Global Immunizations A Crucial Tool for Child Survival

Congressional BriefingHonorary Hosts Rep. Nita Lowey and Sen. Bob Casey

B-340 Rayburn House Office BuildingJune 13, 2012

12:00 – 1:30 PM

Global Childhood Survival: Vaccine Preventable Deaths

Yvonne (Bonnie) Maldonado, MD FAAPDepartments of Pediatrics and Health Research and PolicyStanford University School of Medicine

Current Global Impact of Immunization on Vaccine-Preventable Diseases

Disease # of Preventable Cases

Hepatitis B 900,000Measles 888,000Haemophilus influenzae type b (Hib)

400,000

Pertussis (Whooping cough) 346,000Neonatal Tetanus 215,000Tetanus 195,000Yellow Fever 30,000Diphtheria 5,000Poliomyelitis 720TOTAL 2,979,720Source: WHO

Global Child Deaths Due to Vaccine Preventable Diseases

Source: WHO

~2.9M preventable deaths

Reducing Vaccine Preventable Deaths

Source: WHO

• Addressing vaccine preventable infectious disease deaths would achieve half of the UN MDG goal by 2015

Vaccine Preventable Diseases

Smallpox Measles Polio

PolioPolio

Congenital Rubella

Tetanus

Current Global Priorities for Immunizations

Andrea GayExecutive DirectorChildren’s Health, United Nations Foundation

Measles, U.S. 2011• 222 reported cases to CDC/NCIRD• 72 importations from 20-22 countries• 17 outbreaks (3-21 cases)• US resident cases (N=196): 85% unvaccinated

or unknown vaccination status, 9% 1 dose, 6% 2 doses

• 70 (32%) hospitalized– 41% <12 m, 38% 1-4 y, 20% 5-19 yrs., 31% ≥20 y – 97% unvaccinated, 3% 1 dose

Measles, U.S., 2001-2011Importations by WHO Region

Measles, U.S. 2011Geographic Distribution of Cases (n=222)

Measles, 2011

Global collaboration - perspective from a country’s successes and

challenges

Dr. Adenike GrangeInternational Pediatric Association (IPA)

Nigeria- Population and Health Profile 2010

• Total population 158,423,000

• Annual no. of births 6,332,000

• Annual no. of under-5 deaths 861,000

• Infant mortality rate (under 1) 88,000

• Life expectancy at birth (years) 51

167

228 230207 197

126 125 112 105

0

100

200

300

1980 1990 2000 2004

Year

Mor

talit

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tes

per 1

,000

liv

e bi

rths

U5MR IMR

Target forMDG4

Polio Cases, Nigeria – 2003-2012

2006 2007 2008 2009 2010 2011 20120

200

400

600

800

1000

1200 1122

285

798

358

21 6215

Year

No

of c

ases

18

Playing Poker with PolioMaiming our

children for life

The FEAT of POLIO

My commitment to the people of this country is that between now and 2015 we will work day and night to make sure that we eradicate polio.

For that reason, we have also increased the amount of money we bring into polio eradication from $17 million to $30 million and if we have challenges, we will look for more money

The President Speaks My commitment to the people of this

country is that between now and 2015 we will work day and night to make sure that we eradicate polio.

For that reason, we have also increased the amount of money we bring into polio eradication from $17 million to $30 million and if we have challenges, we will look for more money

NPHCDA & PARTNERS SURGE IN HR TECHNICAL ASSISTANCE

21

WHO: • 1,500 additional workers at ward

level in 10 statesUNICEF:• Recruitment of 7 international

polio communication consultants• 557 volunteer community

mobilizers for Kano, Kebbi, SokotoCDC• Epidemiologist and data manager

at NPHCDA• Increasing STOP to 22-25 members

and deployed for 5 monthsBMGF:• Sub-national SIA and RI consultant

Strategy = Partnerships

Redeemer’s University,

Nigeria

FACE OF NIGERIA’s CHILD Tears, Pain

Global Childhood Survival: A Personal Perspective

Alanna Levine, MD FAAPPediatrician, Orangetown Pediatric AssociatesSpokesperson, American Academy of Pediatrics

Global Immunizations A Crucial Tool for Child Survival

Q&A