, the Vaccine Alliance, the Coalition for Epidemic Preparedness Innovations (CEPI) and WHO, and includes UNICEF, which leads on procurement and delivery, as well as getting countries ready to receive vaccines. ##### Двое мужчин на складе с коробками UNICEF/UN0419486/Pableo
10/19/2020
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
 – 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
04/13/2020
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
 “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.” #####  
02/16/2021
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
 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
04/30/2020
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
– 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.” ###
03/03/2021
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
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
01/27/2019
UNICEF appeals for $3.9 billion in emergency assistance for 41 million children affected by conflict or disaster
https://www.unicef.org/eca/press-releases/unicef-appeals-39-billion-emergency-assistance-41-million-children-affected-conflict
Millions of children living in countries affected by conflict and disaster lack access to vital child protection services, putting their safety, well-being and futures at risk, UNICEF warned today as it appealed for $3.9 billion to support its work for children in humanitarian crises . UNICEF’s Humanitarian Action for Children sets out the agency’s 2019 appeal and its efforts to provide 41 million children with access to safe water, nutrition, education, health and protection in 59 countries across the globe. Funding for child protection programmes accounts for $385 million of the overall appeal, including almost $121 million for protection services for children affected by the Syria crisis. “Today millions of children living through conflict or disaster are suffering horrific levels of violence, distress and trauma,” said UNICEF Executive Director Henrietta Fore. “The impact of our child protection work cannot be overstated. When children do not have safe places to play, when they cannot be reunited with their families, when they do not receive psychosocial support, they will not heal from the unseen scars of war.”   UNICEF estimates that more than 34 million children living through conflict and disaster lack access to child protection services, including 6.6 million children in Yemen, 5.5 million children in Syria and 4 million children in the Democratic Republic of the Congo (DRC ). Child protection services include all efforts to prevent and respond to abuse, neglect, exploitation, trauma and violence. UNICEF also works to ensure that the protection of children is central to all other areas of the organisation’s humanitarian programmes, including water, sanitation and hygiene, education and other areas of work by identifying, mitigating and responding to potential dangers to children’s safety and wellbeing.  However, funding constraints, as well as other challenges including warring parties’ growing disregard for international humanitarian law and the denial of humanitarian access, mean that aid agencies’ capacity to protect children is severely limited. In the DRC, for example, UNICEF received just a third of the $21 million required for child protection programmes in 2018, while around one-fifth of child protection funding for Syrian children remained unmet. “Providing these children with the support they need is critical, but without significant and sustained international action, many will continue to fall through the cracks,” said Manuel Fontaine, UNICEF Director of Emergency Programmes. “The international community should commit to supporting the protection of children in emergencies.” 2019 marks the 30th anniversary of the landmark Convention on the Rights of the Child and the 70th anniversary of the Geneva Conventions, yet today, more countries are embroiled in internal or international conflict than at any other time in the past three decades, threatening the safety and wellbeing of millions of children. UNICEF’s appeal comes one month after the children’s agency said that the world is failing to protect children living in conflict around the world, with catastrophic consequences. Children who are continuously exposed to violence or conflict, especially at a young age, are at risk of living in a state of toxic stress – a condition that, without the right support can lead to negative life-long consequences for their cognitive, social and emotional development. Some children impacted by war, displacement and other traumatic events – such as sexual and gender-based violence – require specialized care to help them cope and recover. The five largest individual appeals are for Syrian refugees and host communities in Egypt, Jordan, Lebanon, Iraq and Turkey (US$ 904 million); Yemen (US$ 542.3 million); The Democratic Republic of the Congo (US$ 326.1 million); Syria (US$ 319.8 million) and South Sudan (US$ 179.2 million). ###   Notes to editors:   In total, working alongside its partners, UNICEF aims to: Provide 4 million children and caregivers with access to psychosocial support; Provide almost 43 million people with access to safe water; Reach 10.1 million children with formal or non-formal basic education; Immunize 10.3 million children against measles; Treat 4.2 million children with severe acute malnutrition. In the first 10 months of 2018, as a result of UNICEF’s support: 3.1 million children and caregivers received psychosocial support; 35.3 million people had access to safe water; 5.9 million children accessed some form of education; 4.7 million children were vaccinated against measles; 2.6 million children were treated for severe acute malnutrition. Photos and multimedia materials are available for download here: https://weshare.unicef.org/Package/2AMZIFI7QW8B Humanitarian Action for Children 2019 and individual appeals can be found here:  https://uni.cf/HAC_2019 On 23 September 2018 in Ukraine, Masha Khromchenko, 11, stands in the kindergarten class room that took a direct hit from a shell Novotoshkivske in the Luhansk region. The shell caused massive damage to the facility and surrounding residential area. UNICEF/UN0243152/Morris VII Photo On 23 September 2018 in Ukraine, Masha Khromchenko, 11, stands in the kindergarten class room that took a direct hit from a shell Novotoshkivske in the Luhansk region. The shell caused massive damage to the facility and surrounding residential area.
09/10/2020
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
– 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
05/13/2020
As COVID-19 devastates already fragile health systems, over 6,000 additional children under five could die a day, without urgent action
https://www.unicef.org/eca/press-releases/covid-19-devastates-already-fragile-health-systems-over-6000-additional-children
 – An additional 6,000 children could die every day from preventable causes over the next six months as the COVID-19 pandemic continues to weaken health systems and disrupt routine services, UNICEF said today. The estimate is based on an analysis by researchers from the Johns Hopkins Bloomberg School of Public Health,  newly published in The Lancet Global Health journal . Based on the worst of three scenarios in 118 low- and middle-income countries, the analysis estimates that an additional 1.2 million under-five deaths could occur in just six months, due to reductions in routine health service coverage levels and an increase in child wasting. These potential child deaths will be in addition to the 2.5 million children who already die before their 5 th  birthday every six months in the 118 countries included in the study, threatening to reverse nearly a decade of progress on ending preventable under-five mortality.     Some 56,700 more maternal deaths could also occur in just six months, in addition to the 144,000 deaths that already take place in the same countries over a six-month period. “Under a worst-case scenario, the global number of children dying before their fifth birthdays could increase for the first time in decades,” said UNICEF Executive Director Henrietta Fore. “We must not let mothers and children become collateral damage in the fight against the virus. And we must not let decades of progress on reducing preventable child and maternal deaths be lost.” In countries with already weak health systems, COVID-19 is causing disruptions in medical supply chains and straining financial and human resources. Visits to health care centres are declining due to lockdowns, curfews and transport disruptions, and as communities remain fearful of infection.  In a commentary  to the Lancet report, UNICEF warns these disruptions could result in potentially devastating increases in maternal and child deaths.  The paper analyzes three scenarios for the impact of reductions in lifesaving interventions due to the crisis on child and maternal deaths. It warns that in the least severe scenario, where coverage is reduced around 15 per cent, there would be a 9.8 per cent increase in under-five child deaths, or an estimated 1,400 a day, and an 8.3 per cent increase in maternal deaths. In the worst-case scenario, where health interventions are reduced by around 45 per cent, there could be as much as a 44.7 per cent increase in under-five child deaths and 38.6 per cent increase in maternal deaths per month. These interventions range from family planning, antenatal and postnatal care, child delivery, vaccinations and preventive and curative services. The estimates show that if, for whatever reason, routine health care is disrupted and access to food is decreased, the increase in child and maternal deaths will be devastating. The greatest number of additional child deaths will be due to an increase in wasting prevalence among children, which includes the potential impact beyond the health system, and reduction in treatment of neonatal sepsis and pneumonia. According to the modeling, and assuming reductions in coverage in the worst-case scenario, the 10 countries that could potentially have the largest number of additional child deaths are: Bangladesh, Brazil, Democratic Republic of the Congo, Ethiopia, India, Indonesia, Nigeria, Pakistan, Uganda and United Republic of Tanzania. The 10 countries that are most likely to witness the highest excess child mortality rates under the worst-case scenario are: Djibouti, Eswatini, Lesotho, Liberia, Mali, Malawi, Nigeria, Pakistan, Sierra Leone and Somalia. Continued provision of life-saving services is critical in these countries. In addition to the estimated potential rise in under-five and maternal deaths described in the Lancet Global Health Journal analysis,   UNICEF is deeply alarmed by the other knock-on effects of the pandemic on children: An estimated 77 per cent of children under the age of 18 worldwide – 1.80 billion out of 2.35 billion – were living in one of the 132 countries with stay-at-home policies, as of early May. Nearly 1.3 billion students – over 72 per cent – are out of school as a result of nationwide school closures in 177 countries.  40 per cent of the world’s population are not able to wash their hands with soap and water at home. Nearly 370 million children across 143 countries who normally rely on school meals for a reliable source of daily nutrition must now look to other sources as schools are shuttered. As of 14 April, over 117 million children in 37 countries may miss out on their measles vaccination as the pandemic causes immunization campaigns to stop to reduce the risk of spreading the virus. This week, UNICEF is launching