Защита детей от кори в Румынии
Родители из общины рома, проживающей в городе Стрехае на юго-западе Румынии, кивают и с облегчением улыбаются после просмотра короткого видеоролика о пользе иммунизации для их детей, показанного местным врачом. Врач отвечает на вопросы родителей, прежде чем они вместе со своими детьми перейдут в следующий кабинет, где всем детям будет проведена вакцинация. Здесь дети разного возраста: те, кто только начинает ходить, и те, кому уже исполнилось 18 лет. Самые маленькие крепко держат своих мам за руку, а те, кто постарше, улыбаются и просят посмотреть фильм еще раз. Производство и показ данного фильма осуществляется в рамках программы ЮНИСЕФ в Румынии по поддержке усилий министерства здравоохранения страны, направленных на повышение показателей охвата иммунизацией и предотвращение распространения кори. С 2000 года показатели охвата иммунизацией в Румынии значительно снизились. В 2017 году только 75 процентов детей получили две дозы вакцины MMR - комбинированной вакцины против кори, эпидемического паротита и краснухи. Этот показатель намного ниже рекомендованных 95 процентов, необходимых для защиты всех детей. В результате низких показателей охвата иммунизацией в Румынии произошла вспышка кори. В 2016 году ею заболели более 15 000 человек, из которых 59 человек умерли. Большинство из них составили дети. В рамках непрекращающихся усилий по повышению охвата детей иммунизацией, в июле 2018 года стартовала организованная министерством здравоохранения Румынии кампания по вакцинации детей, которые не были привиты. Для информирования населения о важном значении иммунизации участники кампании ходили по домам. В целях поддержки данной кампании ЮНИСЕФ разработал серию информационных материалов, предоставляющих предоставить родителям фактическую информацию о преимуществах и самом процессе иммунизации детей в доступной для понимания взрослых форме. В состав этих информационных материалов входит короткометражный фильм, который посмотрели семьи в Стрехае. Фильм демонстрируется семьям из наиболее уязвимых общин Румынии - родителям, живущим в труднодоступных районах, семьям, пострадавшим от нищеты, и общинам рома. Показатели иммунизации среди детей в этих общинах чаще всего самые низкие по стране. В этом фильме рассказывается о необходимости и преимуществах вакцинации, и одновременно даются ответы на часто задаваемые и волнующие родителей вопросы относительно вакцинации: Безопасно ли делать прививку моему ребёнку? Что делать, если она/он заболеют другой болезнью? Что, если мой ребёнок заболеет после прививки? Эта прививка бесплатна? A girl is vaccinated at a community center in Buhuși, in Eastern Romania as part of the UNICEF and WHO supported immunization catch-up campaign. Девочка получает прививку в общинном центре в Бухуши, в восточной Румынии, в рамках кампании по проведению вакцинации детям, которые её не прошли. Эта кампания проводится при поддержке ЮНИСЕФ и ВОЗ. «Вначале родители не хотели прививать своих детей, но потом они доверились нам. Мы рассказали родителям о пользе прививок и попросили их задавать врачу все вопросы, которые могут возникнуть у них в ходе проведения кампании. Таким образом, родители смогли получить чёткое представление о пользе вакцинации», - сказала Габриэла Стан, медицинский работник в городе Бухуши, в Восточной Румынии. Габриэла была членом группы, ходившей по домам, для того чтобы информировать родителей из уязвимых сообществ о преимуществах вакцинации. И хотя за последние несколько месяцев в Румынии произошли положительные сдвиги в деле вакцинации уязвимых детей спасающей жизни прививкой MMR, дети будут по-прежнему находиться в опасности до тех пор, пока охват иммунизацией не достигнет 95 процентов. ЮНИСЕФ в Румынии будет и впредь помогать в проведении информационно-разъяснительных кампаний о важном значении и необходимости вакцинации и поощрять всех родителей и лиц, обеспечивающих уход за детьми, к своевременному проведению этой профилактической процедуры. Таким путём они смогут защитить своих детей от болезней, предотвратимых с помощью вакцинации.
UNICEF handed over 223 refrigerated vehicles to the Government of Uzbekistan
Today, UNICEF handed over 223 refrigerated vehicles to the Government of Uzbekistan. The vehicles support the Government’s efforts to strengthen the country’s immunization cold chain and will ensure vaccines are kept at optimal cold temperatures needed to retain their effectiveness when are delivered to regional and district health centres across the country. Uzbekistan’s Deputy Prime Minister, Mr. Behzod Musaevm, accompanied by the Minister of Health, Dr. Abdukhakim Khadjibaev, presided over the handover ceremony was, noted that the consignment of vehicles was timely. Earlier, the Government of Uzbekistan had announced the first shipment of AstraZeneca COVID-19 vaccines, was due to arrive in coming days. UNICEF Representative, Mr. Munir Mammadzade said, “The COVID-19 pandemic has accelerated UNICEF’s push for to make vaccines available to all within the framework of the Health System Strengthening Programme.” The vehicles are valued at more than USD 2 million and was supported by the Global Alliance for Vaccines and Immunization (GAVI). Over the last 3 years UNICEF and partners have invested nearly USD 20 million to support the Ministry of Health to strengthen the country’s national immunization programme. UNICEF supported the construction of vaccine warehouses at national, regional and district levels, helped procure and install cold rooms, freezers and refrigerators, and vehicles to transport of vaccine. As well, UNICEF supported the Ministry of Health in the development of Uzbekistan’s vaccine logistic management information system. The current efforts are historically significant and will improve the national immunization system and in the context of COVID-19 vaccination roll-out, and well beyond. COVAX is co-led by Gavi, the Vaccine Alliance, the World Health Organization (WHO) and the Coalition for Epidemic Preparedness Innovations (CEPI), working in partnership with UNICEF as well as the World Bank, civil society organisations, manufacturers, and others.
Going for a vaccination with my cousin Emina
“Don’t worry, it doesn’t hurt, it just stings a little. It’s easier if you look the other way,” says Emina to Irma as they fix each other’s hair. This is an important day for Irma Fafulić, who has already prepared a clothing combination to wear and asks us to wait for her while she changes in another room. Both girls soon return to the living room of Irma’s humble home, dressed up and with their hair done to their liking, but now they are faced with another dilemma: they are not sure if their protective facemasks will match the rest of their outfits so they deliberate on which one to wear to the vaccination point. The atmosphere in the living room of the Fafulić family in the village of Varda near Kakanj is almost festive: they are visited by Edin Sejdić, mediator from the Kakanj-based Roma Support Centre “Romalen”. Six-year-old Emina and her mother Fatima Dedić from Visoko are currently visiting the Fafulić family, so the girls have been inseparable for days. “I call her sister even though we’re actually cousins, and I’m a little older than Emina,” says Irma with a smile full of crooked milk teeth and explains that she has completed her second grade online due to the COVID-19 situation. Now, she says, she is deservedly enjoying her school holidays after a very challenging period when she had to compete with other relatives for access to a single shared mobile device so that she could attend her online classes. When asked what she liked most about school this year, she retorts right off the bat: “My teacher Dženita!” The rest of the Fafulić-Dedić household listens attentively to Edin, whom they have known for a long time, and who has stopped by today to escort their Irma to the local health centre for a vaccination. Statistics show that only four percent of Roma children in BiH are vaccinated Roma girl UNICEF/ Majda Balić Raising awareness about the importance and effectiveness of immunization in Roma communities is one of the regular activities implemented by the Kakanj-based Roma Support Centre “Romalen” Edin is kind of a link between the health-care system and the residents of this small community, and as a true man of the people, he explains the advantages of immunization, dispelling misconceptions and rebutting arguments of even the most fervent opponents of vaccination in the audience. He is one of the 16 mediators trained to do outreach work and help Roma communities with vaccination procedures in four cantons with sizeable Roma population (Zenica-Doboj, Sarajevo, Central Bosnia and Tuzla). Raising awareness of the importance and effectiveness of immunization in Roma communities is one of the regular activities implemented by the Kakanj-based Roma Support Centre “Romalen” under the project Immunization for Every Child in Bosnia and Herzegovina (BiH), in cooperation with UNICEF BiH. Edin is a link between the health-care system and the residents of this small community. Edin is a link between the health-care system and the residents of this small community. He admits that doing outreach work is not always easy, adding that people often confuse going to the doctor for an injection for receiving vaccines, and that there are still those who remain unconvinced of the benefits of immunization. But Edin has a way with people, patiently walking them through the entire process, emphasizing benefits and dispelling fears. By the end of the project, as many as almost 1500 families in the four cantons will have been informed about the benefits and effectiveness of immunization, as well as vaccination procedures and options. Mediators like Edin also provide assistance by escorting the youngest members of the community to vaccination points. “Thanks to this project, you can also retroactively receive the vaccines you missed,” says Edin, adding that many Roma are not at all aware of what needs to be done, or when. Mediators are therefore an invaluable asset to the community as they motivate, inform and mobilize people, and prepare the ground for the child’s immunization. Each mediator has a vaccination schedule for every child, and reminds parents when it is time to go to a health facility. Mediators are carefully selected from among their communities, they are persons of trust, and are usually involved in supporting the community through other projects – so they are familiar to the people they interact with and have already gained trust of the local residents. The same is true of the Fafulić family, who are now ready to have their Irma vaccinated after receiving relevant information from Edin. Mujo Fafulić Mujo Fafulić, president of the Kakanj-based Roma Support Centre “Romalen” “Roma mediators have a vital role to play in Roma communities. Statistics show that only four percent of Roma children in BiH are vaccinated. This project aims to raise this immunization rate, even using statistics on the mortality of unvaccinated children as one of the arguments,” explains Mujo Fafulić, president of the Kakanj-based Roma Support Centre “Romalen”, the organization implementing the project. “These are one-on-one conversations, with mediators visiting communities to check on the spot what the vaccination rates are and whether children are vaccinated at all, as well as which vaccines they have received, while also motivating parents to have their children immunized if they have not done so before. "By the time they reach adulthood, children should complete the vaccination cycle, and mediators are doing outreach work to explain the benefits of on-schedule immunization, as well as the adverse consequences of failing to do so." Mujo Fafulić Emina has already received the vaccines scheduled for her age, and she confidently shares her last words of advice with her cousin Irma before they leave, so that there are two parallel conversations going on in the living room – adults talk about the benefits of immunization and health care, and the little girls, holding hands, have their own conversation about what the needle looks like and where on the hand the nurse will give Irma a jab. Rubbing their hands with disinfectant, with their facemasks on, the girls extend their hands to the mediator, ready to go – Emina, being more experienced, will escort Irma to help her go through this whole experience as painlessly as possible. Irma’s parents Jasmina and Nermin are staying at home and waving to the girls from the window. Holding hands, with their fingers intertwined in a clasp that shows care and love, the children set out together on their trip to the health centre. The trip they are taking is one that is recommended to everyone as it promises better health and protection against diseases that are still lurking about and are far from being eradicated. Dr. Rownak Khan, UNICEF Representative in BIH confirms that by saying: “Vaccination is the best protection from communicable diseases. Unfortunately, Bosnia and Herzegovina’s low immunization rates, 68% full immunization and only 4% among Roma children, mean that children in this country are at high risk of getting vaccine preventable diseases resulting in outbreaks, particularly measles outbreaks. Currently, UNICEF is working with two Roma NGOs, Kali Sara and Romalen, to raise awareness on the importance of vaccination in Roma communities, by connecting with health institutions, Public Health Institutes and ministries with Roma communities through Roma health mediators to reach the most vulnerable children. This will also reduce equity gaps and will protect all children in BiH from vaccine-preventable diseases.” All children, regardless of the country or circumstances in which they live, have the right to develop and thrive. As a key component of the human right to health, immunization saves millions of lives and protects children against vaccine-preventable diseases. Immunization saves two to three million lives each year. Vaccines now protect more children than ever before, but nearly one in five infants miss out on the basic vaccines they need to stay alive and healthy. Low immunization levels among poor and marginalized children compromise gains made in all other areas of maternal and child health. This material is produced within the initiative Increase awareness on the importance of vaccination with special focus on Roma communities - Immunization for every child! UNICEF Country Office in Bosnia and Herzegovina’s programme on immunization, funded by the Centers for Disease Control and Prevention (CDC) through UNICEF Headquarters. We would also like to thank UNICEF Europe and Central Asia Regional Office for their support.
What you need to know about COVID-19 vaccines
Vaccines save millions of lives each year and a COVID-19 vaccine could save yours. The COVID-19 vaccines are safe and effective, providing strong protection against serious illness and death. WHO reports that unvaccinated people have at least 10 times higher risk of death from COVID-19 than someone who has been vaccinated. There is also evidence that being vaccinated can help prevent you from spreading the virus, so it protects people around you. It is important to be vaccinated as soon as it’s your turn, even if you already had COVID-19. Vaccines offer more reliable protection than natural immunity. Getting vaccinated is a safer way for you to develop immunity from COVID-19 than getting infected. The COVID-19 vaccines are highly effective, but no vaccine provides 100 per cent protection. Some people will still get ill from COVID-19 after vaccination or pass the virus onto someone else. Therefore, it is important to continue practicing safety precautions to protect yourself and others, including avoiding crowded spaces, physical distancing, hand washing and wearing a mask.
Vaccinations with a smile in Uzbekistan
Baby Imona is visiting the clinic, but there is no fear or tension, because Nurse Aziza Abduazimova knows how to put her and her parents at ease. Aziza’s open face and sweet, cheerful manner make all of the children she meets comfortable. “I always meet babies with a smile. Then I answer all of the parents’ questions about vaccinations so that they feel they can trust me with their child’s health. I make the child comfortable, and chat and play with them. I use toys to create a relationship before vaccinating them.” Aziza has been immunising children at Polyclinic #47 in Tashkent, Uzbekistan for six years now. She says that she loves her job. “I’m a mother myself. I have three sons aged 15, 12 and 10 years old who are all vaccinated and growing up healthy. I didn’t have a moment’s hesitation in getting my children vaccinated, and I am happy to help other mothers raise strong and healthy kids.” Aziza believes that it’s much better to vaccinate a child and prevent a disease than treat the sometimes-serious consequences of an illness. “Polio can cause permanent paralysis. Mumps, a common childhood disease, can make boys infertile, and measles can be fatal. It’s not just the consequences for the individual, either. A child who hasn’t been vaccinated is putting everyone else at risk, including babies and unvaccinated adults.” Nurse Aziza Abduazimova administers the polio vaccine to baby Imona. Nurse Aziza Abduazimova administers the polio vaccine to baby Imona. However, despite all the evidence about the safety of vaccines to prevent serious disease, some parents are still hesitant. “It’s a natural urge for a mother to protect her baby, and some mothers are scared to cause their baby the pain of an injection,” Aziza says. “Believe me, when I first started this job, I used to cry along with the babies, but then I realised that by causing this brief moment of pain, I’m preventing a lot of future suffering.” Some parents read things on the internet that scare them. Aziza says, “I follow a lot of discussions on the web and I often post evidence to prove that they needn’t worry. All the vaccines used in Uzbekistan meet international standards.” Aziza recalls a young mother who didn’t vaccinate her first son. “He got every childhood disease, one after the other, including Hepatitis A. With my encouragement she decided to vaccinate her younger son. He has grown up very healthy. Now when people see them together, they assume the younger one is older because he wasn’t sick as often, he’s so much taller and stronger than his brother. His mother tells everyone her story. She says, ‘If I’d had my older son vaccinated, I wouldn’t have gone through all these troubles.’” Aziza helps parents who have concerns about vaccinations to meet mothers and fathers with children who have been fully immunised. “Peer to peer conversations are really helpful because parents trust fellow parents and they can see the results.” She believes being a good vaccinator isn’t just about following procedures but having the right attitude: “There was one lady who came from outside our clinic’s catchment area. She was surprised to find me so cheerful and friendly. In her previous experiences staff had been professional, but she told me my friendliness has made such a difference to her children; now they feel at ease during and after vaccinations. It makes such a difference how you treat people." "Children pick up a lot from how you deal with them—they connect with a smile.” - adds Aziza. Nurse Aziza puts baby Imona at ease with a toy after administering a vaccine. With toys and smiles, baby Imona is at ease after receiving a vaccine. “My main message to parents would be to follow the vaccination calendar. Don’t wait or delay; it has been developed to protect against the most common diseases in this country and vaccinating on time gives your child the best protection.” Aziza gives baby Imona a last cuddle. She smiles, “Parents share the hope that their child will grow up healthy. In my work as a vaccinator, I can help make that happen.” UNICEF in Uzbekistan trains health professionals across the country to vaccinate children and works closely with the Government to ensure the vaccine system is safe and can reach all children with life-saving immunizations.
Protecting children against measles in Romania
Parents living in Strehaia, a Roma community in South-West Romania, nod and smile in relief after watching a short video shown by their local physician on the benefits of immunizing their children. The physician answers questions from the parents before they gather their children and move to the next room where all of the children are vaccinated. The children range in age from young toddlers to 18 years old. The young ones hold their mothers’ hands tightly, but the older ones laugh and ask to watch the film again. The film is part of UNICEF Romania’s ongoing support to the Ministry of Health’s efforts to increase immunization coverage and prevent the spread of measles. Vaccination coverage in Romania has declined since 2000. In 2017, only 75 per cent of children had received two doses of Measles, Mumps and Rubella (MMR) vaccine – a coverage rate far below the recommended 95 per cent needed to protect all children. As a result of low immunization coverage, Romania has experienced a measles outbreak, with over 15,000 people affected since 2016. This includes 59 deaths, the majority being children. As part of ongoing efforts to increase immunization coverage, in July 2018 Romania’s Ministry of Health launched a door-to-door catch up campaign to vaccinate children who missed their vaccinations. In support, UNICEF developed a series of materials to provide parents with easy to understand, factual information about the benefits and process of children being immunized. These materials include the short film watched by families in Strehaia. The film is shown to parents and families in the most vulnerable communities in Romania - people living in hard to reach areas, those affected by poverty, and Roma communities. These communities often have children with the lowest rates of immunization. The film talks about the necessity and benefits of vaccination and, at the same time, addresses the most common vaccine-related questions from parents: Is it safe to vaccinate my child? What if she/he catches another disease? What if my child gets sick after the vaccination? Is the vaccine free of charge? A girl is vaccinated at a community center in Buhuși, in Eastern Romania as part of the UNICEF and WHO supported immunization catch-up campaign. A girl is vaccinated at a community center in Buhuși, in Eastern Romania as part of the UNICEF and WHO supported immunization catch-up campaign. “In the beginning parents did not want to vaccinate their children, but then they put their trust in us. We told them vaccines are good and we encouraged them to ask the doctor all the questions they have during the campaign. So they were able to have a clear picture on the benefit of vaccination,” said Gabriela Stan, a health mediator in the town of Buhuși, in Eastern Romania. Gabriela was part of the team that went door-to-door to inform parents from vulnerable communities about the benefits of vaccination. Although there have been positive developments in reaching vulnerable children with lifesaving MMR immunizations over the past few months in Romania, until the coverage rate reaches 95 per cent, children will remain at risk.
Vaccination drive ongoing to protect children from deadly measles outbreak in Ukraine
Uliana Dziuba, 36, is holding the hands of her two young children as they wait to receive their vaccination against measles, mumps and rubella (MMR). Unlike her brother Volodia, nine-year-old Maryana is anxious, but Uliana knows how important today is. “I used to refuse to vaccinate the children against measles,” she says. “Once, I refused because they were sick at the time. Another time, there was a very powerful anti-vaccination campaign on social media. But Maryana got measles at age three and now I’m very worried that my son will get sick. I am vaccinating both of them for the first time today.” The pair are among thousands of children now being vaccinated in Lviv region, Ukraine, after the Ministry of Health with support from UNICEF launched an immunization drive. It is using a combined approach: teams of mobile doctors are working to reach school-age children while local clinics are increasing their ability to vaccinate more children. The drive is happening as UNICEF warns that global cases of measles have surged to alarmingly high levels – including in countries that had previously been declared measles free – eroding progress against this highly preventable, but potentially deadly disease. Maryana Dzuba, 9, receives her first dose of MMR vaccine on 21 February 2019 in the medical centre of the Lapaivka village school, Lviv region, Ukraine, as part of a three-week long catch-up vaccination campaign to increase MMR coverage among school aged children in the region. Maryana Dzuba, 9, receives her first dose of MMR vaccine on 21 February 2019 in the medical centre of the Lapaivka village school, Lviv region, Ukraine, as part of a three-week long catch-up vaccination campaign to increase MMR coverage among school aged children in the region. In Ukraine alone, according to Government data, there were more than 53,000 cases of measles in 2018. Another 24,000 people were infected just in the first two months of this year. The situation in Lviv region is particularly dangerous, with approximately 11,000 measles cases in 2018, and up to 50,000 unvaccinated children in the region. Of the 634 children attending Volodia and Maryana’s school in Lviv, only 13 remain unvaccinated due to the ongoing immunization drive. During the first two days, a total of 2,030 children were vaccinated. For many it was the first time. The vaccination drive also helps combat negative attitudes towards vaccination, as well as shortages in vaccine supply through 2009-2015. “Teachers and medical professionals have been campaigning for vaccinations,” says school headteacher Tetiana Malieryk. “We held all-school meetings and parent-teacher conferences, where the danger of measles was explained. Now fewer parents are refusing vaccinations and those children who did not receive vaccinations because of their parents’ beliefs are being vaccinated.” Next in line for vaccinations at the school in Lviv are six-year-old twins Vitalina and Yuliana. The girls and their mother Olesia Kechur, 37, are dressed in traditional embroidered clothing. This will be their second vaccination against measles. Twins Vitalina and Yuliana Kechur, 6, are given a check-up by the doctor before receiving MMR vaccination on 21 February 2019 in the medical centre of the Lapaivka village school, Lviv region, western Ukraine. Twins Vitalina and Yuliana Kechur, 6, are given a check-up by the doctor before receiving MMR vaccination on 21 February 2019 in the medical centre of the Lapaivka village school, Lviv region, western Ukraine. “The mother is very responsible about vaccinations,” reports Halyna Narolska, their doctor. “They get all of them and don’t miss anything.” Narolska has been a doctor for over 30 years. During this time, she says, she has not seen a single complication from an MMR vaccine. “Temperature may increase and there may be rash on day four, but neither has happened to a single child that we have vaccinated,” she says. “The only way to stop the outbreak is to vaccinate all children.” “There is a measles outbreak all over the world,” remarked Ukraine’s Deputy Minister for Healthcare Olha Stefanyshyna, during a recent visit to Lviv. “However, Ukraine is sadly a leader among the European countries. This is why we need to take extraordinary measures. I would like to say that this campaign is aimed primarily at children who missed their vaccination against measles, mumps, and rubella in the past. Today, we have better coverage of children who are born now.” UNICEF and its partners are supporting governments to reach millions of children in countries around the globe with life-saving immunization. However, stronger commitment and actions to vaccinate more children and protect them from preventable diseases is critical – including in Ukraine.
What you need to know about COVID-19 vaccines
Vaccines work by mimicking an infectious agent – viruses, bacteria or other microorganisms that can cause a disease. This ‘teaches’ our immune system to rapidly and effectively respond against it. Traditionally, vaccines have done this by introducing a weakened form of an infectious agent that allows our immune system to build a memory of it. This way, our immune system can quickly recognize and fight it before it makes us ill. That’s how some of the COVID-19 vaccines have been designed. Other COVID-19 vaccines have been developed using new approaches, which are called messenger RNA, or mRNA, vaccines. Instead of introducing antigens (a substance that causes your immune system to produce antibodies), mRNA vaccines give our body the genetic code it needs to allow our immune system to produce the antigen itself. mRNA vaccine technology has been studied for several decades. They contain no live virus and do not interfere with human DNA. For more information on how vaccines work, please visit WHO .
#VaccinesWork to protect children in Ukraine, amid measles outbreak
As a mother of two young children, Natalia was once told by her doctor that vaccinations were unnecessary. Now – with a measles outbreak gripping Ukraine –Natalia is glad she chose to ignore the doctor’s advice and instead vaccinate her children. This recent national outbreak has affected 16,500 people and killed 13, including nine children. According to a UNICEF poll taken in 2016, 16 percent of parents in Ukraine have refused vaccinations for their children. Natalia with her two children in a park in Kyiv. Natalia, with her two young children in a park in Kyiv. “Many parents I know still refuse to vaccinate their children,” says Natalia, whose children received the MMR vaccine against measles, mumps and rubella. “They say the vaccines are bad, that they have adverse effects. My children are fine and I think their health is more important.” Ukraine’s Ministry of Health has been leading the outbreak response since 2017 with support from UNICEF and other partners. While less than half of all children in the country were vaccinated against measles as part of routine immunization in 2016 (via the MMR vaccine), the number more than doubled in 2017 to over 90 percent, according to the Ministry. Valentyna Ginzburg, a doctor who heads Kyiv’s state healthcare department, says she and her team have been working to combat the measles outbreak since first being alerted to a rise in infections following the New Year and Orthodox Christmas celebrations in 2018. “We received information on the incidence rates of measles in Kyiv,” Dr. Ginzburg says. “We knew we needed to take rapid action to prevent a situation similar to other regions, such as Odesa, where there had already been fatalities amongst both adults and children from the illness.” Measles is one of the most contagious diseases around and we understood that if we were not proactive and did not control it, it would have not been long before we had the same situation as in other regions. Dr. Ginzburg Dr. Ginzburg explains how she and her colleagues had to act quickly to stop the spread of the disease in Kyiv. UNICEF/2018/Krepkih Dr. Ginzburg explains how she and her colleagues had to act quickly to stop the spread of the disease in Kyiv. In the four days that followed, 11,000 children were vaccinated in Kyiv. Around 48,000 children were immunized from January to March, a tally that would normally take 12 months to reach. Following national recommendations on outbreak response, authorities in Kyiv launched a ‘situation room’ to collect the latest information and coordinate response actions. Being vaccinated was also made a pre-condition for children attending schools and preschools to help stop the spread. The city administration also encouraged medical specialists to visit schools and raise awareness of vaccination among both teachers and parents. Maryna Stefanenko, a pediatrician at a clinic on the left bank of Kyiv, gives more details. “We had a lot of people coming in, even those who normally go to private clinics,” she says. Dr Stefanenko’s clinic usually administers around 80 vaccines per day, but during the outbreak they were immunizing around 1,200 people each day. On the other side of the city, in Obolon district, another clinic rushed to meet demand. A pediatrician there, Dr Natalia Yatsenko, explained that as part of her job, she must sign the paperwork for parents who refuse to vaccinate their children. She says she spends a lot of time explaining the benefits of vaccination, as well as the risks for children who do not receive their shot. Before the measles outbreak, she managed to talk some 10 per cent of objectors into changing their mind. However, during the outbreak, she did not even have to persuade them – many parents who were once against vaccinations were very keen to bring their children to the clinic. A young boy receives several vaccines at a time at Dr Natalia Yatsenko clinic in Kyiv. A young boy receives several vaccines at a time at Dr Natalia Yatsenko clinic in Kyiv. Another factor in the response? The effects of armed conflict in eastern Ukraine. “We had some internally displaced people from the eastern regions who came to our clinic,” says Yatsenko. “They told us that their children’s vaccination records had been falsified, and now they wanted to vaccinate them for real. So we vaccinated them.” “We also vaccinated some parents,” adds Stefanenko. “The parents bought the vaccines for themselves from the pharmacy then brought them to us and we administered the shots.” Dr. Ginzburg also advocated with the Kyiv authorities to address one of the biggest issues the country is struggling with - access to vaccines for adults and health workers. “All health workers had to be checked and those who required vaccination had to be immunized,” she says. “Then we were sure that, no matter what, the doctors wouldn’t be incapacitated.” The city administration also made sure the municipal pharmacy chain had measles vaccines available for adults. Artem, six, receives his second dose of the MMR (mumps, measles, rubella) vaccine in Kyiv. Artem, six, receives his second dose of the MMR (mumps, measles, rubella) vaccine in Kyiv. Although vaccines for children were available in 2017, increased demand had depleted stocks in some regions. To help replenish stocks, a new expedited supply of MMR vaccines was delivered by UNICEF at the request of the Ministry of Health at the end of February 2018, and another 800,000 doses are due this month, to ensure sufficient vaccines for both routine immunization of children and those who may have missed their immunizations in previous years. Significant progress has been made in reaching more children with vaccines, yet still an estimated 1.5 million children die globally from vaccine preventable diseases every year and an estimated half a million children in the region are still not immunized. Millions of lives can be saved by extending basic health services like routine immunization to the most vulnerable and disadvantaged, and UNICEF is on the ground immunizing millions of children each year . Vaccines protect children against disease and death, saving up to three million lives every year. In short, #VaccinesWork.
The undeniable power of vaccines
]: Olena Kudryashova and her daughter, Maya, 17 months, walk outside their home in Kyiv. Both caught measles in 2018. Olena was infected first, before spreading the illness to her daughter. Today, Olena supports vaccination as early as possible. “Vaccination, like politics or religion, leaves no one indifferent,” she says. “But… there is no room for discussion in vaccination. It is absurd to deny its effectiveness.” Инна Онищенко, блогер Facebook, популярный среди молодых матерей в Украине. “It is easy to be an anti-vaccinator when you have no children,” admits Inna Onyshchenko, a Facebook blogger popular among mothers of young children in Ukraine. Before she was a mother, Inna spoke out against vaccination. When she became pregnant, she reconsidered. Today, her three-year-old daughter Zoryana has all of her vaccinations and Inna shares her experiences on her blog, dispelling common myths about immunization. Светлана Овдий играет возле своего дома в пригороде Киева со своим трёхлетним сыном Кириллом. Svitlana Ovdiy plays with her son Kyrylo, 3, a tetanus survivor, near their house outside Kyiv. The infection put Kyrylo in a medically-induced coma, and he spent 50 days in the hospital. “When he heard my voice... he started crying, calling for help, but there was nothing more I could do,” Svitlana recalls. “Now vaccination is a top priority issue in our family.” Ханна Прокопышин находится со своим девятилетним внуком Дмитрием в больнице, где он проходит лечение от бронхиальной астмы. Hanna Prokopyshyn sits with her grandson Dmytro, 9, in the hospital where he receives treatment for bronchial asthma. Dmytro’s parents initially were afraid to vaccinate their son due to his condition – a concern doctors dispelled, especially amid Ukraine’s measles outbreak. Dmytro has already successfully received the first dose of the MMR vaccine and his parents plan to follow the National Immunization Schedule. Сергей Олийнык, врач-педиатр, изображён на фото со своей годовалой дочерью Катей. Serhiy Oliynyk, a paediatrician, holds his daughter Katya, age 1, before setting off to work at Kosiv hospital in Western Ukraine. Serhiy promotes vaccines among his patients and recently had Katya inoculated against measles. Children should generally receive their first dose of the MMR vaccine at age 1; babies at high risk of contracting measles, especially during an outbreak, can receive the MMR shot as early as 6 months. Анна Кравчук, студентка медицинского университета, является одной из шести детей в своей семье. Anna Kravchuk, a university student and one of six children, did not get vaccinated until the measles outbreak in Ukraine reached her school. Many of Anna’s fellow students were infected – one died. After Anna got vaccinated, she convinced her mother to vaccinate her younger sisters. “I am sometimes being asked for medical advice,” she says. “And, of course, in the first year of study I am not a reliable adviser. But for immunization I know for sure – it just must be done. It is obligatory.” Марьяна Возница, главный врач Украинской специализированной детской больницы во Львове, изображена на фото в своём кабинете. “The problems with vaccination... result from the poor communication between doctors and and patients,” says Maryana Voznytsya, Head Doctor at the Ukrainian Specialized Children’s Hospital in Lviv. She adds that her hospital deals with the consequences of other doctors’ vaccination failures. In recent years, the hospital has received six tetanus cases, with many doctors facing the disease for the first time. “Everyone should know that doctors and patients are on the same side in the fight against diseases.” Олесь Похраничный, директор частной школы во Львове, изображён на фото с одной из трёх своих дочерей. Oles Pohranychnyi, a private school director in Lviv, once believed the misconceptions surrounding vaccines – he and his wife decided not to vaccinate their three daughters. Increased risk of measles and other illnesses in Ukraine, such as tetanus and diphtheria, made them change their minds. “The National Education System should... give people confidence in vaccination and health services in general,” Oles says, holding his daughter. He now organizes UNICEF-supported vaccination training for parents and arranges inoculations for staff. Медсестра Иванна Кныш на фото после вакцинации троих детей в Западной Украине. “The more openly we talk about vaccination, the more we'll be trusted by parents, because they realize that there's nothing to be afraid of,” says Ivanna Knysh, pictured after vaccinating three children in Western Ukraine. Until recently, Ivanna, a nurse, worked at a healthcare facility in Novoselytsya, a town in which 100 per cent of children were vaccinated thanks to her efforts. Now a UNICEF-certified vaccination trainer, Ivanna actively encourages doctors to help dispel parents’ fears by better explaining the procedure. Игорь Сухомлин, ресторатор, изображён на фото вместе с женой и тремя детьми у своего ресторана в Киеве. After his middle son contracted chickenpox, Igor Sukhomlyn, a restaurateur and thought leader in Kyiv, was not willing to take any chances. He and his wife immediately vaccinated other members of the family from chickenpox, and no one else got sick. “Vaccination is a valuable scientific achievement,” says Igor, pictured with his wife and children in front of his restaurant. This World Immunization Week, UNICEF and the Bill & Melinda Gates Foundation are launching a new global campaign to emphasize the power and safety of vaccines. From 24–31 April, the foundation will contribute US$1 to UNICEF for every like or share of a social media post using the hashtag #VaccinesWork, up to US$1 million. In the meantime, UNICEF will continue to assist Ukraine’s Ministry of Health in monitoring the outbreak, helping the Government procure free vaccines and spreading the message that together, communities can protect everyone through vaccines. Learn more World Immunization Week UNICEF's work on immunization in the region Vaccine FAQs Parents' most frequently asked questions about vaccines Vaccines and the diseases they prevent Vaccines and the diseases they prevent
Moving with the times: 1980–1988
UNICEF launches the Child Survival and Development Revolution, a drive to save the lives of millions of children each year. Special emphasis is placed on four low-cost measures: growth monitoring, oral rehydration therapy, promotion of breastfeeding, and immunization (together they are sometimes referred to by the acronym GOBI) A series of posters introduced in the 1980s features the tagline, “What would you like to be when you grow up? Alive!” UNICEF poster UNICEF На серии плакатов, выпущенных в 1980-х годах, размещен слоган “Что бы ты хотел делать, когда вырастешь? Жить!”