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Programme
04 October 2017
Immunization
https://www.unicef.org/eca/health/immunization
Immunization is a proven and cost-effective public health  intervention, saving the lives of millions of children and protecting millions more from illness and disability.  Immunization is also a wise financial investment - with every $1 invested in immunization returning an estimated $16 in health-care savings and increased economic productivity.  Most countries in Europe and Central Asia have immunization coverage of 95 percent or more for three doses of diphtheria, tetanus and pertussis (DTP), often seen as the measure of national performance on immunization. However, while most national averages for DTP vaccination may be adequate, the regional average is hovering at around 92 percent, a slight decrease from the previous year, which is not high enough to ensure immunity for everyone. Over 70 percent of the region’s unvaccinated infants are from middle income countries, with Ukraine presenting the lowest coverage rate and the greatest challenge. National averages also mask disparities, with Roma children  and those from other ethnic and vulnerable groups, including refugee and migrant children, all lagging behind. Measles outbreaks are a growing problem. Last year there were over 10,000 cases of measles in the region. Despite increased coverage of the first dose of the measles vaccine among children (up from 63 percent in 2000 to 93 percent in 2016) more work is urgently needed, as children are not fully protected against measles unless they receive two doses. Currently, second dose coverage is at 88 percent, which does not provide adequate protection.            In total, over 500,000 children in the region are still not protected against measles - a life-threatening, but easily preventable disease.   There are also concerns about ‘vaccine hesitancy’ – a growing mistrust of immunization among some parents, fuelled by myths and misinformation. Such hesitancy may stem from negative media stories linking a child’s death to immunization without the full facts. It may be influenced by the region’s anti-vaccine movements, which spread anti-immunization messages. Meanwhile, measures to counter vaccine hesitancy and build parental trust in immunization are hampered by a lack of discussion with parents about its importance and the minimal risks.  A baby girl receives her vaccination at a clinic in Serbia. A baby girl receives her vaccination at a clinic in Serbia. Donor support for immunization is falling in some countries that still require such support. Elsewhere, the concern is to ensure financial sustainability for immunization programmes once countries ‘graduate’ from the support provided by Gavi (The Vaccine Alliance). Ongoing reforms in some countries are affecting both the structure and financing of immunization programmes. Some countries, challenged by competing priorities at home and inaccessibly priced vaccines on the global market, experienced several vaccine shortages in 2015–2016, sometimes causing critical disruptions of services. These issues are particularly acute in middle-income countries, many of which self-procure vaccines and continue to face significant challenges in achieving financial sustainability of their immunization programmes. Some countries also lack adequate monitoring of vaccine coverage, which is critical to understand and address any gaps.   As a result of such challenges, the region faces outbreaks of vaccine-preventable disease, such as a polio outbreak in 2015 and an ongoing measles outbreak in Ukraine  – a country where conflict and economic recession have depleted stocks of vaccines and vaccine hesitancy is reducing immunization coverage. There is also an ongoing large measles outbreak in Romania, with over 10,000 cases of the diseases and 38 deaths. During the last five years, measles outbreaks have been registered in Georgia (2013), Kazakhstan (2014), Kyrgyzstan (2015), and Tajikistan (2017). Outbreaks in one country can spread rapidly to others, signalling the interdependence and vulnerability of all countries, whatever their stage of economic development.  
Page
13 April 2023
A quick look: the state of routine immunization in Europe and Central Asia
https://www.unicef.org/eca/quick-look-state-routine-immunization-europe-and-central-asia
Immunization allows children everywhere to live lives free of many forms of disability and illness. UNICEF's  The State of the World’s Children 2023 highlights the current situation of immunization for children globally. UNICEF's regional brief for Europe and Central Asia demonstrate that public demand, scientific innovations and – perhaps above all – political will can drive rapid change.  Now is a time for determination. Now is a time for political will. Now is the time to protect the health of  every  child. Girl receiving a HPV vaccine. 67 million children Between 2019 and 2021, 67 million children across the world missed out on routine vaccinations. 2-month-old gets vaccinated by Nurse as part of his routine childhood immunization session. 327,400 children 327,400 are “zero-dose” and “under-vaccinated” children. That means they have not received any vaccinations or the third required dose of the diphtheria-pertussis-tetanus (DPT3) vaccine. Nurse in office 29 countries 29 countries in the region found a decrease in the perception of the importance of vaccines for children. 3-month-old gets vaccinated in Tajikistan One million Nearly one million of children who missed one or several routine vaccinations live in Europe and Central Asia.
Report
17 July 2018
In Focus: Immunization
https://www.unicef.org/eca/reports/focus-immunization
Immunization is one of the world’s most cost-effective public health interventions, saving millions of lives each year, and protecting children from illness and disability. Vaccines have helped to halve the number of child deaths worldwide since 1990 and represent a sound financial investment: every $1 spent on childhood …, Immunization Promoting and strengthening a life-saving investment Immunization is one of the worlds most cost-effective public health interventions, saving millions of lives each year, and protecting children from illness and disability. Vaccines have helped to halve the number of child deaths worldwide since 1990…
Page
24 April 2019
World Immunization Week 2019
https://www.unicef.org/eca/health/immunization/world-immunization-week-2019
Vaccines act as a shield, protecting children and newborn babies from dangerous diseases and saving up to 3 million lives each year. Yet, there are still nearly 20 million unvaccinated and under-vaccinated children in the world today. These children are at risk of serious illness, complications, and even death. Many parents want to vaccinate their children, but can’t because they don’t have access to healthcare. But increasingly, some parents are choosing not to. This reluctance often stems from misconceptions about vaccines, or complacency about the likelihood of getting infected. That’s why staying informed about the benefits of vaccines – and the risks of not getting vaccinated – is more important than ever. This World Immunization Week, UNICEF is launching a global campaign to emphasize the power and safety of vaccines among parents and social media users. From 24-30 April, the Bill & Melinda Gates Foundation will contribute US$1 to UNICEF for every like or share of social media posts using the hashtag #VaccinesWork, up to US$1 million, to ensure all children get the life-saving vaccines they need. Help protect children from deadly diseases by telling parents around the world,  #VaccinesWork !  
Photo essay
27 April 2018
Saving lives one dose at a time - Immunization across Europe and Central Asia
https://www.unicef.org/eca/stories/saving-lives-one-dose-time-immunization-across-europe-and-central-asia
Vaccines protect children against disease and death, saving up to 3 million lives globally every year, and are one of the most cost-effective child survival interventions. In short, #VaccinesWork. The Europe and Central Asia Region continues to enjoy overall high childhood immunization coverage and is polio-free. The benefits of vaccines, however, are spread unevenly. Too many children are still missing the protection they deserve. A mother in Serbia holds her baby during her free vaccination as part of the Serbia's national immunization plan. A mother in Serbia holds her baby during her free vaccination as part of the Serbia's national immunization plan. Of particular concern is a rebounding of measles in the region, despite a record-low of new cases in 2016, causing over 33,000 cases and 79 deaths. The largest current outbreaks have been in Romania (12,368 cases and 49 deaths including 46 children), Ukraine (16,500 cases, 13 deaths including nine children) and Serbia.  Although Serbia has a long and successful tradition in child-health protection, it is currently facing a measles outbreak with nearly 5,000 cases (as of 24 April 2018) which have resulted in 15 fatalities. UNICEF is working with the Ministry of Health to support its response and to improve records of immunization in the future. A little boy cries as he receives a routine vaccination at a clinic in Moldova. A little boy cries as he receives a routine vaccination at a clinic in Moldova. Due to universal vaccinations of newborns in Moldova, cases of Hepatis B have dropped from 682 in 1994 to only four in 2015. However, only 89 percent of all children are immunized against all preventable diseases and UNICEF has been working with the government to precure more vaccine doses to ensure all children have access to immunizations.  A young boy puts on a brave face as he receives his second dose of the MMR vaccine in Kyiv, Ukraine. A young boy puts on a brave face as he receives his second dose of the MMR vaccine in Kyiv, Ukraine. Two-thirds of the world’s unvaccinated children live in fragile countries or countries affected by armed conflict. Between 2010 and 2016, conflict-affected eastern Ukraine had the world’s second lowest coverage rate of children fully immunized against diphtheria, pertussis, and tetanus. The country also had the third lowest coverage rate in the world for MMR vaccine in 2016. A plane with a crate of UNICEF-labelled MMR vaccines next to it. On the 26 February, 220,000 doses of the MMR vaccine arrived in Ukraine facilitated by UNICEF. UNICEF in Ukraine is helping to fast-track the delivery of MMR vaccines, assisting the Ministry of Health to respond to the recent measles outbreak in which 14,500 people have been infected – killing 13 people including nine children. Nine-month-old Sasha gets a kiss from his mother, after receiving the diphtheria, pertussis, tetanus (DTP) vaccine in Kyiv. Nine-month-old Sasha gets a kiss from his mother, after receiving the diphtheria, pertussis, tetanus (DTP) vaccine in Kyiv. Vaccine hesitancy has also become an issue in Ukraine but UNICEF is working to change attitudes and educate people on the dangers of not vaccinating their children. “Before his birth, we decided we would give our child all the necessary vaccinations,” says Sasha's father. “When my grandmother was a child, she got polio and, although she recovered from the illness, she was disabled for life. As caring parents, we want to protect Sasha from all sorts of infections.” In Turkey, a boy receives a dose of the Oral Polio Vaccine (OPV). In Turkey, a boy receives a dose of the Oral Polio Vaccine (OPV). UNICEF Turkey is supporting a vaccination program, led by the Ministry of Health. The campaign has included nine rounds of polio campaigns reaching 1.4 million refugee and migrant children and Turkish children in remote provinces between 2013-2015, and the provision of additional doses of MMR, Hepatitis B, Diphtheria, Tetanus, Pertussis, Polio and Haemophilus in 2017. A health worker vaccinates a one-year-old Syrian refugee boy at a neighbourhood health centre in Gaziantep, Turkey. A health worker vaccinates a one-year-old Syrian refugee boy at a neighbourhood health centre in Gaziantep, Turkey. UNICEF has also helped produce and disseminate information materials, in both Turkish and Arabic, to raise awareness about the importance of being immunized. A young baby receives her vaccination injection in Uzbekistan. In Uzbekistan, four-month-old Ziyoda receives a dose of the new polio vaccine - 'Inactivated Polio Vaccine’ (IPV) - which is designed to help stop polio globally. Despite Uzbekistan having an almost 99 percent coverage rate of the Polio vaccine, UNICEF continues to work with the Government to ensure that no child is left unimmunized in the future. A group of women wait for their children to be vaccinated at a village clinic in Uzbekistan. A group of women wait for their children to be vaccinated at a village clinic in Uzbekistan. Ensuring vaccination levels are high in every country across the region is essential. UNICEF is working to ensure all children are protected against the spread of vaccine-preventable childhood diseases and the best defence is a vaccine-protected population and a strong and responsive health system. The whole region benefits when ALL countries achieve and maintain high vaccine coverage at both national and subnational levels.
Statement
24 April 2023
Joint statement: European Immunisation Week 2023 and beyond
https://www.unicef.org/eca/press-releases/joint-statement-european-immunisation-week-2023-and-beyond
Geneva, Brussels, Copenhagen, 24 April 2023 – Following three years with COVID-19, we are transitioning into a new normal and building on many lessons learned to create resilient health systems and stronger outbreak preparedness. Among these lessons is the powerful strength of collaboration, without which we cannot equitably reach everyone with life-saving vaccines. As we mark European Immunization Week, UNICEF, WHO and the European Commission alongside other regional and local stakeholders are committed to continue working to protect the most vulnerable through COVID-19 vaccination. Together we will continue our support to countries to ensure children and families have timely access to routine vaccinations and catch up on any missed doses, all of which are essential to prevent the return of highly contagious vaccine-preventable diseases. COVID-19 placed huge new demands on health systems and exposed existing shortages within the health workforce. Lockdowns and the fear of contracting COVID-19 while visiting health-care facilities led some families to put off vaccinating their children. Across 53 countries in Europe and Central Asia – together making up the European Region of WHO - over 1 million children missed all or some routine vaccinations since the start of the pandemic in 2020. While many of the countries in the Region quickly recovered with great effort from disruptions and delays to routine vaccinations, 16 countries saw a decline in coverage for the third dose of diphtheria-tetanus-pertussis (DTP3) vaccine in 2021 compared to pre-pandemic rates. Half of the Region’s 20 middle-income countries reported coverage below 90% for one or more vaccines in 2021, compared to less than 10% of high-income countries, which is widening the immunization equity gap among countries and their populations. War in Ukraine and earthquakes in Türkiye have caused further disruptions to health services, displaced millions of families, and made access to life-saving vaccines much harder. Vaccination is a cornerstone of public health. Every dose in the national immunisation schedule is timed to build or sustain protection from one or more diseases. Every missed or delayed dose puts a child at greater risk of infection. This can be particularly dangerous for young children and the most vulnerable in our communities. The more children who fall behind, the greater the risk of large outbreaks of measles, polio, diphtheria and other dangerous infectious diseases. Cases of measles in the European Region increased almost six-fold in a reporting year, up from 159 in 2021 to more than 900 in 2022. Cases of diphtheria increased seven-fold from 41 in 2021 to 300 in 2022. Detections of circulating vaccine-derived polioviruses were also reported in 2022 in Israel and the United Kingdom. It is in our common interest to protect each other from disease; critical to this is keeping up with national vaccine schedules, including by receiving all the recommended doses and boosters, and catching up on any that have been missed. As we continue to support countries to build resilient public health systems and infrastructures, let us remember that we have a strong foundation of public health accomplishments to preserve and build upon. Working together to bring the world closer to eradicating polio and eliminating measles, rubella, cervical and other cancers from the Region through vaccination, we will ensure better health for all and contribute to our joint commitment to regional and global health security. Signatories Ms Afshan Khan, UNICEF Regional Director for Europe and Central Asia Ms Stella Kyriakides, European Commissioner for Health and Food Safety Dr Hans Henri P. Kluge, WHO Regional Director for Europe In Krakow, Poland, Nurse prepares a Varilrix vaccine against chickenpox at the UNIMED medical center. UNICEF/U.S. CDC/UN0715410/Kasia Strek
Press release
24 October 2016
Increasing immunization coverage is priority for Ukrainian Government – Vice Prime Minister of Ukraine
https://www.unicef.org/eca/press-releases/increasing-immunization-coverage-priority-ukraine
KYIV, 24 October 2016 – Ukrainian Vice Prime Minister Pavlo Rozenko, representatives of the Ukrainian Government and the Presidential Administration have expressed their commitment to restore the routine immunization programme in Ukraine. Speaking at a high-level roundtable on immunization, organized by the Ministry of Health of Ukraine and UNICEF on the occasion of World Polio Day, Vice Prime Minister Rozenko said: “Evidence-based medicine confirms the effectiveness of vaccines to prevent diseases such as polio, tetanus or whooping cough. Increasing the rates of immunization coverage is an important task and a priority of the government and a matter of national security.” Ukraine currently has the lowest routine immunization rates in the world. According to the Ministry of Health data, only 30 percent of children in Ukraine were fully immunized against measles, only 10 percent against hepatitis B, and only 3 percent against diphtheria, pertussis and tetanus, as of August 2016. Moreover, only 44 percent of children under 18 months of age were fully immunized against polio. Shortage of vaccine supplies has been one of the main reasons behind the critically low immunization rates in the past years. To address this, at the request of the Ministry of Health of Ukraine, UNICEF has procured a number of high quality certified vaccines to protect children against dangerous vaccine-preventable diseases, namely  tuberculosis (BCG), measles, mumps and rubella (MMR), hepatitis B, diphtheria, tetanus and pertussis (DTP), tetanus and diphtheria vaccine for adults (Td), paediatric diphtheria and tetanus (DT), rabies, and bivalent oral polio vaccine (bOPV). The vaccines are now available in health facilities across the country. “This time last year, Ukraine was dealing with a polio outbreak. The comprehensive outbreak response was successfully implemented with the help of international partners, but this success is still fragile”, said Marie-Pierre Poirier, UNICEF Regional Director for Europe and Central Asia. “With such low routine immunization coverage, Ukraine is still at risk of outbreaks of long-forgotten diseases. Today, with millions of doses of vaccines available across the country, there is no reason to delay vaccination. Being vaccinated is fundamental to guarantee child’s right to health and now more than ever, it is important for Ukraine to put in place a strong and effective immunization programme,” she added. Speaking at the event, Professor David Salisbury, Chairman of the European Regional Certification Commission for Poliomyelitis Eradication said: “The polio cases in 2015 in Ukraine happened as a direct consequence of failings in the provision of vaccines for children. Efforts have been made to redress these problems but there is still more that needs to be done to give the children of Ukraine protection from vaccine preventable diseases. I am greatly encouraged by the commitments that have been made today and I look forward to being able to remove Ukraine from our list of polio high-risk countries.” Representatives of the Governments of Canada and the United States of America, who provided funding for the polio outbreak response last year, reaffirmed their support for restoring the routine immunization programme in Ukraine. “Canada worked hard last year with Ukraine’s Health Ministry to get nationwide polio vaccination restarted. We are grateful to the thousands of doctors who helped vaccinate millions of children. This year, we are happy to see that the UN has made more vaccines available. But still, far too many children are not routinely fully vaccinated. I urge Ukrainian parents to take advantage of these free vaccines and protect their children from completely unnecessary illnesses,” said H.E. Roman Waschuk, Ambassador of Canada to Ukraine, speaking at the Roundtable today. "Ukraine must continue to build on the great progress that has been made globally to eradicate polio," explained USAID Ukraine Director Susan Fritz. "These positive developments will only have the necessary impact if there is strong and visible political support from leadership at all levels of the Ukrainian Government." “Myths about vaccination that have been spread in recent years are not rooted in evidence-based medicine. As a result, Ukraine has been dealing with cases of diseases that have been long-forgotten in the rest of the world. It is important that the Vice Prime Minister of Ukraine, the Government and our international partners recognize the problem and are willing to work together with the Ministry of Health of Ukraine to resolve it. Increasing vaccination coverage rates in the country is our priority. This is not only a question of health and life of the citizens of Ukraine. This is a national security issue,” said Dr Ulana Suprun, Acting Minister of Health of Ukraine. “Necessary vaccines are available in all regions of the country. I appeal to all citizens who care about their life and health: get vaccinated and vaccinate your children,” added Dr Suprun. Nurse Ivana Knysh administers Maksym, 5, with a Hepatitis B vaccine as he holds his mother's hand, at Novoselytsi Family Medical Facility, Chernivtsi Oblast, Ukraine. UNICEF/UN060132/Oleksii Nurse Ivana Knysh administers Maksym, 5, with a Hepatitis B vaccine as he holds his mother's hand, at Novoselytsi Family Medical Facility, Chernivtsi Oblast, Ukraine.
Press release
25 April 2017
UNICEF reaches almost half of the world’s children with life-saving vaccines
https://www.unicef.org/eca/press-releases/half-children-life-saving-vaccines
  NEW YORK, 26 April 2017 – UNICEF procured 2.5 billion doses of vaccines to children in nearly 100 countries in 2016, reaching almost half of the world’s children under the age of five. The figures, released during World Immunization Week, make UNICEF the largest buyer of vaccines for children in the world.  Nigeria, Pakistan and Afghanistan, the three remaining polio-endemic countries, each received more doses of vaccines than any other country, with almost 450 million doses of vaccines procured to children in Nigeria, 395 million in Pakistan and over 150 million in Afghanistan. UNICEF is the lead procurement agency for the Global Polio Eradication Initiative. Access to immunization has led to a dramatic decrease in deaths of children under five from vaccine-preventable diseases, and has brought the world closer to eradicating polio. Between 2000 and 2015, under five deaths due to measles declined by 85 per cent and those due to neonatal tetanus by 83 per cent. A proportion of the 47 per cent reduction in pneumonia deaths and 57 per cent reduction in diarrhea deaths in this time is also attributed to vaccines. Yet an estimated 19.4 million children around the world still miss out on full vaccinations every year. Around two thirds of all unvaccinated children live in conflict-affected countries. Weak health systems, poverty and social inequities also mean that 1 in 5 children under five is still not reached with life-saving vaccines. “All children, no matter where they live or what their circumstances are, have the right to survive and thrive, safe from deadly diseases,” said Dr. Robin Nandy, Chief of Immunization at UNICEF. “Since 1990, immunization has been a major reason for the substantial drop in child mortality, but despite this progress, 1.5 million children still die from vaccine preventable diseases every year.” Inequalities persist between rich and poor children. In countries where 80 per cent of the world’s under-five child deaths occur, over half of the poorest children are not fully vaccinated. Globally, the poorest children are nearly twice as likely to die before the age of five as the richest. “In addition to children living in rural communities where access to services is limited, more and more children living in overcrowded cities and slum dwellings are also missing out on vital vaccinations,” said Nandy. “Overcrowding, poverty, poor hygiene and sanitation as well as inadequate nutrition and health care increase the risk of diseases such as pneumonia, diarrhea and measles in these communities; diseases that are easily preventable with vaccines.” By 2030, an estimated 1 in 4 people will live in urban poor communities, mainly in Africa and Asia, meaning the focus and investment of immunization services must be tailored to the specific needs of these communities and children, UNICEF said.     NOTES TO EDITORS: UNICEF works with World Health Organization (WHO), Gavi, the Vaccine Alliance, the Bill & Melinda Gates Foundation and others to ensure that vaccines protect all children – especially those who are the hardest to reach and the most vulnerable. World Immunization Week runs from 24 – 28 April 2017. For more information visit: www.unicef.org/immunization Immunisation session at Family Medicine Center #1 of Osh city, Kyrgyzstan UNICEF/UN041255/Pirozzi
Statement
24 April 2017
Governments must invest in immunizing the most vulnerable children and addressing vaccine hesitancy
https://www.unicef.org/eca/governments-immunization-statement
GENEVA, 24 April 2017 - “UNICEF is urging governments in Europe and Central Asia to invest in health systems that prioritize reaching the most vulnerable children with life-saving immunizations alongside national campaigns to address the concerning trend of growing vaccine hesitancy.”   “Immunization is one of the most significant and cost-effective public health achievements in modern times. Vaccines save children’s lives and stop the spread of diseases.   “Sustainable immunization coverage is only possible through well-functioning health systems that reach all children, including children from minority communities, those living in poverty or children uprooted from their homes. Coverage must be monitored so breakdowns in availability and services are rapidly identified and addressed.  “Demand from caregivers and communities equipped with the knowledge to overcome misconceptions and protect their children is equally critical. Misinformation on vaccines has grave implications. Governments must closely monitor public perceptions, counteract misinformation and promote the benefits of immunization. “Measles outbreaks and pockets of unacceptably low vaccination rates are stark reminders that achieving universal routine immunization coverage must be a priority for governments, communities and caregivers.    
Press release
20 April 2023
Confidence in childhood vaccines declines across Europe and Central Asia – new UNICEF report
https://www.unicef.org/eca/press-releases/confidence-childhood-vaccines-declines-across-europe-and-central-asia-new-unicef
NEW YORK, 20 April 2023 – The public perception of the importance of childhood vaccines has declined across Europe and Central Asia since the onset of the COVID-19 pandemic, according to a new analysis of data from 55 countries worldwide – 29 of which are in Europe and Central Asia. The analysis is featured in a new report published today by UNICEF. The State of the World’s Children 2023: For Every Child, Vaccination is the most comprehensive assessment of routine immunization ever produced by UNICEF. It notes that in the 29 countries in Europe and Central Asia featured in the analysis, the perception of the importance of vaccines for children has declined by more than 10 percentage points. In the majority of countries analysed, people under 35-years-old and women were most likely to have reported less confidence in childhood vaccines. “The decline in confidence in childhood vaccines is deeply concerning. Immunization is one of humanity’s most remarkable success stories. Too many lives are at stake to let it fall prey to a wave of fear and misinformation fuelled by the pandemic.” “The decline in confidence in childhood vaccines is deeply concerning. Immunization is one of humanity’s most remarkable success stories. Too many lives are at stake to let it fall prey to a wave of fear and misinformation fuelled by the pandemic,” said Philippe Cori, UNICEF Deputy Regional Director for Europe and Central Asia. The decline in confidence comes amid the largest sustained backslide in childhood immunisation in 30 years . The pandemic interrupted childhood vaccination almost everywhere, largely due to intense demands on health systems, the diversion of immunization resources to COVID-19 vaccination, health worker shortages and stay-at-home measures. As a result, 67 million children globally missed out on routine vaccinations between 2019 and 2021, with vaccination coverage levels decreasing in 112 countries. Nearly one million of children who missed one or several routine vaccinations live in Europe and Central Asia. Among whom, 327,400 are “zero-dose” – children who have not received any vaccinations, and “under-vaccinated” children – those who have not received the third required dose of the diphtheria-pertussis-tetanus (DPT3) vaccine – critical markers in immunization coverage. Bosnia and Herzegovina, Kyrgyzstan, Moldova, North Macedonia and Ukraine have among the highest rates of zero-dose children in the region. Bosnia and Herzegovina, Georgia, Montenegro, Romania and Ukraine have among the highest rates of under-vaccinated children. The pandemic also exacerbated existing inequities. Vast gaps in immunization coverage exist among Roma children, one of Europe’s largest and most marginalised minority groups. UNICEF is calling on governments to double-down on their commitment to increase financing for immunization and to work with stakeholders to unlock available resources, including leftover COVID-19 funds, to urgently implement and accelerate catch-up vaccination efforts to protect children and prevent disease outbreaks. The report features a set of recommendations for governments including: Urgently identify and reach all children, especially those who missed vaccinations during the COVID-19 pandemic Strengthen confidence in and demand for vaccines, including by working closely with communities to address their vaccination needs and concerns Prioritise funding to immunization services and primary health care Build resilient health systems through investment in female health workers, innovation and local manufacturing “Immunization is central in protecting children’s health and well-being. To minimize outbreaks of vaccine-preventable disease, and unnecessary suffering, we urge governments and donors to redirect leftover COVID-19 funds to strengthen immunization services and ensure that routine immunization reach all children, wherever they are,” said Cori. A small child gets vaccinated. UNICEF/U.S. CDC/UN0749657/Christina Pashkina
Flagship report
20 April 2023
The State of the World’s Children 2023: For every child, vaccination
https://www.unicef.org/eca/reports/sowc2023-eca
For every child, vaccination, Immunization is one of humanity’s most remarkable success stories. It has saved countless lives. Many more lives will be saved if the goals of the Immunization Agenda 2030 are achieved. This global strategy aims for a world where “everyone, everywhere, at every age, fully benefits from vaccines for good health and…, For Every Child, Vaccination R E G I O N A L B R I E F : E U R O P E A N D C E N T R A L A S I AT H E S TAT E O F T H E W O R L D S C H I L D R E N 2 0 2 3 1 THE STATE OF THE WORLDS CHILDREN 2023: FOR EVERY CHILD, VACCINATION For every child, vaccination Immunization is one of humanitys most remarkable success stories. It has…
Press release
10 November 2016
Measles jab saves over 20 million young lives in 15 years, but hundreds of children still die of the disease every day
https://www.unicef.org/eca/press-releases/measles-jab-saves-million-young-lives
NEW YORK/ATLANTA/GENEVA, 10 November 2016 – Despite a 79 per cent worldwide decrease in measles deaths between 2000 and 2015, nearly 400 children still die from the disease every day, leading health organizations said in a report released today.   “Making measles history is not mission impossible,” said Robin Nandy, UNICEF Immunization Chief. “We have the tools and the knowledge to do it; what we lack is the political will to reach every single child, no matter how far. Without this commitment, children will continue to die from a disease that is easy and cheap to prevent.”   Mass measles vaccination campaigns and a global increase in routine measles vaccination coverage saved an estimated 20.3 million young lives between 2000 and 2015, according to UNICEF, the World Health Organization (WHO), Gavi, the Vaccine Alliance, and the Centers for Disease Control and Prevention (CDC).   But progress has been uneven. In 2015, about 20 million infants missed their measles shots and an estimated 134,000 children died from the disease. The Democratic Republic of the Congo, Ethiopia, India, Indonesia, Nigeria and Pakistan account for half of the unvaccinated infants and 75 per cent of the measles deaths.   “It is not acceptable that millions of children miss their vaccines every year. We have a safe and highly effective vaccine to stop the spread of measles and save lives,” said Dr. Jean-Marie Okwo-Bele, Director of WHO’s Department of Immunization, Vaccines and Biologicals. “This year, the Region of the Americas was declared free of measles – proof that elimination is possible. Now, we must stop measles in the rest of the world. It starts with vaccination.”   “Measles is a key indicator of the strength of a country’s immunization systems and, all too often, it ends up being the canary in the coalmine with outbreaks acting as the first warning of deeper problems,” said Dr. Seth Berkley, CEO of Gavi, the Vaccine Alliance. “To address one of the world’s most deadly vaccine-preventable childhood killers we need strong commitments from countries and partners to boost routine immunization coverage and to strengthen surveillance systems.”   Measles, a highly contagious viral disease that spreads through direct contact and through the air, is one of the leading causes of death among young children globally. It can be prevented with two doses of a safe and effective vaccine.   Measles outbreaks in numerous countries – caused by gaps in routine immunization and in mass vaccination campaigns – continue to be a serious challenge. In 2015, large outbreaks were reported in Egypt, Ethiopia, Germany, Kyrgyzstan and Mongolia. The outbreaks in Germany and Mongolia affected older persons, highlighting the need to vaccinate adolescents and young adults who have no protection against measles.   Measles also tends to flare up in countries in conflict or humanitarian emergencies due to the challenges of vaccinating every child. Last year, outbreaks were reported in Nigeria, Somalia and South Sudan.   Measles elimination in four of six WHO regions is the global target at the midpoint of the Global Vaccine Action Plan implementation. “The world has missed this target, but we can achieve measles elimination as we have seen in the Region of the Americas,” said Dr. Rebecca Martin, director of CDC’s Center for Global Health. “As the African adage goes, ‘it takes a village to raise a child’ and it takes the same local and global villages to protect children against measles. We can eliminate measles from countries and everyone needs to play a role. This year’s report shows that the 2015 WHO regional measles elimination goals were not met because not every child has been reached – gaps exist. We need to close these gaps, ensure that commitments for adequate human and financial resources are kept and used well to reach every child, detect and respond to every case of measles, and prevent further spread. These efforts will protect all children so that they can become the next generation of leaders. This will also ensure that every country has a strong safety net to stop disease threats where they occur and protect the world from global health threats.”   Note to editors: The Global Vaccine Action Plan adopted by the World Health Assembly in 2012 set a goal of eliminating measles in four regions by 2015. Failure to close immunization coverage gaps has resulted in a failure to meet the goal.   Since 2000, some 1.8 billion children have received measles vaccination through mass measles vaccination campaigns with support from UNICEF, a founding member of the Measles & Rubella Initiative, launched in 2001 with the American Red Cross, the UN Foundation, U.S. Centers for Disease Control and Prevention and the World Health Organization.   Gavi, the Vaccine Alliance, has programmed close to US$1 billion over the period 2016-2020 to help developing countries approach measles in a comprehensive manner that will contribute towards saving more than a million lives. The latest measles mortality data is published in WHO’s Weekly Epidemiological Report and CDC’s Morbidity and Mortality Weekly Report . A mother watches Dr. Nataliya Seredyuk checking her five-month-old baby prior to administering him immunizations at the General Practice Clinic in Bohorodchany, Ivano-Frankivsk Oblast, Ukraine. UNICEF/UN060130/Zmey A mother watches Dr. Nataliya Seredyuk checking her five-month-old baby prior to administering him immunizations at the General Practice Clinic in Bohorodchany, Ivano-Frankivsk Oblast, Ukraine.
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