In this post in the Huffington Post Blog, Dagfinn Hoybraten, vice president of the Norwegian Parliament and chair of the GAVI Alliance Board, examines a nationwide vaccination campaign in Haiti, through which “[h]ealth officials are targeting measles, rubella and polio and [are] also introducing pentavalent vaccine, one shot against five diseases.” He writes, “Questions have been raised, understandably, about whether the international community has done enough to help” after an earthquake devastated the country in 2010, but “the nationwide vaccination campaign is a powerful sign of Haitians helping themselves.”
GlobalPost’s “Global Pulse” blog reports on a potential public-private partnership that aims to bring tuberculosis (TB) vaccine trials to the gold mines of Southern Africa, where, “[f]or every 100,000 workers …, 3,000 have tuberculosis, and many have often-fatal, drug-resistant strains of TB.” The blog writes that mining company “Anglo American announced Tuesday at the GBCHealth Conference [in New York] that it has agreed in principle to make its mines available for TB vaccine trials organized by Aeras, a non-profit that has 12 TB vaccine candidates now in various stages of research,” noting, “No formal agreement has been reached, but Anglo American’s spokesman vowed to make it happen.”
“Every year, millions of people die from preventable and treatable diseases, especially in poor countries,” World Bank Chief Economist Joseph Stiglitz, a Nobel laureate, writes in this BusinessDay opinion piece. “In many cases, life-saving medicines can be cheaply mass-produced, but are sold at prices that block access to those who need them,” and “many die simply because there are no cures or vaccines, because so little of the world’s valuable research talent and limited resources is devoted to addressing the diseases of the poor,” he continues, arguing, “This state of affairs represents a failure of economics and law that urgently needs to be corrected.” Stiglitz continues, “The good news is that there are now opportunities for change, most promisingly through an international effort headed by the World Health Organization that would begin to fix the broken intellectual-property regime that is holding back the development and availability of cheap drugs.”
“U.N. aid agencies are under attack from doctors working with refugees who have been displaced by fighting in Sudan, with claims that they are not doing enough to get medical supplies through to children in desperate need,” the Guardian’s “The Observer” reports. According to the London-based Bureau of Investigative Journalism, some doctors working in the area say that UNICEF-provided supplies of vaccines against childhood diseases “dried up nearly a year ago in areas of conflict around the Nuba mountains,” the newspaper writes.
With nearly 6,000 reported cholera cases, including more than 100 deaths, Guinea is facing the worst cholera outbreak since 2007, and “some residents of the capital Conakry are clamoring to be vaccinated,” IRIN reports. “The cholera vaccine has shown promising results in the handful of communities where it has been used: none of those vaccinated have been infected,” the news service writes, noting, “For now cholera vaccination is not generally done on a large scale.” According to IRIN, “WHO and partner agencies are planning a cholera vaccine stockpile for epidemic control and looking at the possibility of introducing the two-dose oral vaccine into national immunization programs in endemic areas,” but the agency also “says such stockpiles should not detract from other prevention efforts: detection, diagnosis, and treatment of cases with oral rehydration and antibiotics; establishment of a safe water supply; implementation of adequate waste disposal, sanitation, and hygiene; and communication and social mobilization.”
“The World Health Organization (WHO) on Tuesday said Nigeria was not on track in the effort to eradicate wild polio virus before the end of December this year,” Leadership/AllAfrica.com reports. Speaking at the 24th Expert Review Committee (ERC) Meeting on Polio Eradication in Abuja, Bruce Aylward, WHO assistant director-general for polio, emergencies and country collaboration, said Nigeria had the tools and capacity to turn back the increasing number of polio cases that pose a “real and growing danger to international public health,” the news service notes. Aylward “recommended eight major steps for polio eradication for the country, including the implementation of the new house-based micro planning and monitoring method,” refresher training for all personnel to emphasize the emergency status declared by the WHO, and the identification and immunization of missed children and those in insecure areas, among others, according to the news service. ERC Chair Tomori Oyewale “called on Nigerians to change their attitude to polio eradication to ensure the success of the fight against the virus,” the news service writes (9/11).
In a post in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, Helen Matzger, a program officer in new vaccine delivery at the foundation, writes about outbreaks of cholera in Haiti, Sierra Leone, Guinea, and other areas, and says creating stockpiles of a recently WHO-approved cholera vaccine could help save lives in the future. “The creation of a cholera stockpile is not a panacea; … Still, the cholera vaccine works. Though many of us may never need it, millions of people living in some of the poorest regions of the world face cholera outbreaks all too often. We have a way to alter the course of an outbreak and save lives. Let’s use it,” she concludes (9/19).
The first-ever results from a dengue virus vaccine clinical trial aimed at showing effectiveness “provide signals rather than definitive answers, and a mixture of both promise and unresolved challenges,” Orin Levine, executive director of the International Vaccine Access Center, and Ciro de Quadros, executive vice president of the Sabin Vaccine Institute, write in the Huffington Post “Impact” blog. “To date, these represent the most promising indications that a safe, effective vaccine to prevent dengue is technically feasible,” they continue, adding, “At the same time, the results on protection were inconclusive, somewhat inconsistent with the measured immune responses and uneven across the four strains included in the vaccine.”
The annual number of child deaths worldwide has fallen more than 40 percent since 1990, “the result of myriad improvements in nutrition, access to vaccines and antibiotics, cleaner deliveries, better care of infants immediately after birth, and the use of insecticide-treated mosquito nets,” according to “the findings of a report released Wednesday by three United Nations agencies and the World Bank,” the Washington Post reports (Brown, 9/12). “In 1990, there were 12 million deaths of young children, but the latest figures … show that deaths had fallen by nearly half, to 6.9 million, by 2011,” the Guardian writes (Boseley, 9/12). “[T]he number of deaths is down by at least 50 percent in eastern, western and southeastern Asia, as well as in northern Africa, Latin America and the Caribbean,” the report says, VOA News notes (Schlein, 9/12). However, “[i]n some, mainly sub-Saharan countries, the total number of deaths of children younger than five increased,” BBC News writes, adding, “The Democratic Republic of Congo, Chad, Somalia, Mali, Cameroon, and Burkina Faso saw annual deaths of children under five rise by 10,000 or more in 2011 as compared with 1990” (Doyle, 9/13).
“The leading candidate to become the world’s first vaccine against dengue fever was only 30 percent effective in its first large clinical trial, dealing at least a temporary setback to efforts to control a disease that threatens half the world’s population,” the New York Times reports. “Still, the study marked a milestone in the 70-year quest to develop such a vaccine, demonstrating that a safe and effective inoculation against dengue is feasible, researchers reported in a paper published online Monday in the Lancet,” the newspaper adds (Pollack, 9/10). “Tested among just over 4,000 children in rural Thailand who were badly exposed to the mosquito-borne fever, the vaccine had no side effects but only worked against three out of the four dengue strains,” Agence France-Presse writes (9/10).