An emergency call to action has been issued by the UNICEF and the World Health Organization (WHO) to avert major measles and polio epidemics as Covid-19 continues to disrupt immunisation services worldwide, leaving millions of vulnerable children at heightened risk of preventable childhood diseases.
The two organisations estimate that $655 million ($400 million for polio and $255 million for measles) are needed to address dangerous immunity gaps in non-Gavi eligible countries and target age groups, a joint note issued by the two multilateral agencies said.
Financial support from Gavi, the Vaccine Alliance, enabled access to funding for outbreak response, preventive campaigns and routine immunisation strengthening, in eligible countries. But financing gaps remain in middle-income countries that are not Gavi-eligible and the emergency call to raise funds and support would go to these regions.
“Covid-19 has had a devastating effect on health services and in particular immunization services, worldwide,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “But unlike with Covid, we have the tools and knowledge to stop diseases such as polio and measles. What we need are the resources and commitments to put these tools and knowledge into action. If we do that, children’s lives will be saved.”
“We cannot allow the fight against one deadly disease to cause us to lose ground in the fight against other diseases,” said Henrietta Fore, UNICEF Executive Director. “Addressing the global Covid-19 pandemic is critical. However, other deadly diseases also threaten the lives of millions of children in some of the poorest areas of the world. That is why today we are urgently calling for global action from country leaders, donors and partners. We need additional financial resources to safely resume vaccination campaigns and prioritize immunisation systems that are critical to protect children and avert other epidemics besides Covid-19.”
There has been a global resurgence of measles with outbreaks in all parts of the world and gaps in vaccination coverage have only been exacerbated this year by the pandemic.
In 2019, measles climbed to the highest number of new infections in more than two decades. “Annual measles mortality data for 2019 to be released next week will show the continued negative toll that sustained outbreaks are having in many countries around the world,” the note said.
At the same time, polio-virus transmission is expected to increase in Pakistan and Afghanistan and in many under-immunised areas of Africa. Failure to eradicate polio now would lead to global resurgence of the disease, resulting in as many as 2,00,000 new cases annually, within 10 years, it added.
New tools, including a next-generation novel oral polio vaccine and the forthcoming Measles Outbreak Strategic Response Plan are expected to be deployed over the coming months to help tackle these growing threats in a more effective and sustainable manner, and ultimately save lives. The Plan is a worldwide strategy to quickly and effectively prevent, detect and respond to measles outbreaks, the note said.