News In this issue News WHO and partners launched measles vaccination in the CAR Bangladesh to conduct measles-rubella campaign and 21st NIDs Liberia begins protecting its children against pneumococcal disease Evaluation of antibody persistence in the population after mass vaccination with MenAfriVacTM in Burkina Faso WHO SAGE on immunization: Request for nominations WHO looking for internat. consultants TechNet-21 launches collaboration with public health supply chain communities 2 2 2 3 3 4 5 Meetings / workshops Second Meeting in 2013 of the Regional Working Group on Immunization Training course on public vaccine pro- curement Regional Workshop on EPI Planning and Programme Costing using the COSTVAC Method and Tool GIS and Geospatial Analysis for Polio Eradication 2nd Polio lab network training work- shop to implement the Real-time PCR Techniques for Rapid Detection and Characterization of Polioviruses Sixth Meeting of the South-East Asia Regional Commission for Certification of Polio Eradication (SEA-RCCPE) WHO and UNICEF working group on monitoring national immunization cov- erage development session 6 7 7 8 9 10 11 Upcoming Meetings 11 Resources 12 Calendar 13- 14 Links 15 Maternal and Neonatal Tetanus Elimination (MNTE) progress as of December 2013 Rownak Khan, Azhar Abid Raza, Flint Zulu, UNICEF New York, and Ahmadu Yakubu, WHO Geneva As of end December 2013, 34 countries out of 59 at high risk of Maternal and Neonatal Tetanus (MNT), achieved MNT elimination. Lao People’s Democratic Republic (PDR) was the latest addition to the list after passing the validation survey in December 2013. Globally, an estimated 120 million women of reproductive age were reached with at least two doses of tetanus-containing vaccine since the programme was re-launched in 1999. This achievement was made possible through the commitment of national governments; the technical and financial support of partners: WHO, UNFPA, UNICEF, The US Center for Disease Control (CDC), Bill and Melinda Gates Foundation, Becton, Dickinson and Company (BD), Save the Children - USA, Procter and Gamble (P&G) - Pampers, GAVI, Government of Japan, Ronald McDonald House Charities, Kiwanis International and Na- tional Committees for UNICEF. Map of the 34 countries which eliminated MNT between 2000 & December 2013 as at January 2014 Madagascar is the next country ready for the validation survey in 2014. Cambodia, the Philippines and four states in India will conduct pre-validation assessments in 2014. Mo- mentum to reach the goal of elimination by 2015 in the remaining 25 countries using the high risk approach continues. However, achieving the goal of elimination is only possible with continued government commitment and timely availability of funds from the part- nership. Global Immunization News (GIN) January 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
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News In this issue
News
WHO and partners launched measles
vaccination in the CAR
Bangladesh to conduct measles-rubella
campaign and 21st NIDs
Liberia begins protecting its children against pneumococcal disease
Evaluation of antibody persistence in the population after mass vaccination with MenAfriVacTM in Burkina Faso
WHO SAGE on immunization: Request
for nominations
WHO looking for internat. consultants
TechNet-21 launches collaboration
with public health supply chain communities
2
2
2 3
3
4
5
Meetings / workshops
Second Meeting in 2013 of the Regional
Working Group on Immunization
Training course on public vaccine pro-
curement
Regional Workshop on EPI Planning and Programme Costing using the COSTVAC Method and Tool
GIS and Geospatial Analysis for Polio Eradication
2nd Polio lab network training work-
shop to implement the Real-time PCR Techniques for Rapid Detection and Characterization of Polioviruses
Sixth Meeting of the South-East Asia
Regional Commission for Certification
of Polio Eradication (SEA-RCCPE)
WHO and UNICEF working group on monitoring national immunization cov-erage development session
6
7 7
8
9
10
11
Upcoming Meetings 11
Resources 12
Calendar 13-
14
Links 15
Maternal and Neonatal Tetanus Elimination (MNTE) progress as
of December 2013 Rownak Khan, Azhar Abid Raza, Flint Zulu, UNICEF New York, and Ahmadu Yakubu,
WHO Geneva
As of end December 2013, 34 countries out of 59 at high risk of Maternal and Neonatal
Second Meeting in 2013 of the Regional Working Group on Immunization
Crépin Hilaire DADJO, WHO IST West Africa
Location: Ouagadougou, Burkina Faso
Date: 16-17 December 2013
Participants: Twenty-four participants representing six agen-
cies including GAVI, Maternal and Child Health
Integrated Programme, SABIN Institute, Agence
de Médecine Préventive, UNICEF and WHO
(AFRO; Intercountry Support team (IST) West
Africa and IST Central Africa)
Purpose: To update vaccination stakeholders on the pro-
gress being made in West and Central Africa in
2013 and set priorities for joint interventions in
2014.
Group Photo of Attendants of the 2nd Meeting of
the WGI_Credit Photo R. BARRY
Details: From the 14 presentations made over the two-day workshop, participants were updated on na-
tional EPI performances in the sub region, the surveillance of Vaccine Preventable Diseases
(Measles, Yellow Fever, Meningitis and Tetanus Toxoid) and the introduction of the Measles sec-
ond dose and Rubella vaccines. As a follow-up to the recommendations taken during the first
meeting held in Kinshasa, Democratic Republic of Congo (28-29 April 2013), it was learnt that the
study on the financing of the vaccination system in three countries (Burkina, Mali and Sierra Leone)
is still ongoing; an investigation on the norms and existing national vaccination policies was con-
cluded and showed a great variability of the implementation of the “legislation” in this area. Partners including GAVI Alliance, AMP and SABIN Institute seized the opportunity of the meeting
to update participants on their activities. The latest decisions taken for vaccines applications in-
cluding the Inactivated Polio Vaccine (IPV) introduction were communicated. A table of joint prior-
ities will be circulated shortly and approved before end 2014. Dates and venue of the next meeting
will be communicated as well once agreed. The opening and closing of the meeting were both
chaired by Dr Oladapo Walker, WHO/IST West Coordinator on behalf of the Regional Director
Geographic Information Systems (GIS) and Geospatial Analysis for Polio
Eradication
Victoria Gammino and Abigail Greenleaf, CDC
Location: Addis Ababa,
Ethiopia
Date: 4-13 December,
2013
Participants: Over 30 participants
from Addis Ababa
University, Ethiopian
Public Health Asso-
ciation, WHO, and
the Ministry of
Health’s Public
Health Emergency
Management
(PHEM) branch, and
Regional Health
Bureaus participat-
ed.
Students working with Arc GIS to develop polio microplans (left) and a geo-
referenced hand-drawn map (right).
Purpose: The training was the most recent in a series of courses on the role of GIS in polio eradication,
demonstrating how GIS can be applied to public health challenges such as the recent polio out-
break in Ethiopia.
Details: During the four-day training, participants were taught to use Arc-GIS and Google Earth software
tools to prepare polio microplans, plot and visualize Acute Flaccid Paralysis (AFP) case surveillance
data, and to characterize the movements of nomadic and other mobile populations. Previous
courses in Burkina Faso (2011) and Kenya (2012) have been crafted around country-specific needs
and objectives related to polio eradication. Participants were also encouraged to bring in their own
datasets to hone their GIS skills. These datasets included measles outbreak data, an HIV
Knowledge, Attitude, Behaviour (KAP) survey, and malaria morbidity data. The training was led by Randall Young from CDC-Atlanta Geospatial Research, Analysis & Services
Programme. Facilitators included Dr Victoria Gammino from the CDC Global Immunization Divi-
sion’s Polio Emergency Response Team, Dr Getahun Aynalem and Ms Abigail Greenleaf, MPH from
the CDC- Ethiopia Field Epidemiology Training (FETP).
Page 9
Global Immunization News (GIN) January 2014
Second Polio laboratory network training workshop to implement the Real-time
Polymerase Chain Reaction (PCR) Techniques for Rapid Detection and
Characterization of Polioviruses
Youngmee Jee, WHO Western Pacific Regional Office
Location: Beijing, China
Date: 13-17 January 2014
Participants: Ten participants representing eight China provincial
laboratories (Chongqing, Guizhou, Hainan, Hubei,
Inner Mongolia, Liaoning, Ningxia and Qinghai) and
two national polio laboratories (Malaysia and Mon-
golia) were trained. There were also 20 observers
from 16 provincial laboratories and four from Chi-
na CDC. Laboratory experts from Victorian Infec-
tious Diseases Reference Laboratory, Melbourne
(WHO regional reference laboratory for poliomye-
litis) and WHO Regional Office for the Western
Pacific (WPRO) as facilitators.
Purpose: To improve the poliovirus real-time intratypic dif-
ferentiation (ITD) technique of laboratory staff in
China, Malaysia and Mongolia and to introduce the
standard operating procedure of new algorithm for
poliovirus detection in polio laboratory network in
the Western Pacific Region (WPR).
Group photo from the workshop. Credit: Dr
Youngmee Jee/WHO.
Details: WPR is making efforts to reduce the time to identify polioviruses by introducing real-time polymer-
ase chain reaction (PCR) for polio ITD and vaccine-derived poliovirus (VDPV) screening among polio
network laboratories including provincial laboratories in China. In March 2012 (cf GIN March 2012
p. 16), 23 China provincial laboratories were trained on real-time PCR for polio ITD and VDPV
screening and 22 provincial laboratories successfully implemented the real time PCR techniques by
January 2013. The objectives of the workshop were achieved through intensive hands-on practical sessions and
lectures. During the workshop, implementation steps were discussed and it is expected that these
laboratories will conduct real-time PCR for polio ITD and VDPV screening and after successful com-
pletion of implementation steps including proficiency tests. After the successful implementation of
ITD, those laboratories will be upgraded to polio ITD laboratories and will be assessed for ITD func-
WHO and UNICEF working group on monitoring national immunization coverage
development session
Xavier BOSCH-CAPBLANCH, Swiss Tropical and Public Health Institute
Location: Basel, Switzerland
Date: 12-14 November 2013
Participants: United Nations Children’s’ Fund, World Health Organization,
Swiss Tropical and Public Health Institute.
Purpose: To review the feasibility of incorporating an approach devel-
oped by the Swiss TPH to analyze vaccination data from more
than 200 household surveys and to explore modifications to
measures of uncertainty attached to the group's estimates of
national immunization coverage estimates.
Group photo from the WHO and
UNICEF working group on monitor-
ing national immunization coverage
development session
Details: The Swiss TPH has produced an ensemble of STATA programmes to harmonize variable names and
values from multiple surveys which facilitates processing surveys of different types in order to com-
pute vaccination coverage and other indicators.
Confidence in the WHO and UNICEF estimates of national immunization coverage is currently ex-
pressed in terms of the availability and consistency of empirical data from a variety of sources and
there is no ranking or weighting based on the quality of the data. The group explored ways of assign-
ing confidence to different reports of coverage, the impact on confidence of different estimation rules
and the propagation of uncertainty exhibited by the data in arriving at a confidence in the final esti-
mates. Proposed methods were reviewed and preliminary results considered. The development of
these methods continues and the methods are expected to be reflected in the 2014 revision of the
coverage estimates.
Upcoming Meetings
Next-Generation Vaccine Delivery Technology Meeting, 18-19 February 2014,
Geneva, Switzerland
The main objectives of the meeting are to : Review lessons learned of earlier experiences with new vaccine technologies and generate a landscape of existing
and future technologies, including delivery devices, packaging, and vaccine formulation.
Provide a vision for the future of vaccine delivery technologies with short-term (within the Decade of Vaccines
timeline) and long-term objectives (beyond 2020).
Arrive at a consensus on the types of vaccine delivery products and technologies needed for immunization pro-
grammes in 10 to 20 years from now.
Provide recommendations and strategic direction to incentivize industry investments in the development of some
of the major technologies.
Global Vaccine and Immunization Research Forum Hayatee Hasan, WHO HQ
The Global Vaccine and Immunization Research Forum — co-hosted by
WHO, the United States National Institute of Allergy and Infectious Dis-
eases, and the Bill & Melinda Gates Foundation — will take place from 4-6
March 2014 in Maryland, USA. The Forum will track progress on re-
search, identify actions recommended to be taken forward by the re-
search and development community, and provide opportunities for net-
working and collaborations across scientific and geographic boundaries.
8-12 SEARO Regional Committee meeting New Delhi, India
22-24 Global Measles Rubella Laboratory Meeting Istanbul, Turkey
29-2 PAHO’s Directing Council Washington DC, USA
November
17-20 EMRO Expanded Programme on Immunization Managers meeting Amman, Jordan
22-25 Intercountry Meeting on Measles and Rubella Amman, Jordan
Global Immunization News (GIN) January 2014
Page 15
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)