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Yemen - Complex Emergency Fact Sheet #11, Fiscal Year (FY) 2020 | ReliefWeb.

[Situation Report] [Source: USAID] [Posted: 4 Sep 2020] [Originally Published: 4 Sep 2020]

  • USG partners provide emergency assistance to households adversely affected by heavy rains and flooding during July and August.

  • Fuel shortages and price increases result in temporary reductions of humanitarian assistance for hundreds of thousands of people in August.

  • Escalated conflict in Al Jawf and Marib governorates displaces nearly 11,000 households to date in 2020.

  • WFP reports that nearly 40 percent of Yemeni households remained without access to adequate, nutritious food on a regular basis as of mid-July.

KEY DEVELOPMENTS.

Floods Result in Casualties, Damage, and Displacement Across Yemen.

Heavy seasonal rains and flooding in July and August had affected an estimated 435,000 people across Yemen as of August 29, compounding the effects of previous rain and flooding events during April and June, the UN reports. The recent floods resulted in more than 250 casualties—including 131 deaths—in northern Yemen, according to the Sana’a-based Ministry of Public Health and Population; the floods also damaged and destroyed food and household items, internally displaced person (IDP) sites, and roads, hindering civilian and humanitarian movement. The International Organization for Migration (IOM) recorded nearly 1,200 displaced households in Al Hudaydah Governorate and approximately 60 displaced households in Marib due to the floods from late July to early August, while flooding dislodged some explosive remnants of war and landmines to previously hazard-free areas, the UN reports. In addition, relief actors have expressed concern regarding the health impacts of the floods, particularly the heightened transmission risk of vector-borne and waterborne diseases amid Yemen’s ongoing cholera outbreak.

In response, humanitarian organizations—including U.S. Government (USG) partners—have conducted assessments of flood-related impacts and provided food, health, shelter, and water, sanitation, and hygiene (WASH) assistance to affected communities. With USG and other donor support, IOM distributed more than 2,900 emergency shelter kits in Aden, Hajjah, and Al Hudaydah governorates and provided shelter support to nearly 2,500 affected households in Marib. USAID/BHA partner the UN World Food Program (WFP) distributed food and hygiene items to more than 2,500 households across 11 governorates through the USAID/BHA-supported Rapid Response Mechanism (RRM)—which provides recently displaced populations with immediate food, water, and hygiene assistance within 72 hours of displacement—and provided in-kind food assistance to approximately 2,800 households in Amran, Dhamar, and Marib governorates. Additionally, the UN World Health Organization (WHO) is augmenting the availability of antimalarial drugs, cholera kits, and disease screening services at health facilities in affected areas to mitigate the adverse health impacts of the floods.

Ongoing Fuel Crisis Prompts Reductions of Relief Activities in Yemen.

The fuel crisis in northern Yemen continues to adversely affect relief operations, with historically low fuel imports in June resulting in increased fuel prices and hampered civilian and humanitarian movement, according to the UN. While the UN Verification and Inspection Mechanism for Yemen reports that fuel import levels into Yemen’s Red Sea Ports rose from only 8,100 metric tons (MT) in June to nearly 133,000 MT in July, the price of gas and diesel increased by approximately 100 and 50 percent, respectively, from mid-June to mid-July due to the impact of the June deficit on the supply chain, WFP reports. The fuel shortage and resultant price increases have inflated essential commodity and transportation costs, hindering relief activities, including food distributions, health and protection services, and the provision of safe drinking water, according to the UN. As of late July, the fuel crisis had prompted relief actors to temporarily reduce or suspend WASH services to nearly 259,000 households and protection interventions supporting more than 41,000 households across Yemen, as well as shelter and settlements support for approximately 26,000 households in Ad Dali’,
Hajjah, Ibb, and Ta’izz governorates, the UN reports. Shortages also resulted in delayed or blocked food distributions for nearly 38,000 people in Hajjah, Al Hudaydah, and Marib, while adversely affecting nearly 200 health facilities supported by the Health Cluster.

WHO is delivering fuel to health facilities across the country to support the continuity of life-saving health care services in Yemen. In addition, a USAID/BHA international non-governmental organization

(INGO) partner is providing humanitarian coordination and information management (HCIM) support to relief actors by analyzing and mapping the impact of fuel shortages on operations to bolster humanitarian decision-making.

Clashes in Al Jawf, Marib Displace Nearly 1,000 Households in Late August.

Escalated conflict in northern Yemen’s Al Jawf and Marib, which began in late January, continues to displace populations and increase humanitarian needs, according to the UN. In late August, IOM recorded approximately 830 and 150 newly displaced households in Al Jawf and Marib, respectively, due to increased fighting in the governorates, bringing the total number of newly displaced households in Al Jawf to approximately 1,560 and Marib to 9,400 to date in 2020. While Marib remains a primary destination for IDPs fleeing frontline clashes, conflict continued to affect civilian areas in the governorate in late August, with airstrikes and shelling damaging civilian houses and water supply systems, the Protection Cluster reports.

With USG and other donor support, IOM is providing life-saving health, protection, and WASH support to IDPs and migrants—primarily from the Horn of Africa—in Marib. From late July to late August, IOM provided emergency health services to approximately 2,200 IDPs, conducted more than 5,300 protection screening interviews for IDPs and migrants, and distributed more than 400 RRM kits to newly displaced persons in the governorate. In addition, IOM distributed dignity and hygiene kits to approximately 1,000 and 2,000 migrants, respectively, to decrease the transmission risk of communicable diseases.

Economic Crisis, Conflict, COVID-19 Result in Worsened Food Insecurity.

Deteriorating macroeconomic conditions in Yemen—compounded by ongoing conflict and the country’s COVID-19 outbreak—continue to exacerbate the world’s largest food security crisis and constrain access to basic goods and services, WFP reports. From early January to mid-July, the Yemeni riyal (YER) depreciated by nearly 20 percent in Republic of Yemen Government (RoYG)-controlled areas; alongside other economic shocks, the YER’s depreciation resulted in a nearly 20 percent increase in the price of essential food commodities countrywide during the period. Meanwhile, COVID-19-related reductions in livelihoods and market access have decreased household income and ability to obtain adequate food , as prices of staple foods have risen. As a result, nearly 40 percent of Yemeni households remained without access to adequate, nutritious food on a regular basis as of mid-July, particularly in conflict-affected governorates such as Abyan, Al Jawf, and Marib, according to WFP.

WHO Confirms Poliovirus Outbreak in Sa’dah Governorate.

WHO confirmed an outbreak of circulating vaccine-derived poliovirus type one (cVDPV1)—a rare virus mutated from the weakened virus contained in oral polio vaccine (OPV) that can occur in underimmunized populations—in northern Yemen’s Sa’dah Governorate in early August, primarily affecting children ages eight months–13 years. The disease likely spread due to insufficient routine or supplementary immunization activities, with the affected children having only received zero to two OPV doses compared with the four-dose recommended schedule, WHO reports. Despite continued insecurity and related access constraints in the governorate, the UN Children’s Fund (UNICEF) and WHO plan to launch OPV campaigns in the coming weeks to stop the spread of cVDPV1 in affected areas.


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Angola: Polio vaccination campaign to reach over 400,000 children in Benguela | ReliefWeb.

[News and Press Release] [Source: Govt. Angola] [Posted: 2 Sep 2020] [Originally Published: 2 Sep 2020] [Origin: View original]

Benguela - Benguela province will vaccinate 419,419 children from zero to five years of age against polio, from 4 to 6 September this year, said Tuesday in this city the provincial public health supervisor Américo Máquina.

According to the public health specialist, who was speaking to Angop, 373,645 other children from nine months to five years of age will be vaccinated against measles and rubella in the municipalities of Cubal, Catumbela and Caimbambo, where there are still active cases of these diseases.

To boost the immune capacity of the small ones, he said, the Health Ministry decided to administer the "oral bivalent polio" vaccine with the inclusion of vitamin A, as well as injectable polio.

Although the vaccines have almost the same action in practice, injectable polio is more recommended for children who have never been vaccinated before in their life, being given from two months to less than five years of age.

In the specific case of the city of Benguela, he recalled that it has already carried out the blocking campaign, so this time, it should be left to oral polio and vitamin A administration.

He called on parents to bring their children's vaccination cards during the campaign to better control those who have already received the injectable polio vaccine.


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Nigeria: Enugu records 100% success in target polio vaccination ― Official | Vanguard Newspapers.

[SEPTEMBER 2, 202012:00 PM]

The Enugu Government has achieved 100 per cent success coverage in the just concluded ‘specific-target’ polio vaccination in the state.

Dr George Ugwu, Executive-Secretary of Enugu State Primary Health Care Development Agency (ENS-PHCDA), disclosed this while speaking with the News Agency of Nigeria (NAN) on Wednesday  in Uzo-Uwani Local Government Area of Enugu State.

NAN reports that the state embarked on six-day specific-target polio vaccination in 16 wards within the Uzo-Uwani council area between Aug. 22 and Aug. 27.

The exercise is targeted at vaccinating 35,775 children from three months to five years.

Ugwu said that the exercise was an overwhelming success and the targeted 35,775 children for the vaccination was exceeded and “we got 37,852 which is above 100 per cent’’.

The executive secretary said that the agency had not achieved such a resounding target in a single specific-target polio vaccination exercise.

He said the exercise enjoyed the maximum support of all relevant individuals and organisations, including the council chairman, workers, traditional rulers, religious leaders and community-based organisations.

The executive secretary noted that the exercise had to be extended for an additional two days to allow for effective and proper coverage of wards in difficult terrains.

“We recorded coverage of 100 per cent in Oral Polio Vaccination (OPV) and 96 per cent in the Fractional Inactivated Polio Vaccine (FIPV) in the just-concluded immunisation.

“The agency enjoyed robust cooperation from the chairman of the council area that also ensured that other leaders and workers within the council area supported us to attain the success,’’ he said.

Ugwu, however, said that the agency encountered few challenges during the exercise and that these centred on logistics and nature of the terrain.

“We were able to overcome these challenges by involving more hands, more vaccination teams, additional two State Technical Facilitators (STFs) and ensure very close supervision and dedication of all involved in the exercise.

“Of course, we have to extend the exercise for two additional days for effective mop-up and ensuring no child under the age range for the exercise is omitted,’’ he said.

The executive-secretary commended Gov. Ifeanyi Ugwuanyi for the support he gave the agency, especially in the just-concluded polio vaccination exercise.

“I also laud National Primary Health Care Development Agency, WHO, UNICEF as well as Rotary International, Association of Local Government of Nigeria, chairman of Uzo-Uwani council area and other stakeholders for their support to the exercise’’.

NAN


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Polio this week as of 03 September 2020 | ReliefWeb.

[News and Press Release] [Source: GPEI] [Posted: 4 Sep 2020] [Originally Published: 3 Sep 2020] [Origin: View original]

  • The Polio Oversight Board (POB) released a statement after holding a meeting on 18 August 2020 where they reviewed progress on resumption of vaccination campaigns after the Covid-19 induced pause, programme transformation in Pakistan, the increase in circulating Vaccine Derived Polio Virus (cVDPV) outbreaks, and the financial situation.
  • Professor Rose Leke, an infectious disease specialist, has been the chairperson of the ARCC since it was set up in 1998. A trailblazer for women in global health, Leke has fought throughout her career to improve women's representation in science and global health leadership. Take a look at her journey in polio eradication and her views on gender and women in science.

  • Summary of new WPV and cVDPV viruses this week (AFP cases and ES positives):
    - Afghanistan: Three WPV1 cases, one WPV1 positive environmental sample and 13 cVDPV2 cases
    - Pakistan: Five WPV1 positive environmental samples and three cVDPV2 positive environmental samples
    - Cameroon: one cVDPV2 positive environmental sample
    - Chad: three cVDPV2 cases
    - Democratic Republic of the Congo (DR Congo): one cVDPV2 case


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Pakistan: Polio eradication remains top priority of the government | The Nation.

[8:36 PM | September 04, 2020]

KP Minister for Health & Finance Taimur Saleem Khan Jhagra has said that polio eradication is a matter of national pride and remains the top priority of the government and urged all the line departments to work as a team to achieve the goal of polio free status.

He was chairing a district review meeting on polio eradication at Emergency Operations Center Khyber Pakhtunkhwa here on Friday.

Also present on the occasion were Secretary Health KP, Syed Imtiaz Hussain Shah, Coordinator EOC Abdul Basit, Special Secretary Health Mian Adil Iqbal, DG Health Services Dr Niaz Muhammad, Director EPI Dr Saleem, District Health Officers and representatives of UNICEF, WHO, BMGF and N stops.

Elaborating his thoughts, Minister for Health and Finance said that polio is affecting our children and leaving them disabled for life and emphasized the need for eradication of the disease that has been wiped out from the globe including African countries with much poor socio-economic indicators.

Taimur Jhagra directed District Health Officers (DHOs) to fill the gaps that were creating hurdles in polio eradication in their respective districts and to act against the complacent elements who are misreporting.

“I am the strong advocate for recognizing the efforts of hard –working teams and officials and will urge all of you to commend the good team members as a motivating factor”, he added.

He said that health has emerged as one of the most significant sectors due to COVID 19 pandemic and directed DHOs to ensure quality health services to the people in their respective districts.

Secretary Health KP, Syed Imtiaz Hussan Shah emphasized the need for wiping out the menace of polio from the region and underscored the need for dedicated efforts at all levels.

He said that as we as a nation is standing alone in the globe fraternity due to our inability to eradicate polio from our country.

Earlier, EOC Coordinator Abdul Basit briefed Minister and the forum about the preparations of the upcoming campaign in the province and district wise challenges In the August campaign.

It is noteworthy that the August campaign was conducted in 21 districts of the province with the target of 4.56 million children under five year’s age.


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Pakistan: Two more polio cases reveal a trend in Punjab | The News International.

[September 3, 2020] Amer Malik writes:

LAHORE: Two more cases of wild poliovirus in Punjab — an eight-month child from Dera Ghazi Khan and a 13-year-old child from Bahawalpur — reveals disturbing trends of virus transmission.

As one of the two child victims, confirmed with WPV on Tuesday, has already expired, it was the fourth mortality reported posthumously in Punjab in the last three months.

Earlier, two cases of wild poliovirus each were confirmed posthumously in Lahore and Dera Ghazi Khan. The child, who lost his life due to the crippling disease, suffered disability in his all four limbs.

The child from DG Khan lost his life after suffering disability at all four limbs, while the 156-month-old child from Bahawalpur suffered disability in his right leg. Last month too, the wild poliovirus was confirmed in a 14-year-old boy who had suffered disability to his all four limbs and expired in the Mayo Hospital on July 27, reported posthumously by the National Institute of Health (NIH), Islamabad, on August 15, 2020.

The hitting of wild poliovirus to a 13-year-old child, hailing from the Bahawalpur district, sparked a debate whether the disease affected the teenaged children equally as it is usually attributed to be affecting kids of up to five years of age. With two more kids falling victim to the crippling virus, the number of confirmed cases of wild poliovirus in Punjab has risen to eight this year so far, while overall 67 polio WPV cases have been reported from across Pakistan in 2020 so far.

“Although it is not the first case of virus detection in a child but still is quite unusual,” says a doctor, while attributing malnutrition and co-morbidities to be the likely causes triggering poliovirus to attack grown-up children.

Sundas Irshad, Incharge of Punjab Polio Programme, said the two child victims of wild poliovirus belonged to low socio-economic status and were living in poor conditions. “Although two quite successful polio vaccination campaigns were conducted in December last year and January this year, the anti-polio drive was halted due to the COVID-19 pandemic. “The virus transmission continued due to gap in polio eradication campaigns,” she added.

As the anti-polio campaigns have resumed, she informed that the upcoming national polio vaccination drive will be held on September 21. “The campaign will help break the transmission of the virus.” she added.

More than 30 million children, including nearly 18 million in Punjab alone, were deprived of polio vaccines across Pakistan due to the cessation of anti-polio activities in late March due to the coronavirus pandemic. According to experts, the polio is a highly infectious disease caused by wild poliovirus, mostly affecting children under the age of five, which invades the nervous system and causes paralysis or even death.

Out of a total of 67 confirmed poliovirus cases in Pakistan this year so far, 22 cases have been reported in Khyber Pakhtunkhwa, 21 in Sindh, 16 in Balochistan and eight in Punjab.

Previously, a total of two wild poliovirus cases were confirmed in Punjab among overall 54 cases in 2015; no case was reported in Punjab among a total of 20 cases in 2016; one case was confirmed in Punjab among overall 8 cases in the country in 2017; none was reported in Punjab among 12 cases confirmed in 2018; and 12 cases were reported in Punjab among 147 cases confirmed in the country in 2019.

To add to this, 52 cases of circulating vaccine-derived poliovirus type-2 (cVDPV2) have been confirmed across Pakistan in 2020 so far including 42 cases in Khyber Pakhtunkhwa, six cases in Punjab, three in Sindh and one in Balochistan. Previously, only two cases of cVDPV2 were confirmed in Pakistan in 2015, one case in 2016, none in 2017 and 2018, while cVDPV2 surged again with confirmation of 22 cases in 2019. Unfortunately, Pakistan is one of only two countries in the world, alongside Afghanistan, still affected by poliovirus.


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The effectiveness of a dose based reporting tool in reducing vaccine wastage at primary care clinics in Delhi, India: an operational research study | Human Vaccines & Immunotherapeutics.

[Pay to View Full Text] [Received 21 May 2020, Accepted 12 Jul 2020, Published online: 24 Aug 2020]

Abstract.

Minimizing vaccine wastage and associated costs is considered a key target for appropriate vaccine management. In India, the Rotavirus Vaccine (RVV) (2019) and the fractionated injectable polio vaccine (f-IPV) (2016) are more prone to wastage with high procurement costs.

In this operational research study, we determined the effectiveness of a (self-designed) dose based reporting tool (DBRT) in reducing vaccine (f-IPV and RVV) wastage at primary care facilities in India during December 2019 to March’ 2020.

Data reports of all the immunization sessions conducted at three primary care facilities were analyzed to calculate the wastage rates of the RVV and the f-IPV for the following periods: (1). Period of initiation (August-November’ 2019) (2). Pre-intervention with sensitization of healthcare providers (December’ 2019-January’ 2020) (3). Post-intervention after application of the DBRT.

Intervention: The DBRT is a paper-based reporting format that assigns a unique code to each RVV and IPV vial. The health facility is required to report the total doses administered from each coded vial during every immunization session by updating it on the assigned reporting format.

Pre-intervention, the average monthly wastage of f-IPV was 23.5% and of the RVV ranged from 18%-31%. Post-intervention, on using the DBRT, the monthly wastage of both RVV and f-IPV dropped significantly to 8.6% and 11.4%, respectively. During the subsequent month, the IPV wastage further decreased to only 4.7%.

In conclusion, the DBRT reduces vaccine wastage in government primary care facilities by enabling a paper audit trail that promotes responsiveness and accountability among healthcare workers directly involved in vaccine administration.


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Pakistan: Balochistan Reports New Polio Case | Quetta Voice Breaking News.

[Sep 4, 2020]

Staff Reporter : A 34-month old child was tested positive for the crippling virus in the Pishin district. The samples of the minor child were collected on August 19th by the health department. The laboratory report confirmed that the child has contracted the virus, health sources said.

The fresh victim of the poliovirus belongs to the Union Council Killi Alizai Pishin. Family members of the victim had refused to provide polio drops to their children, they said. The number of cases rises to 17 after this fresh case.

Last year, Balochistan had confirmed 12 cases of poliovirus. The anti-polio campaign was suspended for four months in the aftermath of the outbreak of coronavirus. Rashid Razzaq, the Coordinator Emergency Operation Cell that deals with polio revealed that environmental samples were found in Quetta, Pishin, and Killa Abdullah districts.

Killa Abdullah, Pishin, and Quetta are considered to be high-risk districts regarding the crippling virus. The number of parents refusing polio drops in these districts is stated to be thousands. Officials have termed chronic refusals on the part of parents as the underlying reason behind increasing cases of the poliovirus.

Despite regular engagement of religious scholars, any breakthrough in terms of decreasing the number of refusals is yet to be made. Balochistan had reported the highest number of polio cases i.e. 73 during the year 2011 and 22 of them were reported from Killa Abdullah district that borders with neighboring Afghanistan.

Anti polio campaigns are underway for the last more than three decades. However, the crippling virus is yet to be eradicated from the province. Resources are being pumped with thousands of polio workers and volunteers participating in every polio drive, but, the desired results are yet to be achieved.

Pakistan and Afghanistan are the only countries in the world where the crippling virus still exists.


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[Duplicate] Podcast: Video: TWiV 659: Sloppy coronavirus immunity with Christian Drosten | This Week in Virology.

[September 3, 2020] [Duplicate RSS post for digest as date error in original caused it to be ommited from the last night's digest post.]

Christian Drosten returns to TWiV to provide an update on the COVID-19 situation in Germany, and general thoughts on testing, immunity, vaccines, therapeutics, epidemiology, reopening schools, and what will happen this fall.

Hosts: Vincent Racaniello, Rich Condit, and Brianne Barker

Guest: Christian Drosten

Watch 'virtual roundtable'; discussion on YouTube video [2:00:46]: https://youtu.be/uwGcgSDasZ0

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Listen to Podcast via source article

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Download TWiV 659 (72 MB .mp3, 120 min)
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Intro music is by Ronald Jenkees

Send your virology questions and comments to twiv@microbe.tv


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Pakistan: PTI government and polio | Editorial | Pakistan Today.

[3rd September 2020]

  • A story of failure

The PTI had come to power without any preparation for the arduous job of running a country with a population of over 213 million and scores of serious problems. It was claimed that once an honest Prime Minister was holding the levers of power, every serious problem would soon get resolved. Within two years the self-serving claim has turned out to be false in several spheres, including polio eradication. WPV cases that were gradually going down from 54 in 2015 to 20 in 2016, 8 in 2017 and 12 in 2018, sharply rose under PTI rule to 147 in 2019. During the last few months the number has already reached 67. Pakistan and Afghanistan remain the only two countries in the world reporting polio cases and being considered a potential source of dissemination of the virus to other countries.

The two years of the PTI rule are marked by an upsurge in polio cases. There are two major reasons behind the phenomenon. First, appointment of incompetent focal persons handpicked by the PM, like Mr Babar bin Ata and Dr Zafar Mirza. In both cases the government discovered, though much after the harm had been done, that the choice was inappropriate. The second reason was the sheer political opportunism which stood in the way of enforcing the writ of the state. The PTI government was simply reluctant to alienate the clerics, especially in KP, who opposed vaccination. The PTI feared that if the religious leaders turned hostile, this could result in loss of votes.

The task of controlling polio has now been handed over to the newly appointed Special Assistant to PM (SAPM) on health Dr Faisal Sultan. On Wednesday Dr Sultan paid his first visit to the National Emergency Operation Centre (NEOC) where he expressed the government’s determination to eradicate the virus. The task ahead will test the new focal person’s competence. But as long as political exigencies are allowed to stand in the way of the enforcement of the state’s writ, polio cannot be eradicated. Two years after paying monthly salaries to prayer leaders, who deliver Friday sermons in KP, and allocating millions of rupees to seminaries, the time has come when he who pays the piper must call the tune.

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The Editorial Department of Pakistan Today can be contacted at: editorial@pakistantoday.com.pk.


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Recuperando las coberturas vacunales perdidas en la pandemia COVID-19 [Recovering lost vaccine coverage due to COVID-19 pandemic] | Vacunas.

[Journal Pre-proof PDF] [Received 17 June 2020, Accepted 2 July 2020, Available online 4 July 2020] [Article in Spanish]

RESUMEN.

La pandemia de la enfermedad por coronavirus 2019 puede tener un impacto alarmante en las coberturas de vacunación. La OMS, la UNICEF y la Gavi advierten de que al menos 80 millones de niños menores de 1 año corren el riesgo de contraer enfermedades como la difteria, el sarampión y la poliomielitis por la interrupción de la inmunización sistemática y la suspensión temporal de 93 campañas de vacunación a gran escala.

En España, un nuevo escenario asistencial, que prioriza lo telemático sobre lo presencial, el miedo al contagio por acudir a los centros sanitarios y las recomendaciones de distanciamiento físico y de movilidad restringida, reducen la asistencia a los centros de atención primaria. A pesar de las recomendaciones establecidas por las autoridades sanitarias, las coberturas vacunales han descendido en todas las comunidades autónomas entre un 5% y un 60%, dependiendo de la edad y del tipo de vacuna. Las vacunaciones en las escuelas se han suspendido y solo se ha mantenido, en general, la cobertura de la vacuna frente al tétanos, la difteria y la tosferina en las embarazadas. La disminución ha sido más manifiesta para las vacunas no financiadas: la primera dosis de vacuna antimeningocócica B disminuyó un 68,4% en la Comunidad Valenciana, y en Andalucía se observó un descenso de las dosis totales de esta vacuna (39%) y de la del rotavirus (18%).

La reanudación de las vacunaciones debe ser planificada, organizaday realizada en el menor tiempo posible.

En este artículo se comentan algunos aspectos de la recuperación de las coberturas vacunales para diferentes grupos: niños, adolescentes y adultos, y pacientes de riesgo y en situaciones especiales.

Abstract.

The 2019 coronavirus disease pandemic can have an alarming impact on vaccination coverage. WHO, UNICEF and Gavi warn that at least 80 million children under the age of 1 are at risk of contracting diseases such as diphtheria, measles and polio due to the interruption of routine immunization and the temporary suspension of 93 campaigns of large-scale vaccination.

In Spain, a new healthcare scenario, which prioritizes telematics over in person, fear of contagion by going to health centers, and recommendations for physical distance and restricted mobility, reduce attendance at primary care centers. Despite recommendations established by the health authorities, vaccination coverage has decreased in all Autonomous Communities between 5% and 60%, depending on the age and type of vaccine. School vaccinations have been suspended and only vaccination of pregnant women against tetanus, diphtheria and pertussis has been maintained. The decrease has been more evident for non gratuity vaccines: the first dose of meningococcal vaccine B has decreased by 68.4% in the Valencian Community, and Andalusia has observed a 39% decrease in the total doses of this vaccine and of 18% for that of rotavirus.

The recovering of vaccinations should be planned, organized and carried out in the shortest possible time.

This article discusses some aspects of the recovery of vaccination coverage for different groups: children, adolescents and adults, and patients at risk and in special situations.


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