UNICEF begins shipping syringes for the global rollout of COVID-19 vaccines under COVAX
– UNICEF has sent 100,000 syringes and 1,000 safety boxes for COVID-19 vaccinations to the Maldives by air freight from UNICEF’s humanitarian warehouse in Dubai—part of the first wave of COVID-19-related syringe shipments to begin rolling out in the coming days. Others in the first wave of shipments include Côte d'Ivoire and São Tomé and Príncipe. The 0.5 ml syringes and safety boxes are expected to arrive in Malé, Maldives on Tuesday. Over the next few weeks, UNICEF will ship more than 14.5 million 0.5 ml and 0.3 ml auto-disable syringes to more than 30 countries. While the 0.5 ml syringes are meant for use with the Serum Institute of India/AstraZeneca vaccine, the 0.3 ml ones are to be used with the Pfizer-BioNTech vaccine. “In this global fight against the COVID-19 pandemic, syringes are as vital as the vaccine itself,” said UNICEF Executive Director Henrietta Fore. “It is critical to have adequate supplies of syringes already in place in every country before the vaccine arrives so that the vaccine can be administered safely. This would allow immunization to start immediately and help turn the tide on this terrible virus.” The countries that will receive syringes in this initial tranche are from those included in the COVAX indicative distribution and that have put in requests to UNICEF to supply syringes. These shipments will support the country rollout of COVID-19 vaccines, and is part of work by the COVAX Facility to provide vaccines to all participating countries. The 0.5 ml syringes are being dispatched from UNICEF’s humanitarian warehouse in Dubai, while the 0.3 ml & 2 ml syringes will be transported directly from a manufacturer in Spain. The consignments will also include safety boxes for the safe disposal of syringes. Both syringes are of the auto-disable type, which means they cannot be used again after a single dose of vaccine has been administered. This reduces the risk of infection from blood-borne diseases as a result of syringe re-use. In all, UNICEF will be supplying up to 1 billion syringes and 10 million safety boxes to countries in 2021 to ensure they are ready for COVID-19 vaccinations. In order to meet the demand for these vital supplies, UNICEF created a stockpile of almost half a billion syringes in its warehouses in Copenhagen and Dubai in preparation for the broader rollout of COVID-19 vaccines in 82 low- and lower middle-income countries. UNICEF has been working with airlines, logistics operators and freight forwarders to ensure the syringes are treated as priority freight, whether they are being shipped direct from a manufacturer or from UNICEF warehouses to the destination country’s port of entry. Although the first deliveries will be transported by air, most of the syringes and safety boxes will be transported by sea due to the large amount of space they take up as cargo. UNICEF is aiming to make 2 billion COVID-19 doses available for delivery in 2021. Even before COVID-19, UNICEF was already the largest single vaccine buyer in the world, procuring over 2 billion vaccines annually in order to reach almost half of the world’s children under 5. In addition, the agency procures and supplies around 600-800 million syringes for regular immunization programmes annually. COVAX is a global collaboration co-led by Gavi, the Vaccine Alliance, the Coalition for Epidemic Preparedness Innovations (CEPI) and WHO, and includes UNICEF, which leads on procurement and delivery, as well as getting countries ready to receive vaccines. ##### Двое мужчин на складе с коробками UNICEF/UN0419486/Pableo
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!”
Leading airlines commit to helping UNICEF in its historic mission of transporting COVID-19 vaccines around the world
UNICEF is today launching the Humanitarian Airfreight Initiative. Under this landmark initiative, over 10 leading airlines are signing agreements with UNICEF to support the prioritization of delivery of COVID-19 vaccines, essential medicines, medical devices and other critical supplies to respond to the pandemic. The Initiative will also act as a global logistics preparedness mechanism for other humanitarian and health crises over the longer term. “Delivery of these life-saving vaccines is a monumental and complex undertaking, considering the sheer volumes that need to be transported, the cold chain requirements, the number of expected deliveries and the diversity of routes” said Etleva Kadilli, Director of UNICEF Supply Division. “We are grateful to these airlines for joining forces with the UNICEF Humanitarian Airfreight Initiative to support the roll-out of COVID-19 vaccines.” The UNICEF Humanitarian Airfreight Initiative brings together the airlines covering routes to over 100 countries, in support of the COVAX Facility – the global effort aimed at equitable access to COVID-19 vaccines. Based on the COVAX Facility’s indicative distribution and first round allocation plan, 145 countries will receive doses to immunize around three per cent of their population, on average, starting in the first half of 2021, subject to all requirements being met and final allocation plans. In addition to prioritizing shipments of these life-saving supplies, the airlines will take measures such as temperature control and security, while also adding freight capacity to routes where needed. Their commitments are critical to the timely and secure delivery of vaccines and critical supplies. Safe, timely and efficient transportation of life-saving supplies is critical to supporting access to essential services for children and families. COVAX deliveries and the subsequent vaccination of frontline workers will support health and social care systems to safely resume these critical services. Man next to a plane UNICEF/UNI319459/Rocio Ortega
Our goals for children
Half of all deaths among children under the age of five in the Region occur in the first month of life. 400,000 children under the age of one have not received the recommended three doses of DTP vaccine, and immunization rates are falling because of system failures and vaccine hesitancy. Less than 30 per cent of Roma children are fully immunized in parts of the Balkan countries. Only 32 per cent of babies in the Region are exclusively breastfed during their first six months of life – one of the lowest rates worldwide.
Addressing double burden of malnutrition must be prioritized in Eastern Europe and Central Asia – UNICEF
– The new State of the World’s Children Report: Children, Food and Nutrition was launched at a special event in Kazakhstan to promote nutrition and raise awareness about unhealthy diets among children in Central Asia. The event included more than one thousand child participants and was organized by the Foundation of the First President of Kazakhstan. The new report shows that at least 1 in 3 children under five globally – or over 200 million – is either undernourished or overweight. Almost 2 in 3 children between six months and two years of age are not fed food that supports their rapidly growing bodies and brains. This puts them at risk of poor brain development, weak learning, low immunity, increased infections and, in many cases, death. In Eastern Europe and Central Asia, 18 per cent of the poorest children under 5 years old are stunted, which means they have low height for their age. While at the same time, 15 per cent of children under five years old in the Region are overweight, which is the highest rate globally. “In Central Asia and Eastern Europe children face a double burden of malnutrition – undernutrition found alongside obesity,” said Amirhossein Yarparvar, Health & Nutrition Specialist for UNICEF’s Regional Office for Europe and Central Asia. “Ensuring all children have adequate nutrition must be an urgent priority for policy makers, communities and families.” The report found that the Region has made gains in exclusive breastfeeding, with the percentage of infants breastfed rising from 20 per cent in 2005 to 33 per cent in 2018. But even with this increase, 65 percent of newborns are deprived of the recommended 6 months of exclusive breastfeeding. The report lists several recommendations to improve child nutrition, including: • National food systems must put children’s nutrition at the heart of their work because their nutritional needs are unique and meeting them is critical for sustainable development. • Financial incentives should be used to reward actors who increase the availability of healthy and affordable foods in markets and other points of sale especially in low-income communities. • Financial disincentives on unhealthy foods can improve children’s diets. For example, taxes on sugary foods and beverages can reduce their consumption by children and adolescents. • Fortification of complementary foods and staple foods with micronutrients can be a cost-effective intervention to combat hidden hunger in children, young people and women. family eating at home in a low-income neighbourhood_Alimzhan Jorobayev Bektur Zhanibekov A family of seven people eats at home in a low-income neighbourhood in rural Kyrgyzstan on 18 March 2012.
30 years of child rights: Historic gains and undeniable achievements, but little progress for the world’s poorest children - UNICEF
Although more children are immunized than ever before, a slowdown in immunisation coverage rates over the past decade is threatening to reverse hard-won gain in children’s health:
Poor diets damaging children’s health worldwide, warns UNICEF
– An alarmingly high number of children are suffering the consequences of poor diets and a food system that is failing them, UNICEF warned today in a new report on children, food and nutrition. The State of the World’s Children 2019: Children, food and nutrition finds that at least 1 in 3 children under five – or over 200 million – is either undernourished or overweight. Almost 2 in 3 children between six months and two years of age are not fed food that supports their rapidly growing bodies and brains. This puts them at risk of poor brain development, weak learning, low immunity, increased infections and, in many cases, death. “Despite all the technological, cultural and social advances of the last few decades, we have lost sight of this most basic fact: If children eat poorly, they live poorly,” said Henrietta Fore, UNICEF Executive Director. “Millions of children subsist on an unhealthy diet because they simply do not have a better choice. The way we understand and respond to malnutrition needs to change: It is not just about getting children enough to eat; it is above all about getting them the right food to eat. That is our common challenge today.” The report provides the most comprehensive assessment yet of 21 st century child malnutrition in all its forms. It describes a triple burden of malnutrition: Undernutrition, hidden hunger caused by a lack of essential nutrients, and overweight among children under the age of five, noting that around the world: 149 million children are stunted, or too short for their age, 50 million children are wasted, or too thin for their height, 340 million children – or 1 in 2 – suffer from deficiencies in essential vitamins and nutrients such as vitamin A and iron, 40 million children are overweight or obese. The report warns that poor eating and feeding practices start from the earliest days of a child’s life. Though breastfeeding can save lives, for example, only 42 per cent of children under six months of age are exclusively breastfed and an increasing number of children are fed infant formula. Sales of milk-based formula grew by 72 per cent between 2008 and 2013 in upper middle-income countries such as Brazil, China and Turkey, largely due to inappropriate marketing and weak policies and programmes to protect, promote and support breastfeeding. As children begin transitioning to soft or solid foods around the six-month mark, too many are introduced to the wrong kind of diet, according to the report. Worldwide, close to 45 per cent of children between six months and two years of age are not fed any fruits or vegetables. Nearly 60 per cent do not eat any eggs, dairy, fish or meat. As children grow older, their exposure to unhealthy food becomes alarming, driven largely by inappropriate marketing and advertising, the abundance of ultra-processed foods in cities but also in remote areas, and increasing access to fast food and highly sweetened beverages. For example, the report shows that 42 per cent of school-going adolescents in low- and middle-income countries consume carbonated sugary soft drinks at least once a day and 46 per cent eat fast food at least once a week. Those rates go up to 62 per cent and 49 per cent, respectively, for adolescents in high-income countries. As a result, overweight and obesity levels in childhood and adolescence are increasing worldwide. From 2000 to 2016, the proportion of overweight children between 5 and 19 years of age doubled from 1 in 10 to almost 1 in 5. Ten times more girls and 12 times more boys in this age group suffer from obesity today than in 1975. The greatest burden of malnutrition in all its forms is shouldered by children and adolescents from the poorest and most marginalized communities, the report notes. Only 1 in 5 children aged six months to two years from the poorest households eats a sufficiently diverse diet for healthy growth. Even in high-income countries such as the UK, the prevalence of overweight is more than twice as high in the poorest areas as in the richest areas. The report also notes that climate-related disasters cause severe food crises. Drought, for example, is responsible for 80 per cent of damage and losses in agriculture, dramatically altering what food is available to children and families, as well as the quality and price of that food. To address this growing malnutrition crisis in all its forms, UNICEF is issuing an urgent appeal to governments, the private sector, donors, parents, families and businesses to help children grow healthy by: Empowering families, children and young people to demand nutritious food, including by improving nutrition education and using proven legislation – such as sugar taxes – to reduce demand for unhealthy foods. Driving food suppliers to do the right thing for children, by incentivizing the provision of healthy, convenient and affordable foods. Building healthy food environments for children and adolescents by using proven approaches, such as accurate and easy-to-understand labelling and stronger controls on the marketing of unhealthy foods. Mobilizing supportive systems – health, water and sanitation, education and social protection – to scale up nutrition results for all children. Collecting, analyzing and using good-quality data and evidence to guide action and track progress. “We are losing ground in the fight for healthy diets,” said Fore. “This is not a battle we can win on our own. We need governments, the private sector and civil society to prioritize child nutrition and work together to address the causes of unhealthy eating in all its forms.” Children eating UNICEF/UN0339621/Darkhan Zhagiparov
World's richest countries grappling with children’s reading and math skills, mental well-being and obesity
On average 40 per cent of children across all OECD and EU countries do not have basic reading and mathematics skills by age 15. Children in Bulgaria, Romania and Chile are the least proficient in these skills. Estonia, Ireland and Finland the most proficient. In most countries, at least 1 in 5 children lack confidence in their social skills to make new friends. Children in Chile, Japan and Iceland are the least confident in this area. The report also contains data on clear areas of progress in child well-being. On average, 95 per cent of pre-school aged children are now enrolled in organized learning programmes, and the number of young people aged 15-19 not in education, employment or training has declined in 30 out of 37 countries. Yet, these important gains are at risk of falling back due to the impact of COVID-19. Countries are also ranked based on their policies that support child well-being and other factors including the economy, society and environment. Norway, Iceland and Finland have the highest-ranking policies and context to support child well-being. On average, countries spend less than 3 per cent of their GDP on family and child policies. “In times of crisis and calm, families need supportive governments and workplaces in order to raise the next generation of happy and healthy citizens,” said Fayaz King, Deputy Executive Director at UNICEF. “An investment in children is a direct investment in our future.” Due to the COVID-19 outbreak, in the first half of 2020 most of the countries covered in the report kept schools closed for more than 100 days while strict stay-at-home policies were also implemented. The report notes that loss of family members and friends, anxiety, stay-at-home restrictions, lack of support, school closures, the balancing of work and family life, poor access to healthcare, combined with the economic loss caused by the pandemic are catastrophic for children’s wellbeing, affecting their mental and physical health, and their development. Before the COVID-19 outbreak the average relative child poverty rate across the 41 countries was 20 per cent. With GDP expected to fall over a two-year period in almost all of these countries, unless governments take immediate remedial actions child poverty will rise. “As the economic, educational and social fallout of the pandemic continues to take hold, without concerted effort, there will be a worsening, devastating impact on the well-being of today’s children, their families and the societies they live in,” said Olsson. “But these risks do not have to become the reality, if governments take decisive action now to protect children’s well-being.” On the basis of the report and these recent developments UNICEF is calling for the following steps to protect and improve child wellbeing: Take decisive action to reduce income inequality and poverty and ensure that all children have access to the resources they need. Rapidly address the serious gap in mental health services for children and adolescents. Expand family-friendly policies to improve work-family balance, especially access to high-quality, flexible and affordable early-years childcare. Strengthen efforts to protect children from preventable diseases, including reversing recent falls in measles immunization. Improve COVID-19 policies that support families with children and ensure budgets that support child well-being are protected entirely from austerity measures. ###
Five opportunities for children we must seize now
History and science tell us vaccines are the best hope we have of ending this virus and rebuilding our lives and our livelihoods. Yet, as Ridhi reminds us, there is a real risk the What you need to know about a COVID-19 vaccine COVID-19 vaccines will not reach all who need it. Vaccine hesitancy will have a profound effect on our ability to overcome COVID-19. A study of nearly 20,000 adults from 27 countries found that roughly 1 in 4 of them would decline a COVID-19 vaccine. A similar study of Americans showed that unclear and inconsistent messaging from public health officials and politicians could reduce vaccine use. Meanwhile, vaccine misinformation has become a big and growing business. Anti-vaccination entrepreneurs have increased their online following by at least 20 per cent during the pandemic. According to Avaaz, the top 10 websites identified by researchers as spreading health misinformation had almost four times as many views on Facebook as information from established health sites. In short, we are losing serious ground in the fight for trust. And without trust, any COVID-19 vaccine will be useless. But with the global roll-out of COVID-19 vaccines, we now have the opportunity to truly reach every child with life-saving immunizations. The light at the end of the tunnel needs to shine for all.