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Maintaining routine immunization services vital during the COVID-19 pandemic – WHO and UNICEF

https://www.unicef.org/eca/node/5936

GENEVA/COPENHAGEN, 20 April 2020 - The COVID-19 pandemic is a stark reminder that infectious diseases know no borders. All countries are vulnerable, regardless of income levels or the strength of their health care systems. Across the European Region, where tens of millions of people have been living in lockdown for weeks, and over 100,000 people have died, the speed and devastation of the novel coronavirus has completely upended lives. The urgent need for a COVID-19 vaccine underscores the pivotal role immunizations play in protecting lives and economies. As scientists around the world work to develop a vaccine against the novel coronavirus and health care capacities are stretched in responding to COVID-19, national routine immunization programmes are more critical than ever before. Governments across the Region must use every opportunity possible to protect people from the many diseases for which vaccines are already available. When routine vaccinations are missed, the risk of disease outbreaks increases. In 2018, approximately 527 000 children missed their first-dose of measles-containing vaccine in the WHO European Region. One year later in 2019, the measles virus exposed immunity gaps in Europe, infecting over 100 000 people, across all age-groups. Protecting children, adolescents and adults from vaccine-preventable diseases through vaccination is a must for the sustainability of health care systems. “We know that vulnerability to infectious diseases anywhere is a threat to public health everywhere,” said Ms. Afshan Khan, UNICEF Regional Director for Europe and Central Asia. “It is critical that routine immunization programmes continue during this crisis, while adequately protecting health workers and individuals receiving vaccinations. Reaching the most vulnerable children who have missed routine immunizations in the past should be prioritized.” If, during these unprecedented times, local COVID-19 response measures cause temporary interruptions of routine immunization services, countries should plan to resume immunization services as quickly as possible after the situation stabilizes. Countries should be prepared to vaccinate those at higher risk and ensure everyone, including the most marginalized, will have equal access to a COVID-19 vaccine when it becomes available. “ We can prevent further impact of COVID-19 on our healthcare systems by assuring that individuals of all ages remain vaccinated according to national schedules. I urge countries to maintain immunization service delivery and drive demand for vaccination, through the life-course even at this difficult time. Prioritizing immunization is one of my four flagship areas and central to WHO’s vision for health in the new European Programme of Work” said Dr Hans Henri P. Kluge, WHO Regional Director for Europe. WHO and UNICEF will continue to support governments’ efforts to strengthen their immunization programmes, including through strategic planning for equitable provision of immunization, strengthening vaccine-preventable disease surveillance and community engagement and education. As we step into a new future, vaccines will continue to serve as a foundation for health and wellbeing for all. It is through solidarity, joint action and tireless commitment to leaving no one behind that we can create a healthier future together. #Vaccineswork Georgia immunization UNICEF/UN0326765/Georgia

Immunization services begin slow recovery from COVID-19 disruptions, though millions of children remain at risk from deadly diseases – WHO, UNICEF, Gavi

https://www.unicef.org/eca/press-releases/immunization-services-begin-slow-recovery-covid-19-disruptions-though-millions

GENEVA/NEW YORK, 26 April 2021 --- While immunization services have started to recover from disruptions caused by COVID-19, millions of children remain vulnerable to deadly diseases, the World Health Organization (WHO), UNICEF and Gavi, the Vaccine Alliance warned today during World Immunization Week , highlighting the urgent need for a renewed global commitment to improve vaccination access and uptake. “Vaccines will help us end the COVID-19 pandemic but only if we ensure fair access for all countries, and build strong systems to deliver them,” said Dr Tedros Adhanom Ghebreyesus, WHO’s Director-General. “And if we’re to avoid multiple outbreaks of life-threatening diseases like measles, yellow fever and diphtheria, we must ensure routine vaccination services are protected in every country in the world.” A WHO survey has found that, despite progress when compared to the situation in 2020, more than one third of respondent countries (37%) still report experiencing disruptions to their routine immunization services. Mass immunization campaigns are also disrupted. According to new data, 60 of these lifesaving campaigns are currently postponed in 50 countries, putting around 228 million people - mostly children - at risk for diseases such as measles, yellow fever and polio. Over half of the 50 affected countries are in Africa, highlighting protracted inequities in people’s access to critical immunization services. Campaigns to immunize against measles, which is one of the most contagious diseases and can result in large outbreaks wherever people are unvaccinated, are the most impacted. Measles campaigns account for 23 of the postponed campaigns, affecting an estimated 140 million people. Many have now been delayed for over a year. “Even before the pandemic, there were worrying signs that we were beginning to lose ground in the fight against preventable child illness, with 20 million children already missing out on critical vaccinations,” said Henrietta Fore, UNICEF Executive Director. “The pandemic has made a bad situation worse, causing millions more children to go unimmunized. Now that vaccines are at the forefront of everyone’s minds, we must sustain this energy to help every child catch up on their measles, polio and other vaccines. We have no time to waste. Lost ground means lost lives.” As a result of gaps in vaccination coverage, serious measles outbreaks have recently been reported in countries including the Democratic Republic of the Congo, Pakistan and Yemen, while likely to occur elsewhere as growing numbers of children miss out on lifesaving vaccines, the agencies warn. These outbreaks are happening in places already grappling with conflict situations as well as service disruptions due to ongoing response measures to COVID-19. The supply of vaccines and other equipment is also essential for child vaccinations. Due to disruptions at the onset of the COVID -19 pandemic, UNICEF delivered 2.01 billion vaccine doses in 2020, compared to 2.29 billion in 2019. “Millions of children across the world are likely to miss out on basic vaccines as the current pandemic threatens to unravel two decades of progress in routine immunization”, said Dr Berkley, CEO of Gavi, the Vaccine Alliance. “To support the recovery from COVID-19 and to fight future pandemics, we will need to ensure routine immunization is prioritized as we also focus on reaching children who do not receive any routine vaccines, or zero-dose children. To do this, we need to work together – across development agencies, governments and civil society – to ensure that no child is left behind”.

23 February 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

NEW YORK, 23 February 2021 – 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

WHO and UNICEF warn of a decline in vaccinations during COVID-19

https://www.unicef.org/eca/press-releases/who-and-unicef-warn-decline-vaccinations-during-covid-19

GENEVA/NEW YORK, 15 July 2020 – The World Health Organization and UNICEF warned today of an alarming decline in the number of children receiving life-saving vaccines around the world. This is due to disruptions in the delivery and uptake of immunization services caused by the COVID-19 pandemic. According to new data by WHO and UNICEF , these disruptions threaten to reverse hard-won progress to reach more children and adolescents with a wider range of vaccines, which has already been hampered by a decade of stalling coverage. The latest data on vaccine coverage estimates from WHO and UNICEF for 2019 shows that improvements such as the expansion of the HPV vaccine to 106 countries and greater protection for children against more diseases are in danger of lapsing. For example, preliminary data for the first four months of 2020 points to a substantial drop in the number of children completing three doses of the vaccine against diphtheria, tetanus and pertussis (DTP3). This is the first time in 28 years that the world could see a reduction in DTP3 coverage – the marker for immunization coverage within and across countries. “Vaccines are one of the most powerful tools in the history of public health, and more children are now being immunized than ever before,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “But the pandemic has put those gains at risk. The avoidable suffering and death caused by children missing out on routine immunizations could be far greater than COVID-19 itself. But it doesn’t have to be that way. Vaccines can be delivered safely even during the pandemic, and we are calling on countries to ensure these essential life-saving programmes continue.” COVID-19 disruptions Due to the COVID-19 pandemic, at least 30 measles vaccination campaigns were or are at risk of being cancelled, which could result in further outbreaks in 2020 and beyond. According to a new UNICEF, WHO and Gavi pulse survey , conducted in collaboration with the US Centers for Disease Control, the Sabin Vaccine Institute and Johns Hopkins Bloomberg School of Public Health, three quarters of the 82 countries that responded reported COVID-19 related disruptions in their immunization programmes as of May 2020. The reasons for disrupted services vary. Even when services are offered, people are either unable to access them because of reluctance to leave home, transport interruptions, economic hardships, restrictions on movement, or fear of being exposed to people with COVID-19. Many health workers are also unavailable because of restrictions on travel or redeployment to COVID response duties as well as a lack of protective equipment. “COVID-19 has made previously routine vaccination a daunting challenge,” said UNICEF Executive Director Henrietta Fore. “We must prevent a further deterioration in vaccine coverage and urgently resume vaccination programs before children’s lives are threatened by other diseases. We cannot trade one health crisis for another.” Stagnating global coverage rate Progress on immunization coverage was stalling before COVID-19 hit, at 85 per cent for DTP3 and measles vaccines. The likelihood that a child born today will be fully vaccinated with all the globally recommended vaccines by the time she reaches the age of 5 is less than 20 per cent. In 2019, nearly 14 million children missed out on life-saving vaccines such as measles and DTP3. Most of these children live in Africa and are likely to lack access to other health services. Two-thirds of them are concentrated in 10 middle- and low-income countries: Angola, Brazil, Democratic Republic of the Congo, Ethiopia, India, Indonesia, Mexico, Nigeria, Pakistan, and Philippines. Children in middle-income countries account for an increasing share of the burden. Progress and challenges, by country and region There has been some progress. Regional coverage for the third dose of DTP in South Asia has increased by 12 percentage points over the last 10 years, notably across India, Nepal and Pakistan. However, that hard-won progress could be undone by COVID-19 related disruptions. Countries that had recorded significant progress, such as Ethiopia and Pakistan, are now also at risk of backsliding if immunization services are not restored as soon as feasible. The situation is especially concerning for Latin America and the Caribbean, where historically high coverage has slipped over the last decade. In Brazil, Bolivia, Haiti and Venezuela, immunization coverage plummeted by at least 14 percentage points since 2010. These countries are now also confronting moderate to severe COVID19-related disruptions. As the global health community attempts to recover lost ground due to COVID-19 related disruptions, UNICEF and WHO are supporting countries in their efforts to reimagine immunization and build back better by: Restoring services so countries can safely deliver routine immunization services during the COVID-19 pandemic, by adhering to hygiene and physical distancing recommendations and providing protective equipment to health workers; Helping health workers communicate actively with caregivers to explain how services have been reconfigured to ensure safety; Rectifying coverage and immunity gaps; Expanding routine services to reach missed communities, where some of the most vulnerable children live. ### Notes to editors Download photos , the report, data files and b-roll from UNICEF here or from WHO here . After 2pm CET 15 July, read the analysis of the data in this report, Are we losing ground? . Review presentation and graphs related to the data here . Nurses in Kosovo immunizing children when vaccination programme was resumed UNICEF/2020/S.Karahoda Nurses in Kosovo immunizing children when vaccination programme was resumed

19 October 2020

UNICEF to stockpile over half a billion syringes by year end, as part of efforts to prepare for eventual COVID-19 vaccinations

https://www.unicef.org/eca/press-releases/unicef-stockpile-over-half-billion-syringes-year-end-part-efforts-prepare-eventual

NEW YORK, 19 October 2020 – As the world awaits a COVID-19 vaccine, UNICEF has begun laying the groundwork for the rapid, safe and efficient delivery of the eventual vaccine by purchasing and pre-positioning syringes and other necessary equipment. As soon as COVID-19 vaccines successfully emerge from trials and are licensed and recommended for use, the world will need as many syringes as doses of vaccine. To begin preparations, this year, UNICEF will stockpile 520 million syringes in its warehouses, part of a larger plan of 1 billion syringes by 2021, to guarantee initial supply and help ensure that syringes arrive in countries before the COVID-19 vaccines. During 2021, assuming there are enough doses of COVID-19 vaccines, UNICEF anticipates delivering over 1 billion syringes to support COVID-19 vaccination efforts on top of the 620 million syringes that UNICEF will purchase for other vaccination programmes against other diseases such as measles, typhoid and more. “Vaccinating the world against COVID-19 will be one of the largest mass undertakings in human history, and we will need to move as quickly as the vaccines can be produced,” said Henrietta Fore, UNICEF Executive Director. “In order to move fast later, we must move fast now. By the end of the year, we will already have over half a billion syringes pre-positioned where they can be deployed quickly and cost effectively. That’s enough syringes to wrap around the world one and a half times.” In line with the longstanding collaboration between the two partners, Gavi will reimburse UNICEF for the procurement of the syringes and safety boxes, which shall then be used for the COVID-19 Vaccine Global Access Facility (COVAX Facility) and for other Gavi-funded immunization programmes if necessary. Besides syringes, UNICEF is also buying 5 million safety boxes so that used syringes and needles can be disposed in a safe manner by personnel at health facilities, thus preventing the risk of needle stick injuries and blood borne diseases. Every safety box carries 100 syringes. Accordingly, UNICEF is “bundling” the syringes with safety boxes to ensure enough safety boxes are available to go along with the syringes. Injection equipment such as syringes and safety boxes have a shelf life of five years. Lead-times for such equipment are also long as these items are bulky and need to be transported by sea freight. Vaccines , which are heat sensitive, are normally transported more quickly by air freight. In addition to saving time, early purchase of syringes and safety boxes also reduces pressure on the market and pre-empts potential early spikes in demand when vaccines do become available. As the key procurement coordinator for Gavi, the Vaccine Alliance, UNICEF is already the largest single vaccine buyer in the world , procuring more than 2 billion doses of vaccines annually for routine immunization and outbreak response on behalf of nearly 100 countries. Every year, UNICEF provides vaccines for almost half of the world’s children and procures and supplies around 600-800 million syringes for regular immunization programmes. COVID-19 vaccines will likely treble or quadruple that number, depending on the number of COVID-19 vaccines that are ultimately produced and secured by UNICEF. “Over two decades, Gavi has helped an additional 822 million children from the world’s most vulnerable countries access critical, life-saving vaccines,” said Seth Berkley, CEO of Gavi. “This would not have been possible without our partnership with UNICEF, and it is this same collaboration that will be essential to Gavi’s work with the COVAX Facility.” To make sure that vaccines are transported and stored at the right temperature , UNICEF, along with WHO, is also mapping out existing cold chain equipment and storage capacity – in the private as well as public sector – and preparing necessary guidance for countries to receive vaccines. “We are doing everything we can to deliver these essential supplies efficiently, effectively and at the right temperature, as we already do so well all over the world,” Fore said. Even prior to the COVID-19 pandemic, with support from Gavi and in partnership with WHO, UNICEF has been upgrading the existing cold chain equipment across health facilities in countries to ensure that vaccines remain safe and effective throughout their journey. Since 2017, over 40,000 cold-chain fridges, including solar fridges, have been installed across health facilities, mostly in Africa. In most countries, UNICEF is promoting solar technologies to help countries maintain supply chains. In South Sudan , the least electrified country in the world, where temperatures frequently exceed 40 degrees Celsius, more than 700 health facilities have been equipped by UNICEF with solar power fridges, approximately 50 per cent of health facilities in the country. A health volunteer fills a syringe UNICEF/UN070241/Hatcher-Moore

More than 117 million children at risk of missing out on measles vaccines, as COVID-19 surges

https://www.unicef.org/eca/press-releases/more-117-million-children-risk-missing-out-measles-vaccines-covid-19-surges

ATLANTA/GENEVA/NEW YORK, 14 April 2020: “As COVID-19 continues to spread globally, over 117 million children in 37 countries may miss out on receiving life-saving measles vaccine. Measles immunization campaigns in 24 countries have already been delayed; more will be postponed. “During this challenging period, the Measles & Rubella Initiative (M&RI) expresses solidarity with families, communities, governments and emergency responders and joins our global immunization and health partners, including those within Gavi, the Vaccine Alliance and the Global Polio Eradication Initiative (GPEI) in our collective focus and fight against the threat of COVID-19. The pandemic sweeping the globe requires a coordinated effort and commitment of resources to ensure frontline health workers around the world are protected, as they face and respond to this new threat. At the same time, we must also champion efforts to protect essential immunization services, now and for the future. “The World Health Organization (WHO) has issued new guidelines endorsed by the Strategic Advisory Group of Experts on Immunization -- to help countries to sustain immunization activities during the COVID-19 pandemic. The guidelines recommend that governments temporarily pause preventive immunization campaigns where there is no active outbreak of a vaccine-preventable disease. M&RI partners, which include the American Red Cross, the U.S. Centers for Disease Control and Prevention, UNICEF, the United Nations Foundation and WHO, strongly agree with these recommendations. We also urge countries to continue routine immunization services, while ensuring the safety of communities and health workers. The recommendations also ask governments to undertake a careful risk-benefit analysis when deciding whether to delay vaccination campaigns in response to outbreaks, with the possibility of postponement where risks of COVID-19 transmission are deemed unacceptably high. “If the difficult choice to pause vaccination is made due to the spread of COVID-19, we urge leaders to intensify efforts to track unvaccinated children, so that the most vulnerable populations can be provided with measles vaccines as soon as it becomes possible to do so. While we know there will be many demands on health systems and frontline workers during and beyond the threat of COVID-19, delivering all immunization services, including measles vaccines, is essential to saving lives that would otherwise be lost to vaccine-preventable diseases. “The M&RI supports the need to protect communities and health workers from COVID-19 through a pause of mass campaigns, where risks of the disease are high. However, this should not mean that children permanently miss out. Urgent efforts must be taken now at local, national, regional and global levels to prepare to close the immunity gaps that the measles virus will exploit, by ensuring that vaccines are available and that they reach children and vulnerable populations, as quickly as possible, to keep them safe. “Despite having a safe and effective vaccine for over 50 years, measles cases surged over recent years and claimed more than 140,000 lives in 2018, mostly of children and babies – all of which were preventable. Against this already dangerous backdrop, preventive and responsive measles vaccination campaigns have now been paused or postponed in 24 countries to help avert further spread of COVID-19. Campaigns expected to take place later in 2020 in an additional 13 countries may not be implemented. Together, more than 117 million children in 37 countries, many of whom live in regions with ongoing measles outbreaks, could be impacted by the suspension of scheduled immunization activities. This staggering number does not include the number of infants that may not be vaccinated because of the effect of COVID-19 on routine immunization services. Children younger than 12 months of age are more likely to die from measles complications, and if the circulation of measles virus is not stopped, their risk of exposure to measles will increase daily. “The M&RI salutes the heroism of health and emergency workers across the globe, and we recognize the vital role they play in delivering clear, trusted information, as well as preventive and supportive care within their communities. We must invest in health workers and ensure they are protected from infection and empowered as part of sustainable and functioning primary health systems. They are the first line of defense against global epidemics. We also recognize the role of parents and caregivers in ensuring their children are vaccinated by following physical distancing recommendations in line with national guidance. Finally, we call on countries and local leaders to implement effective communication strategies to engage communities, ensure supply and demand for vaccination remains strong, and help assure a healthy life for every child especially in this challenging time.” ##### Notes to Editor About Measles & Rubella Initiative: The Measles & Rubella Initiative (M&RI) is a global partnership, founded by the American Red Cross, the U.S. Centers for Disease Control and Protection, UNICEF, the United Nations Foundation and WHO, that is committed to achieving and maintaining a world without measles, rubella and congenital rubella syndrome. Founded in 2001, the Initiative has helped vaccinate over 2.9 billion children and save over 21 million lives by increasing vaccination coverage, improving disease response, monitoring and evaluation, and building public confidence and demand for immunization. The Initiative works closely with Gavi, the Vaccine Alliance to achieve these goals. For more information, visit us at www.measlesrubellainitiative.org and follow us on Twitter . More information on measles: WHO factsheet ; CDC measles updates; Latest WHO measles surveillance data For WHO guidelines for immunization during COVID-19, click here For more information about COVID-19, visit https://www.unicef.org/coronavirus/covid-19 For UNICEF’s work immunization, visit https://www.unicef.org/immunization Kyrylo UNICEF/UN0201071/Krepkih

18 December 2020

UNICEF outlining plans to transport up to 850 tonnes of COVID-19 vaccines per month on behalf of COVAX, in ‘mammoth and historic’ logistics

https://www.unicef.org/eca/press-releases/unicef-outlining-plans-transport-850-tonnes-covid-19-vaccines-month-behalf-covax

NEW YORK, 18 December 2020 – UNICEF could potentially transport up to 850 tonnes of COVID-19 vaccines per month in 2021, should such quantities become available, according to a new assessment. This is more than double the average weight of vaccines UNICEF transports every month. The assessment is part of UNICEF’s work to lead on the procurement and delivery of COVID-19 vaccines for 92 low- and lower middle-income countries on behalf of the COVAX Facility , in collaboration with the Pan American Health Organization (PAHO). “This is a mammoth and historic undertaking,” said Henrietta Fore, UNICEF Executive Director. “The scale of the task is daunting, and the stakes have never been higher, but we are ready to take this on.” The UNICEF assessment looked at global airfreight capacity and transport routes to better understand the challenges of delivering COVID-19 vaccines in 2021. It found that commercial airlines will be able to deliver vaccines to almost all 92 low- and lower-middle-income countries, which are among the 190 economies participating in the COVAX Facility, at an estimated cost of up to US$70 million. Comparing vaccine volume estimates against commercial and cargo routes across the globe, the assessment also found that current air cargo capacity would be sufficient to make deliveries covering 20 per cent of the population for most of the 92 countries. COVID-19 vaccines are expected to be primarily shipped using existing passenger and cargo flight capacity, although charters or alternative transport options may still be needed for some small countries and others with access issues. UNICEF is working with airlines and the wider logistics industry to prioritise the delivery of COVID-19 vaccines around the world. One major challenge in the COVID-19 vaccine operation is local cold chain capacity for vaccine storage within some low- and lower-middle-income countries. UNICEF, WHO and Gavi, the Vaccine Alliance, developed a guidance note on supply and logistics to help countries develop their supply chain strategies to receive, store, distribute and manage COVID-19 vaccines and related products. Given the range of storage temperatures required for COVID-19 vaccines, countries will continue to train logisticians and health workers on how to keep COVID-19 vaccines at the right temperatures. As part of a programme that started in 2017 , with support from Gavi, UNICEF continues to procure and support the installation of 70,000 cold-chain fridges in lower-income countries by the end of 2021, which will help in the roll-out of COVID-19 vaccines that need to be stored at 2 to 8 degrees Celsius. Almost half of these will be solar powered. UNICEF, WHO and Gavi are also working to help countries prepare and develop national deployment and vaccination plans for the large-scale roll out of COVID-19 vaccines. Currently, countries are continuing to monitor their readiness against key milestones, which include expediting regulatory approvals and putting in place ways to monitor vaccine safety. In addition, a UNICEF meeting this week with more than 300 vaccine procurement experts globally, including government officials, looked at ways to procure and roll-out COVID-19 vaccines and strengthen regulatory systems and supply chains. Funding is critical. UNICEF has called for US$410 million to help countries with the delivery of vaccines, therapeutics and diagnostic tools in 2021. Further, UNICEF estimates a funding gap of US$133 million to cover in-country vaccine logistics and the required cold chain equipment for the poorest 92 countries. “With the imminent arrival of globally approved COVID-19 vaccines, we can begin to see signs of hope. But hope will not be restored by the vaccine alone,” said Fore. “Countries need urgent technical and financial support to strengthen their capacities for cold and supply chains, to train health workers, and to work with communities in combatting misinformation and building trust in vaccines. Without urgent funding and support, many of the poorest countries still risk being left behind.” ###### About COVAX COVAX is the vaccines pillar of the ACT-Accelerator . It is co-led by the Coalition for Epidemic Preparedness Innovation (CEPI), Gavi, the Vaccine Alliance, and the World Health Organization (WHO) – working in partnership with developed and developing country vaccine manufacturers, UNICEF, the World Bank, Civil Society Organisations and others. COVAX is the only global initiative that is working with governments and manufacturers to ensure COVID-19 vaccines are rapidly available worldwide to economies of all financial means. Find out more about UNICEF’s work on the COVID-19 vaccines here , or about UNICEF’s work on immunization here . Download photos and broll here: UNICEF shipment UNICEF/UNI319459/Rocio Ortega

11 February 2021

UNICEF signs supply agreement for Pfizer/BioNTech COVID-19 vaccine

https://www.unicef.org/eca/press-releases/unicef-signs-supply-agreement-pfizerbiontech-covid-19-vaccine

NEW YORK, 11 February 2021: UNICEF announced today the signing of an agreement with Pfizer on behalf of the COVAX Facility for the supply of the Pfizer-BioNTech COVID-19 Vaccine through 2021. Deliveries of the vaccine are anticipated to start as early as the first quarter of 2021, once the countries that were allocated Pfizer-BioNTech vaccine…

04 November 2021

Ukraine to receive $2.8 million worth of cold chain equipment to support COVID vaccination

https://www.unicef.org/eca/press-releases/ukraine-receive-28-million-worth-cold-chain-equipment-support-covid-vaccination

Kyiv 25 October 2021 - The Ministry of Health of Ukraine in partnership with UNICEF, and with financial support from the US Government through USAID, starts an unprecedented upgrade to the cold chain for vaccines at the national level, in the context of COVID pandemic. To meet immediate needs, a total of $2.8 million provided by USAID will be used by UNICEF to procure WHO-prequalified passive cooling equipment to ensure safe and efficient transport and temporary storage of vaccines for primary health care facilities and mobile teams. The USAID donation will provide equipment to some 3,100 vaccination sites nationwide, including 1,034 sites based at primary healthcare facilities and nearly 800 mobile teams. The equipment will include: 5,643 cold boxes, 8,100 vaccine carriers, 197,730 ice-packs, 27,486 temperature monitoring devices The first batch of equipment arrived on September 30, and includes 2,700 vaccine carriers that can keep COVID-19 vaccines between +2 to +8°C. This equipment can also be used in the future for routine vaccines included in the national immunization schedule. “Every adult person in Ukraine has a chance to get a vaccination against COVID-19 today. We have enough vaccines to immunize 70 percent of the population by the end of the year. The Ministry is expecting to receive more COVID-19 vaccines in October-November. We are grateful to partners helping us ensure safe transport and temporary storage of the larger amount of vaccines we are receiving,” said Ihor Kuzin, Deputy Minister of Health, Chief State Sanitary Doctor of Ukraine. “The U.S. Government, as the largest donor to COVAX, is proud to partner with the Ministry of Health, UNICEF, and the international community in this historic effort to rapidly scale up COVID-19 vaccines. This investment in Ukraine's cold chain system will help ensure that vaccination sites across the country can transport and store vaccines at the proper temperature. This will increase Ukrainians' access to safe, high-quality COVID 19 vaccines - and will strengthen the national immunization system," said James Hope, the USAID Mission Director. “Reliable cold chain is a key to the success of any immunization program. Systemic large-scale update of the cold chain has long been on the agenda in Ukraine. At UNICEF, we are happy to support this important cause and grateful to the US Government for their valuable contribution that makes this update possible. The equipment we start delivering will serve the people of Ukraine in COVID vaccination campaign and will remain to support routine immunization”, said Murat Sahin, UNICEF Representative in Ukraine. To date, USAID has committed an estimated $10 million to support Ukraine’s vaccination efforts, and donated approximately 2.2 million COVID-19 vaccines directly to Ukraine through COVAX. USAID funds also support technical assistance and training of health workers in the transport and storage of vaccines, and are helping to expand nationwide communications efforts. By meeting the most urgent needs, USAID's contribution is expected to complement investments from the World Bank, UNICEF, COVAX and the Government of Ukraine to upgrade permanent cold chain infrastructure for both COVID and routine vaccination in the future. Support to strengthen the cold chain in Ukraine is part of USAID’s broader assistance to respond to and mitigate the effects of COVID-19 amounting to more than $50 million total since the outbreak began in Ukraine. COVID-19 vacccines. UNICEF

COVID-19 vaccines shipped by COVAX arrive to the Republic of Moldova

https://www.unicef.org/eca/press-releases/covid-19-vaccines-shipped-covax-arrive-republic-moldova

Chisinau, 4 March 2021 - Today Moldova received 14 400 doses of the anti-COVID-19 vaccine, shipped via the COVAX Facility, a partnership between CEPI, Gavi, UNICEF and WHO. Moldova is the first country in Europe to receive vaccines from the COVAX facility. The arrival marked a historic step towards the goal to ensure equitable distribution of anti-COVID-19 vaccines globally, in what will be the largest vaccine procurement and supply operation in history. The delivery is part of a first wave of arrivals in Moldova that will continue in the coming days and weeks. "We are the first country in Europe to receive a free vaccine through the COVAX platform and we are grateful for that. The 14,400 doses of Covid-19 vaccine will help us continue to immunize medical staff and reduce the spread of the virus. We thank all the states and organizations that support financially this global platform - Germany and other EU Member States, the United States, the United Kingdom of Great Britain and Northern Ireland, Canada, the European Commission, Japan and others - for their solidarity in these difficult times for all. We also thank WHO and UNICEF for their efforts to distribute the vaccines fairly,” said Maia Sandu, the President of the Republic of Moldova. The COVAX Facility is expected to deliver 24,570 doses of BioNTech- Pfizer COVID-19 vaccine and up to 264,000 indicative doses of AstraZeneca / SKBio COVID-19 vaccine to the Republic of Moldova in 2021. Team Europe, bringing together EU and its Member States, is one of the lead contributors to COVAX with over €2.2 billion, including another €900 million recently pledged by Germany. “The European Union continues to support the Republic of Moldova in the fight against COVID-19 pandemic. An equitable and fair access to vaccines is a key element in ending the pandemic. The European Union and its Member States, acting together as 'Team Europe' are proud to support COVAX in delivering vaccines to our partners and today we see the first vaccines via COVAX platform arriving in the country. This is an important support for continuing the vaccination and the EU has been and will continue to be a reliable partner in this process,” said Peter Michalko, Ambassador of the European Union to the Republic of Moldova. On February 18, 2021 the United States pledged the initial $2 billion - out of a total $4 billion planned - to Gavi, the Vaccine Alliance, to support the global vaccination effort for COVID-19. "Through USAID, the United States contribution of more than $2 billion dollars to the COVAX Vaccine Alliance supports the purchase and delivery of safe and effective vaccines for Moldova’s most vulnerable and at-risk populations, including frontline health care workers. These vaccines are critical to controlling the COVID-19 pandemic and delivering hope that better, happier days are within sight,” said Dereck J. Hogan, U.S. Ambassador to the Republic of Moldova. Since the beginning of the pandemic, UN Moldova offered immediate support to the country, providing assistance in three main areas: health system preparedness, technical support and capacity building, and information and communication on COVID-19. WHO leads the support of the country’s preparedness to receive and administer vaccines. “Vaccines will be a critical new tool in the battle against COVID-19: It is encouraging to see so many vaccines in development. Working as quickly as they can, scientists from across the world are collaborating and innovating to bring us tests, treatments and vaccines that will collectively save lives and end this pandemic,” said Dr Igor Pokanevych, WHO Representative in the Republic of Moldova. ”However, vaccines alone will not end the pandemic. Ongoing public health measures to prevent transmission will still be needed alongside vaccination, including adhering to testing and quarantine measures, mask wearing, hand hygiene and physical distancing.” UNICEF is leveraging its experience as the largest single vaccine buyer in the world and working with manufacturers and partners on the procurement of anti-COVID-19 vaccine doses, as well as freight, logistics and storage. UNICEF already procures more than 2 billion doses of vaccines annually for routine immunization and outbreak response on behalf of nearly 100 countries. “Vaccines are among the greatest advances of modern medicine. Sustainable supply of the vaccines is the only way out of this crisis, to ensure that vaccination is available for all,” said Maha Damaj, UNICEF Moldova Country Representative. “UNICEF looks forward to these vaccines being made available to the people most at risk, and to further ensuring that routine immunization services for other life-threatening infections are not disrupted.” Since the beginning of the pandemic, more than 180,000 Moldovans, including more than 10,000 children and more than 800 pregnant women, were infected with the virus and over 4,000 lives were lost because of Covid-19 infection. The virus was confirmed to have reached the Republic of Moldova on 7 March 2020, when a Moldovan woman that returned from Italy was tested positive for the novel coronavirus. Romania shipped the first donation of AstraZeneca’s COVID-19 vaccine to Moldova on 27 February, allowing Moldova to start vaccinating frontline medical workers on 2 March. Коробки с вакцинами UNICEF Moldova/ Vladimir Uvarov

26 September 2021

Teachers from the Guria region are getting COVID-19 vaccination as part of a joint campaign by UNICEF and the Government

https://www.unicef.org/eca/press-releases/teachers-guria-region-are-getting-covid-19-vaccination-part-joint-campaign-unicef

Ozurgeti, Georgia, 18-19 September 2021 – UNICEF continues to engage educators and school administrators in the COVID-19 vaccination programme. More than 200 teachers from Guria region learned about the benefits and the importance of COVID-19 vaccination through information sessions organized by UNICEF in partnership with the Ministry of Education and Science and the National Center for Disease Control and Public Health. The sessions were led by prominent doctors and public health experts and were attended by the educators from Ozurgeti, Lanchkhuti and Chokhatauri municipalities. As frontline workers, it is important that teachers have access to vaccinations for safe school reopening. The sessions were led by a new group of prominent medical experts, including: Maia Gotua Prof. MD. Ph.D. General Director of the Center of Allergy and Immunology, Vice President of Georgian Association of Allergology and Clinical Immunology; Mamuka Bokuchava Prof. MD. Ph.D. Vascular Surgeon, Deputy Director Of Bokhua Memorial Cardiovascular Center; Nino Kiknadze Associate Prof. MD. Ph.D. Director Of Clinical Services at Raymann Clinic; Levan Vashakidze MD. Anesthesiologist, Head of Anesthesia departments of Bokhua Memorial Cardiovascular Center and the New Hospital. UNICEF Deputy Representative Amy Clancy addressed the teachers focusing on the importance of safe reopening of schools. During the sessions the doctors and healthcare professionals covered a variety of topics including: COVID-19 immunization trends in Georgia and current situation regarding the virus; the importance of immunization and COVID-19 complications, including among children; vaccination of people with chronic diseases and allergy conditions. The teachers were invited to get vaccinated on the spot, following the informational sessions. Most teachers participating in the event got their vaccines. Since May 2021, UNICEF has organized 19 similar meetings in different regions of Georgia for local community leaders, including teachers, doctors, religious leaders and tourism sector representatives, to engage them in the national vaccination programme. More than 1000 teachers got vaccinated following the sessions, on the same day. The teachers have since spread information about the benefits of vaccination in their communities, resulting in higher rates of vaccination. As a result of joint interventions, as of 31 August 2021, the number of teachers fully vaccinated against COVID-19 increased from 9% to 46%. UNICEF, in partnership with the Ministry of Education and Science and with support from NCDC, plans to organize 42 meetings for more than 3000 teachers to be vaccinated by the end of the year. Schools are central to children’s development, safety, and well-being. The risks to children, while they are out of school, are greater than the risks to them while in school, for three key reasons: The impact of school closures on students’ learning, health, and well-being at critical developmental stages have profound repercussions on children, their families, and their economy. Many of these children will never catch up. With risk mitigation measures in place, schools are safe environments for children. The latest evidence shows that schools do not drive the spread of COVID-19 in the community and that COVID-19 does not pose a high risk to children. School closures have the greatest negative impact on the most vulnerable children, those who are far less likely to have access to remote learning and more likely to be exposed to violence, abuse, neglect, child labor, and other risks. Closing schools must be a temporary measure of last resort in pandemic response; and schools must be the first to open and the last to close. Assessing the risk of transmission at the local level should be a key determinant in decisions on school operations. Teacher is getting her COVID-19 vaccination after the session held by UNICEF and the Government. UNICEF/GEO-2021/Kvachadze

More than half of Ukraine’s children displaced after one month of war

https://www.unicef.org/eca/press-releases/more-half-ukraines-children-displaced-after-one-month-war

NEW YORK/GENEVA/KYIV, 24 March 2022 – One month of war in Ukraine has led to the displacement of 4.3 million children – more than half of the country’s estimated 7.5 million child population. This includes more than 1.8 million children who have crossed into neighbouring countries as refugees and 2.5 million who are now internally displaced inside Ukraine. “The war has caused one of the fastest large-scale displacements of children since World War II,” said UNICEF Executive Director Catherine Russell. “This is a grim milestone that could have lasting consequences for generations to come. Children’s safety, wellbeing and access to essential services are all under threat from non-stop horrific violence.” According to OHCHR, 78 children have been killed, and 105 have been injured in Ukraine since the start of the war on 24 February. Yet these figures represent only those reports that the UN has been able to confirm, and the true toll is likely far higher. The war has also had devastating consequences on civilian infrastructure and access to basic services. The World Health Organisation (WHO), for example, has reported 52 attacks impacting health care facilities across the country over the last four weeks, while Ukraine’s Ministry of Education and Science has reported damage to more than 500 education facilities. An estimated 1.4 million people now lack access to safe water, while 4.6 million people have limited access to water or are at risk of being cut off. Over 450,000 children aged 6 to 23 months need complementary food support. UNICEF has already observed a reduction in vaccination coverage for routine and childhood immunizations, including measles and polio. This could quickly lead to outbreaks of vaccine-preventable diseases, especially in overcrowded areas where people are sheltering from the violence. “In just a few weeks, the war has wrought such devastation for Ukraine’s children,” said Russell. “Children urgently need peace and protection. They need their rights. UNICEF continues to appeal for an immediate cease-fire and for the protection of children from harm. Essential infrastructure on which children depend, including hospitals, schools and buildings sheltering civilians, must never come under attack.” UNICEF and its partners are working to reach children in Ukraine and in neighbouring countries with humanitarian assistance. In Ukraine, UNICEF has delivered medical supplies to 49 hospitals in 9 regions – including Kyiv, Kharkiv, Dnipro and Lviv – improving access to healthcare for 400,000 mothers, newborns and children. UNICEF continues to distribute water and hygiene items in communities under siege. In addition, UNICEF is increasing the number of mobile child protection teams working inside acute conflict zones from 22 to 50 and has delivered 63 trucks of lifesaving supplies to support the needs of over 2.2 million people. In the coming weeks, UNICEF will start emergency cash transfers to the most vulnerable families and establish child-friendly spaces in key locations across the country. To protect and support the millions of children and families who have fled Ukraine, UNICEF and UNHCR in partnership with governments and civil society organizations, have created “Blue Dots,” one-stop safe spaces for children and women. ‘Blue Dots’ provide key information to travelling families, help to identify unaccompanied and separated children and ensure their protection. They also provide a hub for essential services. ‘Blue Dots’ have already been established in countries hosting Ukrainian children and women and are being scaled up over the coming days, including more than 20 in Poland. Despite intensive efforts to ensure safe, rapid and unimpeded humanitarian access, significant challenges remain in the most affected areas across the country. Displaced children UNICEF