VACCINATIONS

Agis Terzidis, Paediatrician

Spyridon Gialamas, Medical Doctor

SEMINAR ON TROPICAL AND TRAVEL MEDICINE AT TTCIH

Athens University Medical School

IFAKARA 1 JULY 2009

IMMUNIZATION - VACCINATION….A LONG STORY

One of the most effective «weapons» in medicine

10th century in Central Asia Smallpox Africa - Europe

1798 Edward Jenner immunizes first time against smallpox

1885 Louis Pasteur prepares the 1st vaccine against Rabbies

1927 BCG (bacillus Galmette-Guerin)

1955 Salk vaccine against poliomyelitis

1960 MMR….. HPV vaccine

SUCCESFULL VACCINATION

PROJECTS • SMALLPOX Vaccination WHO ( 1967 - 1977 )Last naturally acquired case SOMALIA 1977

1978 last death Global eradication 1979

MORE THAN 2.300.000 LIFES SAVED DUE TO GLOBAL VACCINATION PROJECTS

CONDUCTED BY WHO IN 2003

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VACCINATION PROJECTS A CONTINIOUS EFFORT

«GLOBALISATION INCREASED THE POSSIBILITY OF AN EPIDEMIC AND NOW MORE THAN EVER NATIONS SHOULD COOPERATE FOR THE ERRADICATION OF THE PREVENTABLE DISEASES»

Dr LEE John-wook Ms Ann M.VenemanGeneral Director, WHO Executive Director, UNICEF

2005, Global Immunization Vision and Strategy

MORTALITY OF INFECTIVE DISEASES (GLOBALLY 2003)

• 2.1 MILLION DEATHS DUE TO PREVENTABLE BY VACCINATION INFCTIOUS DISEASES

• 1.4 MILLION CHILDREN < 5 years

Measles ~540.000 hemophilus influenzae ~400.000 Pertussis ~300.000 Tetanus ( neonatal) ~180.000

• Deaths due to infections as a percantage % of known etiology deaths

Africa: 50% Europe: 2%

source: WHO, Global immunization Data, 2005

STRATEGYSTRATEGY

MONITORING - SURVEILLANCE

VACCINE AVAILIABILITY

QUALITY CONTROL

AWARENESS - EDUCATION

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GLOBAL SUCCESS ?

HPV vs DTP - POLIO - MMR……..

GLOBAL SUCCESS ?

HPV vs DTP - POLIO - MMR……..

GLOBAL SUCCESS ?

HPV vs DTP - POLIO - MMR……..

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The eight Millennium Development Goals By WHO

• MDG 1: To eradicate extreme poverty and hunger

• MDG 2: To achieve universal primary education

• MDG 3: To promote gender equality and empower women

• MDG 4: To reduce child mortality

• MDG 5: To improve maternal health

• MDG 6: To combat HIV/AIDS, malaria, and other diseases

• MDG 7: To ensure environmental sustainability

• MDG 8: To develop a global partnership for development

WE CAN REDUCEHEALTH INEQUALITIES