Media4Child

Media4child blog is an initiative by IGNOU and UNICEF to engage with stakeholders on social media discourse about public health and human development issues. This unique initiative is designed to encourage columnists, academicians, research scholars and correspondents from media to contribute positively through their commentary, opinion articles, field experiences and features on issues of child survival, adolescents, girl child, mother and child and immunisation programme.

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Tuesday, 11 March 2014

Oral polio vaccine must for travellers

PUNE: India has made oral polio vaccine (OPV) mandatory for all travellers across all age groups visiting polio-endemic countries such as Ethiopia, Afghanistan, Syria, Kenya, Somalia, Nigeria and Pakistan. The new regulation, which came into effect from March 1, is aimed at preventing re-entry of polio virus from these countries.

To enforce the new vaccination regime, the state health department has set up designated vaccination centres for travellers at its 33 civil hospitals and 16 state-run medical colleges attached hospitals. Besides, 26 municipal corporations in Maharashtra have also been instructed to set up such vaccination centres for travellers.

To ensure easy facilitation of OPV in Pune city, the Pune Municipal Corporation (PMC) has started a designated OPV centre at its Narayan Peth vaccination centre. "Polio vaccine will be administered to all travellers from Maharashtra travelling to these polio-affected countries at these designated OPV centres. The new polio vaccination regime has come into effect from March 1," said state immunisation officer R M Kumbhar.

S T Pardeshi, medical officer of health (MoH), PMC said, "We have already made a vaccination centre operational at our Narayan Peth centre."

Milind Khedkar, PMC's designated medical officer of overseeing the work at Narayan Peth vaccination centre said that more than 50 travellers approached the centre for vaccination ever since it became operational from March 1. "Every day around 7 to 8 people travelling to the polio endemic countries approach the centre for OPV," Khedkar said.

The Union government has declared that any case of poliovirus would be treated as an emergency and high-quality surveillance has been in place to detect any untoward importation of the poliovirus into India.

The emergency preparedness and response capacity is being reviewed on a continuous basis and nearly 200 rapid response team members have been trained to roll out emergency response to polio. "The new polio vaccination regime has come since India is awaiting polio-free certification from the World Health Organization (WHO)," said another state health official.

For queries on OPV vaccination, PMC's designated medical officer Milind Khedkar can be contacted on 9689931102. People can also write in to pmc.immunisation@gmail.com

Why the new vaccination regime?

* India has not reported any case of polio for over 3 years

* However, the risk of polio persists as Afghanistan, Pakistan and Nigeria continue to be polio-endemic, re-infecting six countries in 2013 and causing major polio outbreaks in the Horn of Africa region and the Middle East

* In view of the persisting threat of polio virus importation, the independent monitoring board of the global polio eradication initiative, recommended in its October 2013 report that the International Health Regulations (IHR) should be used to ensure all people travelling from polio-endemic country have vaccination prior to travel, and this should be extended to any persistently affected country

* As per the WHO guidelines, until polio is eradicated globally, the risk of introduction of poliovirus in polio-free areas through travellers remains. Hence, all travellers, to and from poliovirus-infected areas, are advised to be adequately vaccinated.

* Earlier, in May 2013, the India Expert Advisory Group (IEAG) on polio eradication recommended that the Union government should strongly promote the current WHO polio immunisation recommendations for travellers to and from endemic or infected areas

* India is taking several other measures to mitigate the risk of poliovirus importation. Continuous polio immunisation posts have been set up along the international borders with Pakistan, Nepal, Bangladesh, Myanmar and Bhutan.

* Initiated in 2011, the number of posts has gone up to 102 this year with nearly 4.2 million children immunized at these posts in the last two years

* All efforts are being made to maintain population immunity against polio through high quality polio immunization campaigns and increased routine immunization coverage

* Two national and six sub-national polio campaigns were held in 2013

* On January 13, India completed three years without a single case of polio. It was in 2011 that the last case of polio was reported in India, when a two year-old girl from Howrah district of West Bengal was paralysed because of the infection.

* However, the risk posed by travellers from polio infected areas continued to be a source of concern among the health officials.

(Source: timesofindia.indiatimes.com)

Polio is gone from India

'Polio Is Gone From India'
Vaccination Certificate Is Too Kinds Of The Pass Port
National Immunization Days, 2014 : (19th Jan 2014/23rd Feb 2014)

National Immunization Days, 2014


REDUCING RISK OF IMPORTATION FROM NEIGHBORING COUNTRIES

Continuous immunization at border crossing points and greater focus on border populations

SOME QUOTES FROM THE INDEPENDENT MONITORING BOARD

"India should demonstrate to every country where polio still exists, and to the world, that there is no such thing as impossible."

"India has demonstrated the value of a logical and systematic approach. It led to the quality of data being challenged and improved. It led to the programme wanting to learn from its trials and its errors, and improving as a result."

"For years, many believed that the challenge of stopping polio transmission in India would be the downfall of the Programme; that, quite simply, it could not be done. They have been proven wrong. What many thought unachievable has been achieved. Confidence in the Programme should receive a major boost as a result of this."

"Polio is gone from India – a magnificent achievement and proof of the capability of a country to succeed when it truly takes to heart the mission of protecting its people from this vicious disease."

It is
o Historic achievement
o Monumental milestone
o Unprecedented success

But.....

Threat of polio resurgence persists…

o A total of 389 polio cases reported globally in 2013
o Pakistan alone reported 91 cases in 2013 and first four cases in 2014
o 7 previously polio-free countries re-infected in 2013
National Immunization Days, 2014


MITIGATING RISK OF IMPORTATIONS – VACCINATION OF TRAVELERS

o Polio vaccination for travellers to and from Afghanistan, Ethiopia, Kenya, Nigeria, Pakistan, Somalia and Syria from 1 March 2014

INBOUND TRAVELLERS TO INDIA: 

o Resident nationals required to receive a dose of OPV, regardless of age and vaccination status, at least four weeks prior to departure to India
o A certificate of vaccination with OPV required while applying for entry visa to India

OUTBOUND TRAVELLERS FROM INDIA: 

o Indian residents required to receive a dose of OPV regardless of age and vaccination status at least four weeks prior to departure.
o Each district in India has designated at least one center for providing OPV & vaccination certificate.
o RCHO is the designated official for issuance of certificate
o Vaccination certificate will be valid for one year
o Unvaccinated travelers shall be vaccinated at international airports
o State governments responsible for making arrangements to administer OPV at international airports
o Link to the GoI guidelines on "Requirements of polio vaccination for international travelers between India and polio infected countries".
National Immunization Days, 2014


PROGRAM PRIORITIES FOR MAINTAINING POLIO-FREE STATUS

o Maintain high population immunity against polio
o Ensure certification standard surveillance
o Be in a state of emergency preparedness to rapidly respond to any WPV importation
o Plan for Polio Endgame strategy

TRACKING AND VACCINATION OF NEWBORNS

o 2 million children vaccinated in congregations each year
o 8 million children in transit immunized in India each round
o 100,000 of these in running trains
o 250,000 settlements with migrants identified and covered

India continues to be polio free, however risk of importations remains as long as WPV circulates globally. Maintaining high population immunity essential for mitigating risks of WPV importations and emergence of VDPVs. Need to focus on high risk areas for maintaining high population immunity,

During polio campaigns
Intensification of routine immunization
Lessons learnt from polio eradication initiative are being used for strengthening routine immunization 

Source: e-pao.net

Sunday, 9 February 2014

Halfway there - Delivering on the promise of immunisation for all


At the midpoint of the 2011–2015 strategy of the Global Alliance for Vaccines and Immunisation (GAVI), Halfway There serves as a progress and accountability check on GAVI and its partners. the report evaluates performance and identifies weaknesses where efforts must be improved.
It focuses on the following areas:
  • financing for immunisation
  • progress in reducing the price of vaccines
  • vaccine rollouts
  • support for countries to strengthen their health systems
    and promote broader and more equitable coverage
    of immunisation
  • GAVI’s governance
In conclusion, this report makes recommendations to GAVI, donors, countries receiving GAVI support, the private sector and civil society organisations. the aim is to help accelerate progress towards our shared goal – that all children enjoy the full benefits of immunisation

Thursday, 6 February 2014

MP performs dismally; health dept learns no lessons


Tuesday, 21 January 2014

Immunization, reducing malnutrition in 11-point programme

JAIPUR: The health department will organize a special screening to identify malnourished children and admit them at malnutrition treatment centre (MTC) and boost immunization which have been included in the 11-point programme of department.

As far as immunization of children is concerned, till December, 60% of target for the financial year has been achieved. But they have three more months to achieve the full target. At present, vaccines are given to children against seven diseases including tuberculosis, diphtheria, pertussis, tetanus, polio, hepatitis B and measles. The health department also plans to boost immunization that would eventually improve infant mortality rate (IMR).

In fact, more than 60% of the total target of administering polio drops was covered on Sunday. However, the officials claimed that they would achieve the target as they will continue to administer polio drop for the left over under-5 children for at least a couple of days in some identified districts.

A health department official said that the special campaign for immunization will be conducted in slums and other areas which are high risk areas.

Screening for malnutrition among children will also be conducted and it is also included in the list of 11-point programme. After identifying the malnutrition cases in the state, the children will be admitted to the MTCs. At the MTCs, they will be provided nutritious food. The state had earned bad name when Rajasthan topped list of underweight births in the country born between 2010 and 2011.

Also, registry of patients suffering from tuberculosis and treatment has also been included in the list of 11-point programme.

Moreover, sonograophy machines, X-ray and ECG machines which are not in working condition will be repaired

List of other works:

Registry of tuberculosis cases and their treatment

Proper disposal of bio medical waste

Special campaign for immunization

Disposal of equipment and items which are not in use

Ensuring doctors to wear badges

Cleaning of hospitals

Source: Times of India

Thursday, 16 January 2014

Rotary celebrates India’s third straight polio-free year

Rotary members worldwide are celebrating a major milestone in the global effort to eradicate polio: India, until recently an epicenter of the wild poliovirus, will mark the third anniversary of its last recorded case of the paralyzing infectious disease on Jan. 13.

On the same day in 2011, a two-year old girl suffered polio paralysis in Howrah district of West Bengal. Since then, India has not reported any new cases of wild poliovirus.  

Leaders of the humanitarian service organization see the Jan. 13 milestone as a testament to the determination of its international membership of 1.2 million men and women — and especially the 122,000 Rotary members in India — to eradicate polio through the mass immunization of children, a goal Rotary took on in 1985.

In celebration of the decades-long battle and ultimate victory over this disabling disease in India, Rotary clubs throughout the country will illuminate landmarks and iconic structures on Jan. 13. India Gate in Delhi and Red Fort in Delhi and Agra are among the structures that will carry Rotary’s dramatic message — ‘India is Polio Free’.

The three-year achievement also sets the stage for the polio-free certification of the entire South East Asia Region of the World Health Organization in the first quarter of 2014 by the Regional Certification Committee. The Indian government also plans to convene a polio summit in February to mark the occasion.

Rotary says the challenge now is to replicate India’s success in neighboring Pakistan (which is in a different WHO region), one of three remaining polio-endemic countries. Afghanistan and Nigeria are the others. Collectively, they create a reservoir from which the opportunistic disease can emerge to re-infect areas where it had been previously stopped. So-called “imported cases” are occurring now in Syria and several African countries. In 2013, imported cases in non-endemic countries outnumbered the total in the endemic countries 224 to 145, underscoring the importance of stopping the virus where it remains endemic.

“We must now stop polio in Pakistan to both protect Pakistani children and to safeguard our success in India and other countries where we have beaten this terrible disease,” says Deepak Kapur, who chairs Rotary’s India National PolioPlus Committee. “Until polio is finally eradicated globally, all unvaccinated children will remain at risk of infection and paralysis, no matter where they live.”

Rotary leaders in India are working with their Pakistani counterparts to share best practices and lessons learned during India’s successful anti-polio campaign. Rotary was particularly effective in obtaining the support of influential religious leaders in India’s Islamic communities, and Pakistani Rotary leaders are playing a similar role in efforts to counter rumors and misinformation about polio vaccinations that keep some Muslim parents from allowing their children to be immunized.

Meanwhile, National Immunization Days — during which Rotary volunteers join with health workers in an effort to reach every child under age five with the oral polio vaccine — continue in both countries. In India alone, more than 172 million children receive the vaccine during these mass immunization campaigns.

Rotary launched its polio immunization program PolioPlus in 1985 and in 1988 became a spearheading partner in the Global Polio Eradication Initiative (GPEI) with the World Health Organization, UNICEF, and the U.S. Centers for Disease Control and Prevention. Since the global initiative began in 1988, the incidence of polio has plummeted by more than 99 percent, from about 350,000 cases a year to 369 confirmed so far for 2013.

Rotary’s main responsibilities within the initiative are fundraising, advocacy, and social mobilization. To date, Rotary has contributed more than US$1.2 billion and countless volunteer hours to fight polio. Through 2018, every dollar Rotary commits to polio eradication will be matched two-to-one by the Bill & Melinda Gates Foundation up to $35 million a year.

Source: DailyItem