ВОЗ и ЮНИСЕФ: Продолжение оказания услуг по плановой иммунизации имеет жизненно важное значение во время пандемии COVID-19
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
Maintaining routine immunization services vital during the COVID-19 pandemic – WHO and UNICEF
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
Addressing double burden of malnutrition must be prioritized in Eastern Europe and Central Asia – UNICEF
– The new State of the World’s Children Report: Children, Food and Nutrition was launched at a special event in Kazakhstan to promote nutrition and raise awareness about unhealthy diets among children in Central Asia. The event included more than one thousand child participants and was organized by the Foundation of the First President of Kazakhstan. The new report shows that at least 1 in 3 children under five globally – or over 200 million – is either undernourished or overweight. Almost 2 in 3 children between six months and two years of age are not fed food that supports their rapidly growing bodies and brains. This puts them at risk of poor brain development, weak learning, low immunity, increased infections and, in many cases, death. In Eastern Europe and Central Asia, 18 per cent of the poorest children under 5 years old are stunted, which means they have low height for their age. While at the same time, 15 per cent of children under five years old in the Region are overweight, which is the highest rate globally. “In Central Asia and Eastern Europe children face a double burden of malnutrition – undernutrition found alongside obesity,” said Amirhossein Yarparvar, Health & Nutrition Specialist for UNICEF’s Regional Office for Europe and Central Asia. “Ensuring all children have adequate nutrition must be an urgent priority for policy makers, communities and families.” The report found that the Region has made gains in exclusive breastfeeding, with the percentage of infants breastfed rising from 20 per cent in 2005 to 33 per cent in 2018. But even with this increase, 65 percent of newborns are deprived of the recommended 6 months of exclusive breastfeeding. The report lists several recommendations to improve child nutrition, including: • National food systems must put children’s nutrition at the heart of their work because their nutritional needs are unique and meeting them is critical for sustainable development. • Financial incentives should be used to reward actors who increase the availability of healthy and affordable foods in markets and other points of sale especially in low-income communities. • Financial disincentives on unhealthy foods can improve children’s diets. For example, taxes on sugary foods and beverages can reduce their consumption by children and adolescents. • Fortification of complementary foods and staple foods with micronutrients can be a cost-effective intervention to combat hidden hunger in children, young people and women. family eating at home in a low-income neighbourhood_Alimzhan Jorobayev Bektur Zhanibekov A family of seven people eats at home in a low-income neighbourhood in rural Kyrgyzstan on 18 March 2012.
Poor diets damaging children’s health worldwide, warns UNICEF
– An alarmingly high number of children are suffering the consequences of poor diets and a food system that is failing them, UNICEF warned today in a new report on children, food and nutrition. The State of the World’s Children 2019: Children, food and nutrition finds that at least 1 in 3 children under five – or over 200 million – is either undernourished or overweight. Almost 2 in 3 children between six months and two years of age are not fed food that supports their rapidly growing bodies and brains. This puts them at risk of poor brain development, weak learning, low immunity, increased infections and, in many cases, death. “Despite all the technological, cultural and social advances of the last few decades, we have lost sight of this most basic fact: If children eat poorly, they live poorly,” said Henrietta Fore, UNICEF Executive Director. “Millions of children subsist on an unhealthy diet because they simply do not have a better choice. The way we understand and respond to malnutrition needs to change: It is not just about getting children enough to eat; it is above all about getting them the right food to eat. That is our common challenge today.” The report provides the most comprehensive assessment yet of 21 st century child malnutrition in all its forms. It describes a triple burden of malnutrition: Undernutrition, hidden hunger caused by a lack of essential nutrients, and overweight among children under the age of five, noting that around the world: 149 million children are stunted, or too short for their age, 50 million children are wasted, or too thin for their height, 340 million children – or 1 in 2 – suffer from deficiencies in essential vitamins and nutrients such as vitamin A and iron, 40 million children are overweight or obese. The report warns that poor eating and feeding practices start from the earliest days of a child’s life. Though breastfeeding can save lives, for example, only 42 per cent of children under six months of age are exclusively breastfed and an increasing number of children are fed infant formula. Sales of milk-based formula grew by 72 per cent between 2008 and 2013 in upper middle-income countries such as Brazil, China and Turkey, largely due to inappropriate marketing and weak policies and programmes to protect, promote and support breastfeeding. As children begin transitioning to soft or solid foods around the six-month mark, too many are introduced to the wrong kind of diet, according to the report. Worldwide, close to 45 per cent of children between six months and two years of age are not fed any fruits or vegetables. Nearly 60 per cent do not eat any eggs, dairy, fish or meat. As children grow older, their exposure to unhealthy food becomes alarming, driven largely by inappropriate marketing and advertising, the abundance of ultra-processed foods in cities but also in remote areas, and increasing access to fast food and highly sweetened beverages. For example, the report shows that 42 per cent of school-going adolescents in low- and middle-income countries consume carbonated sugary soft drinks at least once a day and 46 per cent eat fast food at least once a week. Those rates go up to 62 per cent and 49 per cent, respectively, for adolescents in high-income countries. As a result, overweight and obesity levels in childhood and adolescence are increasing worldwide. From 2000 to 2016, the proportion of overweight children between 5 and 19 years of age doubled from 1 in 10 to almost 1 in 5. Ten times more girls and 12 times more boys in this age group suffer from obesity today than in 1975. The greatest burden of malnutrition in all its forms is shouldered by children and adolescents from the poorest and most marginalized communities, the report notes. Only 1 in 5 children aged six months to two years from the poorest households eats a sufficiently diverse diet for healthy growth. Even in high-income countries such as the UK, the prevalence of overweight is more than twice as high in the poorest areas as in the richest areas. The report also notes that climate-related disasters cause severe food crises. Drought, for example, is responsible for 80 per cent of damage and losses in agriculture, dramatically altering what food is available to children and families, as well as the quality and price of that food. To address this growing malnutrition crisis in all its forms, UNICEF is issuing an urgent appeal to governments, the private sector, donors, parents, families and businesses to help children grow healthy by: Empowering families, children and young people to demand nutritious food, including by improving nutrition education and using proven legislation – such as sugar taxes – to reduce demand for unhealthy foods. Driving food suppliers to do the right thing for children, by incentivizing the provision of healthy, convenient and affordable foods. Building healthy food environments for children and adolescents by using proven approaches, such as accurate and easy-to-understand labelling and stronger controls on the marketing of unhealthy foods. Mobilizing supportive systems – health, water and sanitation, education and social protection – to scale up nutrition results for all children. Collecting, analyzing and using good-quality data and evidence to guide action and track progress. “We are losing ground in the fight for healthy diets,” said Fore. “This is not a battle we can win on our own. We need governments, the private sector and civil society to prioritize child nutrition and work together to address the causes of unhealthy eating in all its forms.” Children eating UNICEF/UN0339621/Darkhan Zhagiparov