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WHO, UNICEF and partners support Philippine Department of Health’s polio outbreak response | WHO Philippines.

[19 September 2019 Joint News Release]

The Philippine Department of Health (DOH) today announced an outbreak of polio in the country. A poliovirus case was confirmed on 16 September 2019 in a 3-year-old girl from Lanao del Sur. In addition, environmental samples from sewage in Manila and waterways in Davao were confirmed to contain the virus.

“We are very concerned that polioviruses are now circulating in Manila, Davao, and Lanao del Sur,” said World Health Organization (WHO) Representative in the Philippines, Dr Rabindra Abeyasinghe. “WHO and UNICEF are working closely with the Department of Health to strengthen surveillance and swiftly respond to this outbreak. We urge all parents and caregivers of children under 5 years of age to have them vaccinated so that they are protected against polio for life.”

“It is deeply disconcerting that poliovirus has re-emerged in the Philippines after nearly two decades. The outbreak calls for urgent action to protect more children from being infected. It reminds us of the importance of increasing immunization coverage to 95% of children to stop polio virus transmission in the Philippines. Vaccination is the only and best protection against polio that mainly affects children under 5 years of age. As long as one single child remains infected, children across the country and even beyond are at risk of contracting polio,” said Oyun Dendevnorov, UNICEF Philippines Representative, “UNICEF is working with Department of Health and WHO to accelerate actions for the health and safety of children in the Philippines, especially in the affected regions.”

Polio outbreak response.

Prior to the declaration of the outbreak, the Department of Health and its partners launched a polio immunization campaign in the City of Manila. Further mass polio immunization rounds will be rolled out from October 2019.

The Global Polio Eradication Initiative (GPEI) is supporting the Philippine Government’s response, providing technical advice, on-the-ground monitoring and risk communication. The GPEI is a public-private partnership led by national governments with five partners – WHO, Rotary International, the US Centers for Disease Control and Prevention (CDC), UNICEF, and the Bill & Melinda Gates Foundation. Its goal is to eradicate polio worldwide.

Local government action and advice to parents and caregivers.

WHO and UNICEF urge local governments to ensure that vaccination campaigns are planned and implemented effectively. Every community leader, religious leader and celebrity must mobilize their communities to participate in immunization activities.

Parents and caregivers are advised that the best protection for their children is vaccination. It takes multiple doses of polio vaccine to achieve full immunity against polio.

WHO and UNICEF also remind families to wash their hands regularly with soap and water, use a toilet, consume food that is fully cooked, and drink safe water. If the safety of your water is in doubt, boil it, ensuring it is bubbling vigorously for at least one minute before allowing it to cool.

Oral polio vaccine.

The oral polio vaccine (OPV) is a safe and effective vaccine that has saved millions of lives over the years. More than 18 million people are able to walk today who would otherwise have been paralyzed, and 1.5 million childhood deaths have been averted thanks to the polio vaccine. Since the introduction of the polio vaccine in 1988, cases have decreased by over 99%.

OPV contains an attenuated (weakened) form of the virus, activating an immune response in the body. When a child is immunized with OPV, the weakened virus replicates in the intestine for a limited period, thereby developing immunity by building up antibodies. During this time, the virus is also excreted in their faeces. In areas where there is inadequate sanitation and hygiene, the excreted weakened virus can spread in the immediate community before eventually dying out.

If a population is not sufficiently immunized, the weakened virus can continue to circulate. The longer it is allowed to survive, the more changes it undergoes. In rare instances, the virus can change to a vaccine-derived poliovirus (VDPV), a form that has regained the ability to cause paralysis.

The polio outbreak in the Philippines is confirmed to be from a circulating vaccine-derived poliovirus type 2. This is of particular concern, as wild poliovirus type 2 was certified as globally eradicated in 2015. Poorly conducted immunization activities, when too few children have received the required three doses of polio vaccine, leave them susceptible to poliovirus, either from vaccine-derived or wild polioviruses. Full immunization protects them from both forms of the virus.

Philippines declared polio-free in 2000.

The last known case of wild poliovirus recorded in the Philippines was in 1993. The country was declared wild polio-free in 2000 along with the rest of WHO’s Western Pacific Region.

Vaccination coverage in the Philippines has been steadily declining over the past few years. To stop the spread of polio in the Philippines, at least 95% of children under 5 years of age need to be vaccinated.

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Media Contacts.

Ms Faizza Tanggol

Communications Officer
WHO Philippines

Telephone: +63 2 528 9061

and

Zafrin Chowdhury

Chief of Communication
UNICEF Philippines

Telephone: (02) 249 5495

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Infographic: Polio Snapshot Afghanistan (August 2019) | World Health Organization, UN Children's Fund via ReliefWeb.

[19 Sep 2019]

[Published on 31 Aug 2019 —View Original]

[Image example only; Download PDF]

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Determinants of timeliness in early childhood vaccination among mothers with vaccination cards in Sindh province, Pakistan: a secondary analysis of cross-sectional survey data | BMJ Open.

[Open Access] [Received January 3, 2019; Revised August 21, 2019; Accepted September 5, 2019; First published September 18, 2019; Online issue publication September 18, 2019]

Strengths and limitations of this study.

  • This study is the first study to examine the timeliness of childhood vaccination coverage and its determinants in Sindh province, Pakistan.

  • We used vaccination card to get information and then categorised each child’s vaccination status into timely or early/delayed.

  • The χ2 test was used to determine if a statistically significant relationship and binary logistic regression analysis was performed to identify factors associated with timeliness of vaccination.

  • This is a cross-sectional study, and samples were selected using a multistage, stratified, sampling design.

  • A possible limitation of this study is restricted to one province, Sindh, in Pakistan, so the study findings might not be generalisable to all regions.

Introduction.

Achieving high vaccination coverage is crucial in the control and prevention of childhood as well as older age infections. Currently, standard estimates of vaccination coverage are based on vaccination statuses at predefined ages, typically at 12 months, 24 months and 4–6 years. The most widely accepted indicator internationally is the proportion of children who have received recommended routine vaccinations by 24 months of age, as prescribed by the WHO.1 2 This indicator does not measure delays in the acquisition of immunity caused by late vaccination.3

The timeliness of immunisations, that is, receiving vaccinations at the earliest appropriate age, is an important public health goal for several reasons. First, if children are vaccinated too early or if vaccinations are too closely spaced, it can significantly shorten the duration of protection or interfere with the body’s immune response.4 Second, delayed immunisation potentially leads to prolonged exposure to vaccine-preventable diseases.5 In addition, timely vaccination heightens populations’ herd immunity levels,6 thereby protecting those who are too young to be vaccinated, those who have medical contraindications and those who do not produce an adequate immunological response. Despite the importance of the timeliness of childhood immunisations, vaccination delays are prevalent across lower income countries, including Pakistan. An analysis of the 2006–2007 Pakistan Demographic and Health Survey found substantial variations in the timeliness of vaccinations, including considerable delays in many cases.7

Factors associated with lack of childhood vaccination have been studied extensively, and specific patterns have been identified.8–11 In contrast, less is known about factors associated with delayed vaccination and whether these factors follow the same patterns in different societies.12–15 Information about factors that influence the timeliness of childhood vaccination might be valuable for healthcare providers, programme managers and policymakers in identifying sub-populations at risk, which should be targeted with interventions and public health policies.16 The timeliness of childhood vaccination has received close attention in the USA and in Europe,8 but in-depth investigations in low-income countries have been limited, particularly in Pakistan. The purpose of this study was to examine the timeliness of childhood vaccination coverage and its determinants in Sindh province, Pakistan.


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Early childhood vaccination and subsequent mortality or morbidity: are observational studies hampered by residual confounding? A Danish register-based cohort study | BMJ Open.

[Open Access] [Received February 12, 2019; Revised August 6, 2019; Accepted August 29, 2019; First published September 18, 2019; Online issue publication September 18, 2019]

Strengths and limitations of this study.

  • Large sample size.

  • National cohort study design.

  • Estimation of absolute risks.

  • Observational study design.

  • Possibility of unmeasured confounding.

Introduction.

Studies suggest that some of the vaccines routinely administered in early childhood may affect the risk of illness and death from conditions other than the targeted infectious diseases they are designed to prevent. The overall hypothesis about the so-called non-specific effects of vaccines is that live-attenuated vaccines such as measles-containing vaccines may lower subsequent risk, whereas subunit vaccines such as the diphtheria–tetanus–pertussis–polio–Haemophilus influenzae type b (DTP) vaccine may increase risk of illness and death from other causes than the vaccine target disease.1 2

The beneficial non-specific effects of the measles-containing vaccine measles–mumps–rubella (MMR) were indicated in three Danish observational studies.3–5 A study found an increased risk of hospitalisation for lower airway infection in the small group of children who received DTP and MMR simultaneously.6 Potential beneficial effects might not be restricted to measles-containing vaccines. A recent Dutch study found a protective effect of receiving further DTP-like vaccines on the risk of hospitalisation for infection.7

However, observational vaccine studies can be prone to ‘healthy vaccinee bias’. Healthy children are more likely to be vaccinated so the ‘effects’ of vaccination may be explained by general better health in vaccine recipients.8–11 The ability to receive the next vaccine in the child vaccination programme indicates good health, and it might not matter whether this vaccine is inactivated (DTP-like) or live-attenuated (MMR-like). Further, the clinical indication for the two vaccine types are different: live vaccines as measles-containing vaccines are contraindicated in severely immunosuppressed individuals since (despite attenuation) the vaccine may replicate and infect the recipient.12–14 Individuals who also receive live vaccines are probably more immunocompetent than those who only receive subunit vaccines. Hence, vaccination status may be a result of good health and not a cause. This bias is difficult to accommodate,15 so potential non-specific effects of vaccines are ideally tested in randomised trials. In a recent large randomised trial, we studied the potential (a priori thought to be beneficial) non-specific effect of another live-attenuated vaccine, Bacillus Calmette-Guérin (BCG), on early childhood hospitalisation in Denmark, but no non-specific effect was found.16

In the present national cohort study, we examine determinants of exposure to all combinations of the MMR and DTP vaccines which are scheduled in early childhood in the Danish vaccination programme. Since such host and environmental factors are likely to confound the relationship between vaccination exposure and subsequent morbidity and mortality, we present the results of adjusted analyses. We defined a detailed exposure capturing all combinations of DTP and MMR.


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India: Patiala: 3-day polio drive kicks off in district | The Tribune.

[Posted at: Sep 16, 2019, 7:39 AM; last updated: Sep 16, 2019, 9:01 AM (IST)]

Patiala, September 15

On the first day of three-day migratory pulse polio round, the Health Department administered polio drops to 13, 290 kids on Sunday. 

Civil Surgeon Dr Harish Malhotra kicked off the drive by administering polio drops to children at Dheha Basti near Sanouri Adda.

Dr Malhotra said the department has set a target of giving polio drops to 25,052 children up to the age of five years during the three-day campaign.  Around 184 teams and 12 mobile teams have been constituted to administer polio drops in the district. The programme will be supervised by 19 health officers. The teams would visit brick-kilns, colonies of labourers, factories and slums.

Dr Malhotra said the campaign would continue for another two days in urban and rural blocks of Patiala.  Dr Sunita Pal, Assistant Director, Health and Family Welfare, visited various areas to check the drive.

Assistant Civil Surgeon Dr Shelly Jaitley, District Immunisation Officer Dr Sukhminder Singh, SMO Dr Navzinder Sodhi ,Dr Kushaldeep Kaur, Dr Taranpreet Kaur, Media Officer Krishan Kumar were also present. 


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Philippines declares new polio outbreak after 19 years | Washington Post.

[September 19 at 9:17 AM] Jim Gomez | AP writes:

MANILA, Philippines — Philippine health officials declared a polio outbreak in the country on Thursday, nearly two decades after the World Health Organization declared it to be free of the highly contagious and potentially deadly disease.

Health Secretary Francisco Duque III said at a news conference that authorities have confirmed at least one case of polio in a 3-year-old girl in southern Lanao del Sur province and detected the polio virus in sewage in Manila and in waterways in the southern Davao region. Those findings are enough to declare an outbreak of the crippling disease in a previously polio-free country like the Philippines, he said.

The World Health Organization and the United Nations Children’s Fund expressed deep concern over polio’s reemergence in the country and said they would support the government in immunizing children, who are the most susceptible, and strengthening surveillance.

“As long as one single child remains infected, children across the country and even beyond are at risk of contracting polio,” UNICEF Philippines representative Oyun Dendevnorov said.

WHO and UNICEF said in a joint statement the polio outbreak in the Philippines is concerning because it is caused by vaccine-derived poliovirus type 2.

The weakened virus used in vaccines replicates for a short time in children’s intestines and is excreted in their feces. In rare instances, they said, the weakened virus can strengthen in areas with poor sanitation and hygiene. Children who have not been properly immunized can be susceptible.

They said the last known case from a wild strain of the virus in the Philippines was in 1993. Wild poliovirus type 2 was declared globally eradicated in 2015.

There is no known cure for polio, which can only be prevented with vaccines. Duque said his department will launch a mass vaccination campaign next month for children under age 5, starting in the Manila metropolis, Lanao del Sur and Davao, where the virus was detected.

The government’s immunization programs were marred in 2017 by a dengue fever vaccine made by French drugmaker Sanofi Pasteur which some Philippine officials linked to the deaths of at least three children. Duque and other Philippine health officials say they have worked to restore public trust in vaccines since then.

The government halted the dengue immunization drive after Sanofi said a study showed the vaccine may increase the risk of severe dengue infections. More than 830,000 children received the Dengvaxia vaccine under the campaign, which was launched in 2016 and halted in 2017.

Sanofi officials said the Dengvaxia vaccine was safe and would reduce dengue infections if the vaccination drive continued.

At least 95% of children under age 5 need to be vaccinated to halt the spread of polio in the Philippines, WHO and UNICEF said.

Copyright 2019 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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An open letter to the world’s children: 8 reasons why I’m worried, and hopeful, about the next generation, by UNICEF’s Executive Director Henrietta Fore on the 30th anniversary of the Convention on the Rights of the Child | UNICEF via ReliefWeb.

[18 Sep 2019]

[Published on 18 Sep 2019]

Dear children of today and of tomorrow,

Thirty years ago, against the backdrop of a changing world order – the fall of the Berlin Wall, the decline of apartheid, the birth of the world wide web – the world united in defence of children and childhood. While most of the world’s parents at the time had grown up under dictatorships or failing governments, they hoped for better lives, greater opportunities and more rights for their children. So, when leaders came together in 1989 in a moment of rare global unity to make a historic commitment to the world’s children to protect and fulfil their rights, there was a real sense of hope for the next generation.

So how much progress have we made? In the three decades following the adoption of the Convention on the Rights of the Child, in spite of an exploding global population, we have reduced the number of children missing out on primary school by almost 40 per cent. The number of stunted children under 5 years of age dropped by over 100 million. Three decades ago, polio paralyzed or killed almost 1,000 children every day. Today, 99 per cent of those cases have been eliminated. Many of the interventions behind this progress – such as vaccines, oral rehydration salts and better nutrition – have been practical and cost-effective. The rise of digital and mobile technology and other innovations have made it easier and more efficient to deliver critical services in hard-to reach communities and to expand opportunities.

Yet poverty, inequality, discrimination and distance continue to deny millions of children their rights every year, as 15,000 children under 5 still die every day, mostly from treatable diseases and other preventable causes. We are facing an alarming rise in overweight children, but also girls suffering from anaemia. The stubborn challenges of open defecation and child marriage continue to threaten children’s health and futures. Whilst the numbers of children in school are higher than ever, the challenge of achieving quality education is not being met. Being in school is not the same as learning; more than 60 per cent of primary school children in developing countries still fail to achieve minimum proficiency in learning and half the world’s teens face violence in and around school, so it doesn’t feel like a place of safety. Conflicts continue to deny children the protection, health and futures they deserve. The list of ongoing child rights challenges is long.

And your generation, the children of today, are facing a new set of challenges and global shifts that were unimaginable to your parents. Our climate is changing beyond recognition. Inequality is deepening. Technology is transforming how we perceive the world. And more families are migrating than ever before. Childhood has changed, and we need to change our approaches along with it.

So, as we look back on 30 years of the Convention on the Rights of the Child, we should also look ahead, to the next 30 years. We must listen to you – today’s children and young people – about the issues of greatest concern to you now and begin working with you on twenty-first century solutions to twenty-first century problems.

With that in mind, here are eight reasons why I’m worried for your future, and eight reasons why I think there is hope:

1. You need clean water, clean air and a safe climate.

Why I’m worried: It sounds obvious that all children need these basics to sustain healthy lives – a clean environment to live in, clean air to breathe, water to drink and food to eat – and it sounds strange to be making this point in 2019. Yet climate change has the potential to undermine all of these basic rights and indeed most of the gains made in child survival and development over the past 30 years. There is perhaps no greater threat facing the rights of the next generation of children.

The Food and Agriculture Organization noted last year that climate change is becoming a key force behind the recent continued rise in global hunger, and as escalating droughts and flooding degrade food production, the next generation of children will bear the greatest burden of hunger and malnutrition. We are already seeing evidence of extreme weather events driven by climate change creating more frequent and more destructive natural disasters, and while future forecasts vary, according to the International Organization for Migration, the most frequently cited number of environmental migrants expected worldwide by 2050 is 200 million, with estimates as high as 1 billion.

As temperatures increase and water becomes scarcer it is children who will feel the deadliest impact of waterborne diseases. Today, more than half a billion children live in areas with extremely high flood occurrence and almost 160 million in high-drought severity zones. Regions like the Sahel, which are especially reliant on agriculture, grazing and fishing, are especially vulnerable to the effects of climate change. In this arid region, rains are projected to get even shorter and less predictable in the future, and alarmingly, the region is warming up at a rate one and a half times faster than the global average. In the Sahel, the climate gets hotter and the poor get poorer, and it is all too common for armed groups to exploit the social grievances that arise under such pressurized conditions.

These challenges will only be compounded by the impact of air pollution, toxic waste and groundwater pollution damaging children’s health. In 2017 approximately 300 million children were living in areas with the most toxic levels of outdoor air pollution – six or more times higher than international guidelines, and it contributes to the deaths of around 600,000 children under the age of 5. Even more will suffer lasting damage to their developing brains and lungs.

And, by 2040, one in four children will live in areas of extreme water stress and thousands will be made sick by polluted water. The management and protection of clean, plentiful, accessible groundwater supplies, and the management of plastic waste are very fast becoming defining child health issues for our time.

Why there is hope: To mitigate climate change, governments and business must work together to tackle the root causes by reducing greenhouse gas emissions in line with the Paris Agreement. Meanwhile, we must give the highest priority to efforts to find adaptations that reduce environmental impacts on children.

UNICEF works to curb the impact of extreme weather events including by designing water systems that can withstand cyclones and saltwater contamination; strengthening school structures and supporting preparedness drills; and supporting community health systems. Innovations such as Managed Aquifer Recharge (MAR) schemes – if deployed at scale – could preserve reservoirs of clean water to protect millions of children from the dangers of water scarcity and disease.

Even in complex environments like the Sahel, there is hope – it has a young population, hungry for work and opportunity, and the climate offers vast potential for harnessing renewable, sustainable energy sources. With investment in education and employment opportunities, improved security and governance, there is every reason to feel optimism for the region’s ability to develop climate change resilience and adaptation.

To turn the tide on air pollution, governments and business must work hand in hand to reduce fossil fuel consumption, develop cleaner agricultural, industrial and transport systems and invest in scaling renewable energy sources. Many governments have taken action to curb pollution from power plants, industrial facilities and road vehicles with strict regulations. A 2011 study by the United States Environmental Protection Agency found that the country’s 1990 Clean Air Act had delivered US$30 of health benefits to citizens for every US$1 spent. Such policies hold the key to protecting little lungs and babies’ brains from damaging airborne pollutants and particulate matter.

In the meantime, it is vital that we search for solutions that can ameliorate the worst effects of air pollution on child health. Mongolia’s capital city Ulaanbaatar has among the most polluted air in the world during winter. The biggest source of pollution comes from coal-burning used by 60 per cent of Ulaanbaatar’s population. UNICEF innovation experts together with the community, government, academia and the private sector have begun to design and implement energy efficiency solutions for traditional homes to reduce coal consumption and improve air quality, including by designing “the 21st Century Ger”.

And we are finding ways to recycle and reuse plastics in innovative ways as well, reducing toxic waste and putting rubbish to good use. Conceptos Plasticos, a Colombian social enterprise, has developed a technique to make bricks out of non-PVC plastics that are cheaper, lighter and more durable than conventional bricks – and is using them to build classrooms. Africa’s first recycled plastic classroom was built earlier this year in Côte d’Ivoire, in just a few weeks. It cost 30 per cent less than traditional classrooms. This innovative approach of transforming plastic waste into construction bricks has the potential to turn a plastic waste management challenge into an opportunity, by addressing the right to an education with the construction of schools, empowering these communities and cleaning up the environment at the same time.

2. One in four of you are likely to live, and learn, in conflict and disaster zones.

Why I’m worried: Children have always been the first victims of war. Today, the number of countries experiencing conflict is the highest it has ever been since the adoption of the Child Rights Convention in 1989. One in four children now live in countries affected by violent fighting or disaster, with 28 million children driven from their homes by wars and insecurity. Many lose several years of school – as well as records of achievements and qualifications for future learning and careers. Conflicts and natural disasters have already disrupted learning for 75 million children and young people, many of whom have migrated across borders or been displaced. That is a personal tragedy for every single child. To abandon the aspirations of a whole generation is a terrible waste of human potential. Worse, creating a lost, disillusioned and angry generation of uneducated children is a dangerous risk that could cost us all.

Why there is hope: Some states have demonstrated effective policies to keep refugees learning. When large numbers of children escaping the war in the Syrian Arab Republic arrived in Lebanon, the government faced the challenge of accommodating hundreds of thousands of children in a public-school system already under strain. With the support of international partners, they turned that challenge into an opportunity and integrated refugee children into schools while strengthening the education system for Lebanese students at the same time.

And digital innovations can help us do more. UNICEF is collaborating with Microsoft and the University of Cambridge to develop a ‘learning passport’ – a digital platform that will facilitate learning opportunities for children and young people within and across borders. The learning passport is being tested and piloted in countries hosting refugees, migrants and internally displaced persons. A digitally inclusive world should allow young people, no matter their situation, to get access to education. Scaling up solutions like the digital learning passport could help millions of displaced children gain the skills they need to thrive.

3. We must make it OK to talk about mental health.

Why I’m worried: If we believed everything we read about teenagers today, and the images portrayed in television and film, we could be forgiven for thinking they are a wild, antisocial bunch. Yet nothing could be further from the truth. The evidence actually shows that teens today smoke less, drink less, get into less trouble and generally take fewer risks than previous generations. You might even call them Generation Sensible.

Yet there is one area of risk for adolescents showing an extremely worrisome trend in the wrong direction – one that reminds us of the invisible vulnerability that young people still carry inside of them. Mental health disorders among under 18s have been rising steadily over the past 30 years and depression is now among the leading causes of disability in the young. The World Health Organization (WHO) estimates that 62,000 adolescents died in 2016 because of self-harm, which is now the third leading cause of death for adolescents aged 15–19.

This is not just a rich country problem – WHO estimates that more than 90 per cent of adolescent suicides in 2016 were in low or middle-income countries. And while young people with severe mental disorders in lower-income countries often miss out on treatment and support, there is no country in the world that can claim to have conquered this challenge. To quote the WHO’s mental health expert Shekhar Saxena, “when it comes to mental health, all countries are developing countries.” With most low-income and middle-income countries spending less than 1 per cent of their total health budget on mental health, and high-income countries just 4–5 per cent, it is clear that it needs greater priority around the world.

UNICEF works with children who have suffered unthinkable traumas, gender discrimination, extreme poverty, sexual violence, disability and chronic illness, living through conflict and other experiences that place them at high risk of mental distress. The cost is not only personal, it is societal – the World Economic Forum consistently ranks mental health as having one of the greatest economic burdens of any non-communicable health issue. Despite this overwhelming evidence of a looming crisis and the alarming trends in rising self-harm and suicide rates, adolescent mental health and well-being have often been overlooked in global health programming.

Why there is hope: With half of lifetime mental health disorders starting before age 14, age-appropriate mental health promotion, prevention, and therapeutic treatment and rehabilitation must be prioritized. Early detection and treatment are key to preventing episodes of mental distress reaching a crisis point and precious young lives being damaged and lost. But all too often, what stands in the way of young people seeking help at an early stage is the ongoing stigma and taboo that prevents communities talking openly about mental health problems. Fortunately, this taboo is beginning to fall, and young people, once again, are leading the way – founding non-governmental organizations, developing apps, raising awareness, and being vocal about their own struggles with mental illness and their efforts to address their condition, in hope that others feel empowered to do the same.

UNICEF uses campaigns in schools to promote open discussion about mental health. For example, in Kazakhstan, which has one of the highest suicide rates among adolescents worldwide, UNICEF stepped up efforts to improve the mental well-being of adolescents through a large-scale pilot programme in over 450 schools. The programme raised awareness, trained staff to identify high-risk cases, and ensured referral of vulnerable adolescents to health specialists. Nearly 50,000 young people participated in the pilot with many significant improvements in well-being. The programme has since been scaled up to over 3,000 schools.

The prioritization of adolescent mental health promotion and suicide prevention has resulted in a 51 per cent decrease of self-injury mortality in the 15–17 years age group at the national level and the number of suicide cases decreased from 212 in 2013 to 104 in 2018 for this age group. And perhaps most importantly, mental health is now being integrated into mainstream primary health care services, helping to overcome the stigma which often puts young people off from seeking help.

4. Over 30 million of you have migrated from your place of birth.

Why I’m worried: Migration has been part of the human experience throughout history. For thousands of years, children and families have left their place of birth to settle in new communities in search of educational or employment opportunities. Today is no different. We live in a mobile world in which at least 30 million children have moved across borders.

For many, migration is propelled by a drive for a better life. But for too many children, migration is not a positive choice but an urgent necessity – they simply do not have the opportunity to build a safe, healthy and prosperous life in the place they are born. When migration is driven by desperation, it can lead to children migrating without the legal permissions they need, becoming so-called ‘irregular migrants’. They often take perilous journeys across deserts, oceans and armed borders, encountering violence, abuse and exploitation on the way.

And one of the greatest migrations the world has ever seen is happening not across borders, but within borders, with millions migrating internally from rural to urban areas. In 1989, when the Convention on the Rights of the Child was adopted, the majority of the world’s children lived in rural areas. Today the majority live in cities, and the urbanization rate is set to grow. Though urban residents on average enjoy better access to services and opportunities, inequalities can be so large that many of the most disadvantaged children in urban areas fare worse than children in rural areas. For example, the poorest urban children in 1 in 4 countries are more likely to die before their fifth birthday than the poorest children in rural areas. And the poorest urban children in 1 in 6 countries are less likely to complete primary school than rural children.

Why there is hope: No child should feel forced to migrate from their home, yet until the root causes are addressed, the situation is unlikely to change. That means tackling community and gang violence, strengthening protection systems so children can be safe in their communities, improving access to quality education and job opportunities, and making sure young people have the chance to gain the skills they need to build better – and safer – futures for themselves and their home countries.

UNICEF estimates that tens of thousands of children do migrate without legal permission, some with family and some alone, making them extremely vulnerable. It is essential that child migrants – legal or otherwise – have their rights upheld. Wherever they are, and whatever their story, migrant children are children first and foremost. Governments can protect child migrants by prioritizing the best interests of children in the application of immigration laws, and wherever possible, they must keep families together and use proven alternatives to detention, such as foster families or group homes – many governments are testing such approaches successfully.

The so-called urban advantage breaks down when we look beyond averages and control for wealth, so social policies and programmes designed to support child survival and development must pay greater attention to the poorest and most marginalized urban children. Modern cities generally offer better access to clean water, health and social services, and educational opportunities. Thus, if city governments can work to create inclusive access and equality of opportunity for the children in their cities, urban life could indeed provide a boost for child survival and development.

5. Thousands of you will officially never exist, unless we act.

Why I’m worried: Every child has a right to a legal identity, to birth registration and a nationality. But a quarter of you born today – almost 100,000 babies – may never have an official birth certificate or qualify for a passport. If your parents are stateless, from a persecuted or marginalized community, or simply if you live in a poor remote region, you may never be given an identity or birth certificate. You may even be denied citizenship or have your citizenship stripped from you. This lack of formal recognition by any state means you may be denied health care, education and other government services. Later in life, the lack of official identification can mean you enter into marriage, dangerous work, or get conscripted into the armed forces before the legal age. As an unregistered or ‘stateless’ child, you are invisible to the authorities – it’s as if you never existed.

For example, in the makeshift camps in Bangladesh, where hundreds of thousands of Rohingya refugee families have fled seeking sanctuary, babies are born every day. A Rohingya baby is unlikely to have their birth registered and have a nationality conferred upon them, robbing them of this basic ‘passport to protection’ from the very start of life.

And there is another group of children today facing the threat of life without a clear legal identity and being left stateless. If you are an innocent child born to a foreign fighter from an armed group, you may not have citizenship, or you may have your citizenship stripped from you. In the Syrian Arab Republic alone, UNICEF estimates that there are close to 29,000 foreign children, most of them under the age of 12, and an additional 1,000 children believed to be in Iraq, who may have no civil documentation. They are at risk of becoming stateless and invisible.

Why there is hope: Registering children at birth is the first step in securing their recognition before the law, safeguarding their rights, and ensuring that any violation of these rights does not go unnoticed. The United Nations has set a goal that every human being on the planet will have a legal identity by 2030. UNICEF is supporting governments to work towards this goal, starting with registering all births.

For some children denied an official identity because of disagreements over their legal status, the only real solution is a political one. UNICEF urges Member States to fulfil their responsibilities to protect everyone under the age of 18 in line with the Convention on the Rights of the Child. This includes children who are born to nationals from other states, who may be migrants, refugees or foreign fighters – because children are children first and foremost.

In other circumstances, technology and innovative partnerships promise a way forward. In the Plurinational State of Bolivia, for example, TIGO – a nationwide telecommunications company – the Electoral High Tribunal and UNICEF worked to increase birth registration in hospitals and health centres, resulting in registration at birth increasing by more than 500 per cent between 2015 and 2018. In Rwanda, the automatic registering of children at birth in hospitals led to birth registration increasing from 67 per cent in 2017 to 80.2 per cent in 2018. We must urgently scale up programmes like this to reach more children. This means dramatically expanding digital access to the most remote and vulnerable communities, so registration systems can happen in real-time.

6. You need twenty-first century skills for a twenty-first century economy.

Why I’m worried: There are more than 1.8 billion young people between the ages of 10 and 24 in the world, one of the largest cohorts in human history. Too often, they lack access to an education that will prepare them for contemporary job and business opportunities – giving them the skills and outlook they need for a twenty-first century economy. Meanwhile, in the past 30 years, relative income inequality between countries has reduced, but absolute income inequality has increased significantly, so that some children and families with low incomes are left behind and miss out on the opportunities their richer peers enjoy. Moreover, mobility has stalled over the last 30 years, miring another generation in a poverty trap determined entirely by the family she or he is born into.

Why there is hope: UNICEF and our global partners have launched a new initiative to prepare young people to become productive and engaged citizens. Generation Unlimited aims to ensure every young person is in school, learning, training or employed by 2030. One programme in Argentina connects rural students in remote areas with secondary school teachers, both in person and online. An initiative in South Africa called TechnoGirl gives young women from disadvantaged backgrounds job-shadowing opportunities in the STEM fields. And in Bangladesh, tens of thousands of young people are receiving training in trades such as mobile-phone servicing. Through our Youth Challenge, we are bringing together bright young minds to solve problems in their communities, because young people are experts in their own lives and experiences. The Generation Unlimited Youth Challenge has worked with more than 800 innovators across 16 countries and produced innovative solutions such as the SpeakOut mobile app, developed by young people in North Macedonia as an anonymous way to reach out to peers for help with bullying, and The Red Code, a self-sustaining micro-entrepreneurial scheme from Pakistan, which helps young women with both menstrual hygiene management and income generation.

7: Your digital footprint must be protected.

Why I am worried: The world wide web was born in the same year as the Convention on the Rights of the Child, 30 years ago. Today it has radically changed the world and reshaped childhood and adulthood alike. More than 1 in 3 children globally are thought to be regular users of the internet, and as this generation grows up, that proportion is set to grow and grow.

Debates about the benefits and dangers of social media for children are becoming familiar, and more action to protect children from bullying and exposure to harmful content is certainly needed. Parent and children are also becoming aware of the risk of sharing too much personal information on social media. But the truth is, the data contained within social media profiles created by children are just the tip of the data iceberg. Less well understood but at least as important, is the enormous accumulation of data being collected about children. As children go about their daily online lives, browsing social media, using search engines, e-commerce and government platforms, playing games, downloading apps and using mobile geolocation services, a digital footprint composed of thousands of pieces of data is accumulating around them. Some of the data may even have been gathered before birth and certainly before children are able to knowingly consent to its collection and use.

The era of so-called ‘big data’ has the potential to transform – for the better – the provision of efficient, personalized and responsive services to children, but it also has potential negative impacts on their safety, privacy, autonomy and future life choices. Personal information created during childhood may be shared with third parties, traded for profit or used to exploit young people – particularly the most vulnerable and marginalized. Meanwhile, identity thieves and hackers have exploited vulnerabilities in e-commerce platforms to defraud and exploit adults and children alike; search engines track users’ behaviour regardless of their age, and government surveillance of online activity is increasingly sophisticated around the world. Moreover, data collected during childhood have the potential to influence future opportunities, such as access to finance, education, insurance and health care. The relationship between data collection and usage, consent and privacy is complex enough for adults, but it is doubly so for children, since the internet has never been designed with children’s rights and needs in mind, and few are equipped to navigate the complexities of data sharing and privacy control.

Too often, children do not know what rights they have over their own data and do not understand the implications of their data use, and how vulnerable it can leave them. Privacy terms and conditions on social media platforms are often barely understood by highly educated adults, let alone children. An analysis from The New York Times, showed that many social media privacy policies require a reading comprehension level that exceeds that of the average college student, meaning many users, especially the very young, are probably consenting to things they can’t fully understand.

Why there is hope: The challenge facing us all today is to ensure that we design systems that maximize the positive benefits of big data and artificial intelligence, while preserving privacy, providing protections from harm and empowering people – including children – to exercise their rights. And we are beginning to see action: governments are strengthening regulatory frameworks; private sector providers are recognizing their role; and educators are thinking about how to equip children with the tools to navigate the online world safely. It is a start.

The Convention on the Rights of the Child makes it clear that children have a specific right to privacy – there is no reason this should not apply online. Contextualizing children’s right to privacy within the full range of their other rights, best interests and evolving capacities, it is evident that children’s privacy differs both in scope and application from adults’ privacy and there is a strong argument that children should be offered even more robust protection.

Where children use social media they need to have real opt-in or opt-out opportunities in relation to how their data are used by the provider or other commercial interests, and the terms and conditions need to be clear and understandable to children. As some children have argued themselves, this might extend to deleting historical social media profiles for example. Where data is collected about children through tracking their online behaviours, it is crucial that clear, transparent and accessible privacy policies are made available so that children have a better chance of offering informed consent, can understand their rights and know what the intended usage of the collected data is. Equipping young people with the knowledge and skills to claim their digital rights is essential.

Private sector internet service providers and social media platforms have a crucial role to play in strengthening protections for children. They must develop transparent, ethical standards and implement heightened scrutiny and protection for the full range of data concerning children, including information on children’s location and browsing habits and especially regarding their personal information.

And some new regulatory frameworks, such as the European General Data Protection Regulation (GDPR), represent a promising attempt at progress. The EU GDPR says that internet users, including children, have the right to be provided with a transparent and clear privacy notice, which explains how their data will be processed, that they should be able to get a copy of their personal data and have incorrect information about them rectified.

Global Pulse is a United Nations initiative that explores how new, digital data sources and real-time analytics technologies can provide a better understanding of changes in human well-being and emerging vulnerabilities, with the potential to support development. Responding to legitimate concerns about privacy and data protection, in consultation with privacy experts, Global Pulse has developed a set of privacy principles which ensure transparency about the purpose of data use, protect individual privacy, acknowledge the need for proper consent for use of personal data and respect a reasonable expectation of privacy, while making all reasonable efforts to prevent any unlawful and unjustified re-identification of individuals.

8. You might be the least trusting generation of citizens ever.

Why I’m worried: Every child has the right to actively participate in their societies, and for many of you, your first experiences of civic engagement will be online. However, the majority of you will grow up as natives of a digital environment that is saturated with misinformation and so-called ‘fake news,’ which undermines trust and engagement with institutions and information sources. Studies indicate that many children and young people today have a hard time distinguishing fact from fiction online and as a consequence, your generation is finding it more difficult to know who and what to trust.

A United Kingdom Parliament-backed Commission on Fake News, run in partnership with Facebook, First News and The Day, found that only a quarter of the children reading online news actually trust the sources they are reading. It is tempting to see this as a positive sign of healthy critical thinking skills at work, but the same study also found that just 2 per cent of children and young people in the United Kingdom have the critical literacy skills they need to tell if a news story is real or fake. Worryingly, almost two thirds of teachers said they believe fake news is harming children’s well-being by increasing levels of anxiety and skewing children’s’ world view. And a study in the United States on schools from 12 states of the United States assessing ‘civic online reasoning’ – or the ability to judge the credibility of online information – found that when evaluating information on social media, children and young people are easily duped.

We know the impact of misinformation is pernicious and has real-world impacts. For example, thousands of the current generation of parents have been misled by misinformation spread through social media and mobile messaging apps about the safety of vaccines, prompting a wave of vaccine hesitancy and a worrisome resurgence of measles in high- and low-income countries alike, including France, India and the Philippines.

Misinformation campaigns have duped children into handing over money, giving away their data and being groomed and exploited for sex. And in the past few years, we’ve seen how misinformation can skew democratic debate, voter intentions, and sow doubt about other ethnic, religious or social groups – creating division and unrest. This is a global issue, with reports emerging from countries as diverse as Brazil, Ukraine and the United States where sophisticated disinformation campaigns have necessitated the teaching of ‘Learn to Discern’ classes in schools. And in Myanmar, it has been alleged that a misinformation campaign played a role in inciting horrific violence against the Rohingya minority.

This is only the tip of the post-truth iceberg. As the technology to deceive improves, and verifying content becomes more difficult, the potential for lowered trust in institutions and social discord grows exponentially. For example, with sophisticated video manipulation technology using AI-generated synthetic media, it is becoming easier to distort and manipulate reality, making it seem as though individuals have said things they have not, in so-called ‘deep fakes’. If these technologies advance, with no mitigating action to help the next generation root out fakes, they have the potential to fundamentally undermine confidence in science and medicine, erode core institutions and beliefs, divide communities, and pose a grave threat to our democracies.

We can no longer rest on the naïve assurance that truth has an innate upper hand against falsehood in the digital era, and so we must, as societies, build resilience against the daily deluge of falsity online. We should start by equipping young people with the ability to understand who and what they can trust online, so they can become active, engaged citizens.

Why there is hope: There is some evidence to suggest that adults should place their trust in children and young people not to fall for fakes. A recent research study published by the American Association for the Advancement of Science found that social media users over 65 shared nearly seven times as many articles from fake news domains as the youngest age group. While the reasons for this are as yet unexplained, it may indicate that a higher level of digital and media literacy among ‘digital natives’ acts as a protective filter. Nonetheless, it is clear we need to work harder to prepare savvy young citizens to resist manipulation and retain a trusting connection to reliable and verifiable information and institutional knowledge.

While social media platforms appear to be serious in their attempts to combat misinformation and work with news organizations to clearly label trusted sources, we cannot rely on the supply side for solutions. Children have a right to an education that prepares them for the world they will live in, and today, this includes much improved digital and media literacy, critical thinking and weighing up evidence. The Director of the Organisation for Economic Co-operation and Development is including questions about distinguishing what is true from what is not true in the next round of the influential international PISA tests, seeing critical judgment as a global competency, and similar initiatives could help to mainstream education and training in digital literacy skills that could be among the most important for the next generation. Moreover, we must work hard to build meaningful connections between young people and institutions, rebuilding trust, if we are to preserve democratic societies in the future.

A final word…

Finally, the biggest reason for hope is because you – the children and young people of today – are taking the lead on demanding urgent action, and empowering yourselves to learn about, and shape the world around you. You are taking a stand now, and we are listening.

Just as the children of 1989 have emerged as leaders of today, you the children and young people of 2019 are the leaders of the future. You inspire us.

We want to work together with you to find the solutions you need to tackle the challenges of today, to build better futures for yourselves and the world you will inherit.

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Philippines: DOH-Bicol urges parents to have kids vaccinated vs. polio | Philippine News Agency.

[September 18, 2019, 8:45 pm] Connie Calipay writes:

LEGAZPI CITY -- The Department of Health (DOH) 5 (Bicol) is urging parents to have their children vaccinated against polio in health centers, as part of its intensified efforts to prevent the transmission of the viral disease in the region.

In an interview on Wednesday, Dr. Monrey Isaiah Mancilla, immunization program coordinator of DOH-5, said the Oral Polio Vaccine (OPV) is free of charge and available in barangay health centers across the region.

“We are encouraging parents who are not sure if their children (had) already (been) given OPV to go to their nearest health centers and avail of the free vaccines,” he said.

Mancilla noted that a child should receive OPV 1, 2 and 3 before reaching one year old.

“For the past three years (2016 to 2018), the three-dose series of OPV immunizations in Region 5 was 44 percent, 72 percent, and 74 percent respectively, way below the target 95 percent required of a population to develop herd immunity,” he said.

Dr. Ernie V. Vera, DOH-5 director, said the agency has been strengthening its immunization program and intensifying all measures to prevent polio transmission.

“DOH-Bicol will observe measures to intensify the surveillance system, particularly for children below five years old who developed sudden onset of muscle weakness or paralysis of the upper and lower extremities,” he added.

DOH-5 shall also involve local officials for policy legislation, specifically on the strict implementation of the "Zero Open Defecation" program, and urge all health service providers to deliver quality health services through routine and catch-up immunization.

Vera also called on all media partners to help with the information dissemination, and stakeholders for support.

“We want to call on our media partners to help us on appropriate and reliable information dissemination on the importance of maintaining a clean environment and the relevance of frequent hand washing and good personal hygiene. We also ask for support from our partner stakeholders for various NIP (National Immunization Program) and polio initiatives and activities,” he said.

The polio virus is transmitted when there is poor environmental sanitation and hygiene.

The DOH believes that the best preventive measure against the disease is the completion of three doses of the OPV and one dose of the Inactivated Polio Vaccine (IPV) for infants before turning one year old. (PNA)


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Special Immunization Drive Against Polio Begins In Gilgit, Diamer | UrduPoint.

ISLAMABAD, (UrduPoint / Pakistan Point News - 18th Sep, 2019 ) :A ten-day special immunization drive against the crippling disease of polio, begun in Gilgit and Diamer on Wednesday.

Health Department has fixed a target of one hundred and forty six thousand children up to five years to administer anti polio drops and vaccine.

District health department said around three hundred and seventy teams have been deputed in both districts to make the drive success.

The District Heath Officer talking to Radio Pakistan, also appealed the parents to cooperate with medical team to make success the drive.


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The behind-the-scene heroes against polio in Pakistan | GPEI.

[18/09/2019]

Form by form, campaign by campaign, data handlers like Jan, Ali, and Bilal are helping to end polio.

(L-R): Jan Sayyed, Ali Raza and Muhammad Bilal Wasi Jan sifting through thousands of forms from across the country. © Mobeen Ansari(L-R): Jan Sayyed, Ali Raza and Muhammad Bilal Wasi Jan sifting through thousands of forms from across the country. © Mobeen Ansari

As the sun sets across Sindh province, exhausted polio eradication volunteers head home after a busy vaccination campaign. Each has personally vaccinated hundreds of children. In total, it has taken just a week for 9 million children under the age of five to receive two drops of oral polio vaccine, boosting their immunity against the virus.

In the crowded office of Jan Sayyed, Ali Raza and Muhammad Bilal Wasi Jan however, work is only just beginning. They work in the Polio Eradication Data Support Centre, located in Pakistan’s biggest city Karachi. During the campaign, vaccinators fill in paperwork every time they distribute vaccine drops. They record the number of children reached with vaccines, their existing vaccination status, any vaccine refusals and whether the children are local to the area, or visiting.

Across a typical vaccination campaign, this generates data referring to over two million children, recorded on thousands of forms. It is the challenging job of Jan, Ali, and Bilal to label and classify all this data so that it can be uploaded to an online system and analyzed to improve the next campaign.

Data is the lifeblood of the polio programme.

Waqar Ahmad, Technical Officer for Data at WHO Pakistan, believes that if immunization and disease surveillance represent the heart of the programme, then data is the lifeblood that helps the programme inch closer to vaccination.

Different kinds of reliable data help the programme make decisions based on evidence. For instance, data that shows a high rate of vaccine refusals in one area allows the programme to investigate the cause further and act to persuade parents of the importance of vaccination.

But creating effective systems for gathering, sorting, and analyzing high-quality data hasn’t been easy. It has required rethinking approaches, overcoming bumps in the road, and thinking beyond the usual parameters of data management.

Data experts poring over the latest numbers on the Integrated Disease Information Management System (IDIMS). © Mobeen AnsariData experts poring over the latest numbers on the Integrated Disease Information Management System (IDIMS). © Mobeen Ansari

Pakistan’s polio data journey.

Data collection and record keeping in Pakistan’s polio eradication programme began in 1997. Originally, data was collected only in very specific circumstances, such as when cases of Acute Flaccid Paralysis were detected. Such limited data collection meant that broader programme activities could not be analyzed, which increased the chances that vaccination campaigns could be ineffective. Data on other aspects could ensure that logistics were right-sized, and that human resources were deployed where they were most needed.

In November 2015, the programme introduced an online database designed to provide real-time data, named the Integrated Disease Information Management System (IDIMS).

The IDIMS database is used to store pre-, intra- and post-campaign data relating to multiple areas, including vaccination, disease surveillance, human resource planning, logistics planning, and mobile data collection. Data inputted into IDIMS is directly available for viewing and analysis at the provincial, national, and regional level. It can be cross-referenced with other polio eradication databases.

Young Pakistanis like Jan, Ali and Bilal are part of the workforce that keeps the whole system online. Once they have labelled and classified the paper forms, they pass the data onto their colleagues to be digitized and analyzed.

What’s next for polio eradication data management?

Open Data Kit software.

In the Data Support Centres, employees are constantly thinking about how to further improve the IDIMS system. Jan, Ali and Bilal note that digitizing the whole data collection and management process would make the system more efficient, as well as environmentally friendly.

Data collection using Open Data Kit (ODK) software offers a way to do this. The data collection process is the same as with paper forms, except information is recorded in a mobile based application. Once vaccinators are in an area with internet, the data is directly uploaded to the ODK server and the IDIMS server. The ODK system has been rolled out in some areas of Pakistan.

Using data to inform decisions— polio eradication is an organized fight against the disease. © Mobeen Ansari. Using data to inform decisions— polio eradication is an organized fight against the disease. © Mobeen Ansari.

Gender innovations.

Gender-disaggregated data represents a new area of work for the data management teams. Data included in the IDIMS database assists with gender-conscious campaign planning at the provincial level, while a separate system analyses gender-disaggregated information at the country level. Ensuring female vaccinators are recruited for campaigns is crucial, as women can often vaccinate children in places where for cultural reasons, men cannot.

Increasing user-friendly interfaces.

As part of efforts to make systems user friendly, one year ago the polio programme launched online data profiles for Union Councils (UCs), the smallest administrative units in Pakistan. These profiles are available on the National Emergency Operation Centre data dashboard and allow polio programme staff to easily extract sizeable amounts of data about the local epidemiological situation within 30 seconds, as well as compare and analyze data for the past six years.

One of the most useful, innovative aspects of the UC profiles is that they collate information on children who were persistently missed during the last six campaign rounds, with information like contact details and the immunization history of the child. Such information assists the programme in follow-up engagement with the child’s parent or caregiver to encourage vaccination.

This requires speedy information sorting and uploading. Jan notes that his team is filing information more efficiently than they used to. This helps to ensure that details are up to date for nearly every town and village.

Over the coming months and years, further innovations will be introduced to improve data efficiency, range and quality.

Campaign by campaign, form by form, data handlers like Jan, Ali, and Bilal are helping to end polio.

Related resources.


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Somalia Weekly Polio Update: Week 35 2019 | World Health Organization, UN Children's Fund via ReliefWeb.

[18 Sep 2019]

Published on 18 Sep 2019

Situation Update

• The Somalia Polio Programme has not confirmed any new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) in children with acute flaccid paralysis (AFP) since 8 May 2019. A total of three cVDPV2 cases have been reported in Somalia in 2019, out of a total of 15 children infected in Somalia since the onset of the ongoing concurrent cVDPV2 and cVDPV3 outbreaks;

• A confirmed case of a child with AFP and cVDPV2 was reported from Dolo zone in Somali region of Ethiopia, with onset of paralysis on 22 July 2019. This is the second cVDPV2 case reported in Ethiopia in 2019. Both cases are epidemiologically linked to the ongoing outbreak in Somalia;

• The Somalia Polio Programme last detected and confirmed circulating vaccine-derived poliovirus type 3 (cVDPV3) in a child with AFP on 7 September 2018.

Upcoming Vaccination Activities

Catch up mOPV2 vaccination for children living in 13 districts in Somaliland and Puntland is taking place 16 – 19 September 2019. This revaccination strategy aims to target communities where the expected coverage from the August campaign was lower than anticipated. The strategy has been finalized based on the results of desk and field validation of microplans, the administrative coverage of the August campaign, coverage data from third party post-campaign independent monitoring, and the results of a Lots Quality Assurance Survey by a third party.

A bOPV campaign targeting populations where vaccination coverage is low and children consequentially remain at risk for polio infection is planned in 41 districts between 23 – 26 September.

In the second half of October, an integrated measles and polio campaign will aim to reach 2.9 million children under five years with bOPV, and 2.4 million children with measles vaccine, vitamin A, and deworming treatment.

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Afghanistan: Weekly Humanitarian Update (9 - 15 September 2019) | UN Office for the Coordination of Humanitarian Affairs via ReliefWeb.

[18 Sep 2019]

[Published on 15 Sep 2019 —View Original]

Northeast: Fighting in Baghlan, Kunduz and Badakhshan.

The security situation remained tense in the northeast as armed clashes continued between the Afghanistan National Security Forces (ANSF) and the Taliban in Baghlan and Kunduz. In Kunduz, the Taliban reportedly took control of the district administration centre in Archi district causing displacement to surrounding villages. Access of humanitarian actors to the area has been negotiated and two assessment teams have been deployed to analyse the needs of internally displaced persons (IDPs).

During the past week, conflict continued in Jorm district, Badakhshan province which according to the Government resulted in the displacement of more than 4,200 people to the centre of Jorm district. Also, around 2,800 people were displaced to Rostaq district during recent fighting in Darqad and Yangi Qala districts in Takhar province. Humanitarian organisations will conduct a needs assessment to inform the response.

Last week, around 10,745 IDPs affected by conflict were verified by inter-agency assessment teams in Baghlan, Kunduz, Takhar and Badakhshan provinces as being in need of humanitarian assistance. 5,187 IDPs displaced by conflict received assistance in Baghlan and Takhar province. The main roads reopened last week which will enable aid agencies to deliver food and relief items from Mazar-e-Sharif to Pul-e Khumri and Kunduz city where a large number of IDPs are in need of humanitarian assistance.

North: Clashes in Balkh and Faryab.

In the north, clashes between Non-State Armed Groups (NSAGs) and ANSF in Balkh and Faryab provinces continued. During the past week, inter-agency teams verified 1,036 IDPs in Balkh, Jawzjan and Sar-e-Pul, Samangan and Faryab provinces who were previously displaced by the fighting and are in humanitarian need. In Balkh and Faryab provinces, most IDPs were recently displaced, while in Jawzjan, Sar-e-Pul and Samangan provinces, the majority of IDPs were displaced in the last three to six months.

East: Almost 4,000 people received humanitarian assistance.

Military operations in Surkh Rod and Achin districts in Nangarhar province and in Sar Kani district in Kunar province continued. 14 joint assessment teams verified 6,111 people who were displaced by conflict on 29 August in Surkh Rod district in Nangarhar and are in need of humanitarian assistance. 3,822 people were reached with food, relief items, and water, sanitation and hygiene (WASH) supplies in Nangarhar, Kunar, and Laghman provinces during the last week.

Centre: 1,400 people displaced due to clashes.

Between 9 and 11 September, around 1,400 people were displaced from the Deh Afghanan area in Maidan Wardak province due to clashes between NSAGs and the ANSF. While the situation in the Central Highlands is reportedly calm, the Patoo and Kajran districts in Daykundi province, and Kahmard and Shibar districts in Bamyan province are reportedly tense due to NSAG activities.

Some 707 people in Parwan province, who were affected by heavy rainfall and flash floods on 2 September were reached with humanitarian assistance and 259 IDPs were assisted with relief items, WASH and cash on 12 September. Humanitarian partners also identified 1,701 IDPs affected by conflict who will receive assistance in the coming days.

West: Civilians reportedly killed by mines.

The security situation in Farah province remained volatile. Last week, an unspecified number of civilians were reportedly killed by landmines planted along the Hirat-Ghor highway. On 12 September, inter-agency assessment teams identified 588 IDPs affected by conflict in Hirat city and Injil district in Hirat province, and in Chaghcharan city in Ghor province who will receive humanitarian assistance in the coming days.

South: 311 schools are closed, new polio case reported.

Clashes continued in Uruzgan, Hilmand, Zabul and Kandahar provinces. On 11 September, construction of a new girls’ school began with the help of the UN. Once completed, the school will support education for approximately 1,000 girls. In the south, the academic year starts on September, but 311 schools remain closed in the region, depriving 127,733 students of an education. The closure of schools was mainly due to insecurity, logistical constraints, lack of government capacity and the absence of teachers.

On 11 September, one new polio case was confirmed in Tirinkot district in Uruzgan province. This year, 16 polio cases have been reported with 15 of these cases in the south. Inter-agency assessments were ongoing in Spin Boldak in Kandahar, Zaranj in Nimroz and Qalat in Zabul provinces and more than 600 IDPs were identified as being in need of humanitarian assistance during the last week.

Coordination.

Humanitarian Needs Overview (HNO)/Humanitarian Response Plan (HRP) preparations are well underway. Preliminary data for the REACH-coordinated Whole of Afghanistan Assessment was presented to the Inter Cluster Coordination Team last week. A workshop is planned in the coming days to finalise parameters for the 2020 HNO.

For further information, please contact:
Ian Ridley, Head of Office, OCHA Afghanistan, ridleyi@un.org
Noroarisoa Rakotomalala, Deputy Head of Office, OCHA Afghanistan, rakotomalala@un.org
Linda Tom, Public Information Officer, OCHA Afghanistan, toml@un.org, Cell: +93 79300 11 10

UN Office for the Coordination of Humanitarian Affairs:

To learn more about OCHA's activities, please visit https://www.unocha.org/.
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Nigeria: Zulum Assures Of Polio Eradication Counterpart Fund Payment | LEADERSHIP Newspaper.

[September 18, 2019] Francis Okoye writes:

Borno state governor,  Professor Babagana Umara Zulum, has assured members of Bill and Melinda Gates as well as Dangote Foundations of prompt payments of its counterpart funding for the routine immunization exercise, meant to rid the state of polio.

The governor gave the assurance yesterday while addressing a delegation from the foundations at the government house, Maiduguri.

Zulum noted that payments of counterpart funding is very necessary to enable the team embark on proper enlightenment campaign, for effective routine immunization to areas that are inaccessible in the state.

The governor used the occasion to thank officers and men of the Nigerian Army for their contribution in the routine exercise, to make the state polio-free and expressed optimism that with the military in the campaign train, Borno will achieve the desired objectives.

Prof. Zulum also said that, a bill on national heath insurance scheme in the state will soon be presented to the House of Assembly members for passage into law, adding that the present administration will do everything possible to bring health care delivery to the door steps of the masses.

He avvered that within his administration’s 100 days in office, that  he constructed 10 health care facilities in different locations in the state and promised to construct additional 10, to cater for the health needs of the people.

Zulum commended  the two foundations for their untiring efforts in the routine immunization in Borno.

The governor also used the forum to acknowledge the various financial assistance by the two organizations most especially,  Bill and Melinda Gates for constantly coming to the aid of the government.

Earlier in his remarks, the president, Bill and Melinda Gates, Dr Chris Elias , reiterated the commitment of the foundation in working closely with Borno state government,  to strengthen all efforts geared towards ridding the state of polio.

Also speaking, the executive secretary, Borno state primary health care development agency, Dr Sule Mele, said that there are still about 43 children found in inaccessible settlements due to the Boko Haram terrorists activities, but assured that efforts are being made with the help of the military to reach out to them.

While comending the efforts of the state government for the prompt payments of the counterpart funding, Dr Mele also solicited for more assistance from the two foundations and local government chairmen for  the next campaigns in preparatory for the next routine immunization.


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Pakistan: Two more polio cases reported | DAWN.

[September 18, 2019] Ikram Junaidi writes:

ISLAMABAD: The number of polio cases has reached 64 in the country this year, as another two cases were reported from Khyber Pakhtunkhwa on Tuesday.

A 30-month-old girl and a 23-month-old boy have become new victims of the poliovirus. It was revealed that their parents were against the vaccination and dodged polio teams.

With these two additions the total number of polio cases in KP has reached 48 this year.

An official of Polio Virology Laboratory at the National Institute of Health (NIH), requesting anonymity, said that the latest cases were reported from districts Lakki Marwat and Torghar.

“The girl, who is paralysed, hails from Nali Chak, UC Mamakhel, tehsil Serai Naurang, district Lakki Marwat. Date of the onset was Aug 24; however, as incubation time of the virus is around three weeks so finally it is confirmed that the child was paralysed due to poliovirus,” he said.

Total number reaches 48 in KP and 64 countrywide this year.

“The male child is a resident of UC Shattal, tehsil Judba, district Torghar. Date of notification of virus was Aug 21 and the sample was sent to lab on Aug 26,” he said.

Prime Minister’s Focal Person on Polio Babar Bin Atta told Dawn that in both cases the parents avoided polio vaccination.

Polio is a highly infectious disease caused by poliovirus mainly affecting children under the age of five. It invades the nervous system, and can cause paralysis or even death.

While there is no cure for polio, vaccination is the most effective way to protect children from this crippling disease.

Each time a child under the age of five is vaccinated, his/her protection against the virus increases.

Repeated immunisations have protected millions of children, allowing almost all countries in the world to become polio free.

There are only two countries in the world, Pakistan and Afghanistan, where polio cases are being reported.

Pakistan remains under a polio-linked travel restriction imposed by the World Health Organisation due to which, since 2014, every person travelling aboard has to carry a polio vaccination certificate.


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