News In this issue News Brazil introduces Human Papillomavirus vaccine nationally National Launching of Rotavirus Vaccine in Sierra Leone Kenya conducted the first ever Inactivated Poliovirus Vaccine campaign Peruvian Officials Join Directors of WHO and PAHO to Open New Vaccine Cold-Storage Center in Lima EPI Cold Chain Strengthening and Vaccination Registry, Dominican Re- public Taking a Holistic Approach to Effective Vaccine Management in Kenya DQS of immunization data in the context of the external evaluation of the national immunization programme of Burundi 2 2 3 3 4 4 5 Meetings / workshops Annual meeting of the managers of national immunization programmes in Central Africa AMP supports the launch of an inter- sectoral coalition for human resources for health in Benin Supervisor Meeting on New Vaccine Surveillance 6 7 8 Resources 8- 10 Calendar 11- 12 Links 13 World Immunization Week 2014: Are you up to date? Hayatee Hasan, WHO HQ This year’s World Immunization Week (WIW 2014) campaign which takes place from 24-30 April 2014 asks “Are you up-to-date?” with your immunizations. The WIW 2014 campaign efforts will focus on providing families with the information they need to make informed decisions about vaccination. The global slogan is “Immunize for a healthy future – Know. Check. Protect”. The campaign website in the six official languages is now live. An online, multilingual toolbox which al- lows campaign supporters to build their own post- ers, choosing from different visuals is also available. Help us spread the word by choosing a poster from our online, multilingual toolbox. Print, post in your office, school, or health-care centre, and share on social media to make this year’s campaign truly glob- al. A 30-second public service announcement (PSA) based on the posters is currently in de- velopment. The PSA will be produced in six languages and available in early April 2014. We encourage campaign supporters to share the PSA on social media. An infographic on measles aimed at the general public is in development highlighting “what you should know about measles” and will be available in English, French and Spanish. We will be using the hashtag #RUuptodate for outreach on Twitter. At least 180 countries are expected to participate in this year’s event and implementing a wide range of activities including vaccination campaigns against dis- eases including polio, measles, rubella, diphtheria, mumps, whooping cough, influenza, yellow fever; rollout of new vaccines such rotavirus vaccine; training workshops; exhibits; round-table discussions; public information campaigns; and more. Please register any events that you are planning on our website and en- courage people in your networks to do so too. Different geographical regions emphasize different themes to adapt to their specific needs. For WIW 2014, the regional focus is as follows: Africa: Vaccination - a shared responsibility The Americas: Vaccination: Your best shot Eastern Mediterranean: Are you up-to-date? Europe: Immunization for life South-East Asia: Intensification of routine immunization Western Pacific: Stop hepatitis B and liver cancer. Vaccinate at birth Global Immunization News (GIN) March 2014 SUBSCRIBE NOW Send an email to [email protected]with the following text in the body of the email: subscribe GLOBALIMMUNIZATIONNEWS VIEW PREVIOUS EDITIONS For previous edition of the GIN, visit the GIN archive on the WHO website: www.who.int/immunization/gin NEW! You can now click on the article you are interested in and access it directly!
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Transcript
News In this issue
News
Brazil introduces Human Papillomavirus
vaccine nationally
National Launching of Rotavirus
Vaccine in Sierra Leone
Kenya conducted the first ever Inactivated Poliovirus Vaccine campaign
Peruvian Officials Join Directors of WHO and PAHO to Open New
Vaccine Cold-Storage Center in Lima
EPI Cold Chain Strengthening and
Vaccination Registry, Dominican Re-public
Taking a Holistic Approach to Effective Vaccine Management in Kenya
DQS of immunization data in the context of the external evaluation of
the national immunization programme of Burundi
2
2
3
3
4
4
5
Meetings / workshops
Annual meeting of the managers of
national immunization programmes in Central Africa
AMP supports the launch of an inter-sectoral coalition for human resources for health in Benin
Supervisor Meeting on New Vaccine
Surveillance
6
7
8
Resources 8-
10
Calendar 11-12
Links 13
World Immunization Week 2014: Are you up to date? Hayatee Hasan, WHO HQ
This year’s World Immunization Week (WIW 2014)
campaign which takes place from 24-30 April 2014
asks “Are you up-to-date?” with your immunizations.
The WIW 2014 campaign efforts will focus on
providing families with the information they need to
make informed decisions about vaccination. The
global slogan is “Immunize for a healthy future –
Know. Check. Protect”.
The campaign website in the six official languages is
now live. An online, multilingual toolbox which al-
lows campaign supporters to build their own post-
ers, choosing from different visuals is also available.
Help us spread the word by choosing a poster from
our online, multilingual toolbox. Print, post in your
office, school, or health-care centre, and share on
social media to make this year’s campaign truly glob-
al.
A 30-second public service announcement (PSA) based on the posters is currently in de-
velopment. The PSA will be produced in six languages and available in early April 2014.
We encourage campaign supporters to share the PSA on social media. An infographic on
measles aimed at the general public is in development highlighting “what you should know
about measles” and will be available in English, French and Spanish. We will be using the
hashtag #RUuptodate for outreach on Twitter.
At least 180 countries are expected to participate in
this year’s event and implementing a wide range of
activities including vaccination campaigns against dis-
eases including polio, measles, rubella, diphtheria,
mumps, whooping cough, influenza, yellow fever;
rollout of new vaccines such rotavirus vaccine; training
workshops; exhibits; round-table discussions; public
information campaigns; and more. Please register any
events that you are planning on our website and en-
courage people in your networks to do so too.
Different geographical regions emphasize different themes to adapt to their specific needs.
For WIW 2014, the regional focus is as follows:
Africa: Vaccination - a shared responsibility
The Americas: Vaccination: Your best shot
Eastern Mediterranean: Are you up-to-date?
Europe: Immunization for life
South-East Asia: Intensification of routine immunization
Western Pacific: Stop hepatitis B and liver cancer. Vaccinate at birth
Brazil introduces Human Papillomavirus (HPV) vaccine nationally Carla Domingues, Ministry of Health, Brazil; Samia Abdul Samad and Andrea Vicari, PAHO/WHO
On 10 March 2014, Brazil’s President Dilma Rousseff launched national vaccination
against human papillomavirus (HPV). This year, the Ministry of Health (MoH) plans
to vaccinate 5.2 million girls aged 11–13 years. In 2015 vaccination will target girls
aged 9–11 years and from 2016 girls aged 9 years.
The quadrivalent vaccine is being administered in an extended immunization sche-
dule (three doses at zero, six and 60 months). In a partnership with a national and
an international manufacturer, the MoH oversees technology transfer so that the
HPV vaccine can be produced locally within five years.
Health workers administer the HPV vaccine at public and private schools and at
the 36,000 vaccination centers of the national health system. Upon receiving the
first dose, a girl is oriented as to which vaccination centre to attend for the second dose.
The MoH is closely tracking vaccine uptake at the sub national and local levels. An online system, called vacinôme-
tro (vaccine-o-meter), reports daily data for the 5,565 municipalities (districts) of the country. As of 24 March
2014, two weeks into the vaccination, 31.1% of targeted girls had received their first HPV vaccine dose (1.6 million
doses administered).
In the Americas, 20 countries—including Argentina, Brazil, Canada, Colombia, Mexico, Panama, Paraguay, Trinidad
and Tobago, the United States, and Uruguay—now offer HPV vaccine in their publicly funded immunization pro-
grammes. The introduction in Brazil is particularly relevant because it increases the proportion of adolescent girls
in the Americas with guaranteed access to HPV vaccine from 58.9% to 81.3%.
National Launching of Rotavirus Vaccine in Sierra Leone Rosmarie E. K. Jah, UNICEF Sierra Leone
Sierra Leone has the highest child mortality rate in the world and the majority of children in the country die from
preventable and easily treatable diseases. Diarrhoea is one of the primary causes of illness and death of children
under the age of five. and rotavirus is one of its leading causes.
It is good news that rotavirus vaccine will now be made accessible free of charge for
children in Sierra Leone. On 28 March 2014, the vaccine was integrated into the
routine immunization schedule at all levels of the programme. UNICEF, WHO, and
the GAVI Alliance fully support the Government of Sierra Leone in its decision to
introduce the vaccine. UNICEF Country Representative Roeland Monasch explains
that “the rotavirus vaccine is a low-cost, high-impact solution that will contribute to
the reduction of death among children and realizing the MDG 4”.
There is excitement about the nationwide introduction of the rotavirus vaccine be-
cause it promises to significantly reduce cases of severe diarrhoea caused by the
rotavirus. However, hygiene practices in the handling of food, hand-washing with
soap, access to potable water and environmental sanitation remain core elements in
the prevention of diarrhoea.
“Whilst rotavirus is one of the major causes of diarrhoea, it does not account for all
types of diarrhea”, cautions Dr Nuhu, Immunization Specialist at UNICEF Sierra
Leone. Therefore, the launch of the rotavirus vaccine is accompanied by a major
communication campaign aimed at raising awareness and knowledge that the vaccine
is important but not a panacea for all causes of diarrhoea. As much as caregivers are
encouraged to take their children five times to health clinics for the vaccination,
they are called upon to improve their own hygiene behaviours which remain essential in protecting their children
Kenya conducted the first ever Inactivated Poliovirus Vaccine campaign Shaikh Humayun Kabir, Consultant and Ondrej Mach, Samuel Oumo Okiror, World Health Organization
Kenya has been free of polio since 2006. But since then it has experienced several
importations of wild polioviruses (WPV) causing outbreaks.
In response to the 2013 WPV outbreak in northern Kenya, the Inactivated Po-
liovirus Vaccine (IPV) had been co-administered with the Oral Poliovirus Vaccine
(OPV) in Dadaab refugee camps and adjacent host communities targeting 126,000
children under five in a campaign manner in December 2013. The main objective
of this novel approach was to accelerate interruption of WPV circulation and to
protect vaccinated children for life against polio. IPV& OPV were co-administered
from fixed posts, temporary fixed posts and in some cases through house to
house teams. The overall IPV& OPV admin-
istrative coverage was >98%.
The Independent coverage Evaluation Survey revealed the OPV and IPV cover-
age as 92.8% in refugee camps and 95.8% in host communities. No major issues
were reported regarding injection safety and cold chain.
The most common reasons for not receiving IPV vaccine were: 1) Caregiver did
not know about the campaign (46%) 2) Child was absent (9%) 3) Fear of injec-
tion(7%).
Appropriate evidence-based social mobilization activities helped raise the com-
munity acceptance. The lessons-learned from the implementation of the cam-
paign important when planning future IPV use.
Peruvian officials join Directors of WHO and PAHO to open new vaccine
cold-storage center in Lima Inés Calderón, PAHO-Peru
A new vaccine cold store was inaugurated on 21 February 2014 in Lima, Pe-
ru, by the Peruvian First Lady, Nadine Heredia, and the Minister of Health
Midori De Habich, together with the World Health Organization (WHO)
Director-General Margaret Chan and Pan American Health Organization
(PAHO) Director Carissa F. Etienne. The new centre is housed at the East
Lima Health Department (DISA IV) in the Peruvian capital.
Heredia noted that maintenance of the vaccine cold chain is an essential part
of Peru’s efforts to guarantee vaccination, especially for children.
“Vaccination is a national effort, and ensuring that the population is immuni-
zed against diseases is one of the main responsibilities of the Ministry of
Health,” said Dr De Habich, adding that the cold chain ensures that vaccines
are available throughout the country. Dr De Habich said the new centre will
ensure safe storage of vaccines and in crisis situations will serve as the main
storage site for Lima. DISA Director Luis Fuentes also participated in the
inauguration of the new centre.
Dr Chan, Dr Etienne and Peruvian officials also participated in an information
fair on the prevention of cancer and tuberculosis at the Plaza de Armas of El
Agustino, a district of some 180,000 inhabitants in eastern Lima. They also met with a group of health promoters who
received recognition for their work. Other participants in the activity included the Mayor of El Agustino Victor
Salcedo, PAHO/WHO Representative Fernando Leanes, staff from DISA IV, and staff of PAHO/WHO’s country office
WHO vaccines and diseases website updated and expanded
We are pleased to announce the update of the Vaccines and diseases section of the Immunization, Vaccines and
Biologicals website. There are 27 disease specific pages that are available including new
pages on varicella, yellow fever, hepatitis A, B & E. WHO position papers on immuniza-
tion and the WHO recommendations for routine immunization - summary tables can be
easily accessed from the main page. In addition the most recently published WHO posi-
tion paper on immunization is highlighted.
For each disease or pathogen, summary information is provided on transmission, disease
manifestations, available prequalified vaccines or status of vaccine development, most
important ongoing research, WHO policy recommendations, disease burden surveil-
lance, together with other key resources.
Check out the Vaccines and diseases page for more information.
Supervisor Meeting on New Vaccine Surveillance
Lucia Oliveira, Gloria Rey and Jennifer Sanwogou
Location: Washington, DC
Date: 11-13 March 2014
Participants: Lucia Oliveira (Regional Advisor on New Vaccines), Gloria Rey (Regional Advisor on VPD Labor-
atory), Jennifer Sanwogou (Surveillance Specialist) and five PAHO consultants.
Purpose: To improve the quality of sentinel surveillance data for rotavirus and invasive bacterial infections
in Latin America and the Caribbean.
Details: In September 2013, a WHO Strategic Review meeting of the WHO-coordinated global invasive
bacterial vaccine-preventable diseases (VPDs) and rotavirus sentinel surveillance networks took
place with the objectives of: 1) critically assessing the current invasive bacterial VPDs and rota-
virus surveillance network and 2) providing conclusions and recommendations for the future vi-
sion for the network. One of the main conclusions and recommendations of the review was the urgent need to im-
prove the surveillance data quality for both invasive bacterial VPDs and rotavirus in a smaller
number of sentinel sites. Following these recommendations, and with the objective of improving the quality of sentinel
hospital-based surveillance data in Latin America and the Caribbean, from 11 to 13 March 2014,
PAHO organized a meeting for a small working-group on supervision. The participants included five experts in epidemiology and/or laboratory activities who worked
together to develop a supervisory guide to be used in sentinel sites in the Region. This guide in-
cludes all the new criteria to be evaluated. With this new guide, consultants will be visiting sentinel sites in the Region throughout the rest of
2014. The team from the sentinel site with the most improved data quality will receive an award from
PAHO at the next Global New Vaccines Surveillance meeting in 2015.
9-10 SEAR Regional Working Group on New Vaccine Introduction and HSS Myanmar
Page 13
WHO Regional Websites Routine Immunization and New Vaccines (AFRO)
Immunization (PAHO)
Vaccine-preventable diseases and immunization (EMRO)
Vaccines and immunization (EURO)
Immunization (SEARO)
Immunization (WPRO)
Newsletters Immunization Newsletter (PAHO) The Civil Society Dose (GAVI CSO Constituency) TechNet Digest RotaFlash (PATH) GAVI Programme Bulletin (GAVI)
Organizations and Initiatives American Red Cross Child Survival Agence de Médecine Préventive Africhol EpiVacPlus LOGIVAC Project SIVAC Centers for Disease Control and Prevention Polio Global Vaccines and Immunization Johns Hopkins International Vaccine Access Center Vaccine Information Management System JSI Africa Routine Immunization Systems Essentials Project IMMUNIZATIONbasics PAHO ProVac Initiative PATH Vaccine Resource Library Rotavirus Vaccine Access and Delivery Malaria Vaccine Initiative Meningitis Vaccine Project RHO Cervical Cancer
Sabin Vaccine Institute Sustainable Immunization Financing UNICEF Immunization Supplies and Logistics USAID Maternal and Child Health Integrated Program WHO Department of Immunization, Vaccines & Biologicals New and Under-utilized Vaccines Implementation ICO Information Centre on HPV and Cancer Immunization financing Immunization service delivery Immunization surveillance, assessment and monitoring SIGN Alliance Other Coalition Against Typhoid Dengue Vaccine Initiative European Vaccine Initiative Gardasil Access Program GAVI Alliance International Association of Public Health Logisticians International Vaccine Institute Measles & Rubella Initiative Multinational Influenza Seasonal Mortality Study TechNet-21 Vaccines Today
UNICEF Regional Websites Immunization (Central and Eastern Europe)