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Over 50 million lives saved through expanded immunization programme 

An estimated 51.2 million lives have been saved through vaccines in the African region over the past 50 years.

For every infant life saved over that period, close to 60 years of life are lived, a new report by World Health Organization (WHO) finds.

These achievements according to WHO have been possible under the Expanded Programme on Immunization (EPI), a WHO initiative launched in 1974 as a global endeavor to ensure equitable access to life-saving vaccines for every child, regardless of their geographic location or socioeconomic status.

“From disease prevention to eradication, the success story of vaccines is a compelling one. Millions of people are alive and healthy today thanks to the protection vaccines offer,” said Dr. Matshidiso Moeti, WHO Regional Director for Africa in a statement today.

She added that with half a century of momentum, much has accomplished so what is needed now is to sustain and expand vaccine equity to end the threat of vaccine-preventable diseases.

UNICEF Regional Director for Eastern and Southern Africa Etleva Kadilli called on leaders, partners and donors to strive to protect immunization gains in the region, especially in the face of backsliding rates in recent years.

“Today we celebrate the monumental advances governments and partners have taken across Africa in the last fifty years to ensure so many more children on the continent are living past their fifth birthday thanks to vaccination,” she said.

Gilles Fagninou, the UNICEF Regional Director for West and Central Africa said “Children that are not, or not enough, vaccinated often come from communities missed across the spectrum of social services. We must focus our efforts on finding them and ensuring they receive the life-saving vaccines and other services they need. Together, with leaders and communities, we can make this a reality.”

Thabani Maphosa, Managing Director of Country Programmes Delivery at Gavi, the Vaccine Alliance said that with climate change crises and the threat of infectious disease on the rise, it was more important than ever that governments invest in immunization to help ensure everyone, everywhere has an equal opportunity for a safe and healthy future.

“The evidence is clear: vaccines are one of the most impactful and cost-effective investments in health and development in history. Over the past two decades, Gavi has worked with 40 African countries to expand immunization coverage while delivering new innovations like the HPV and malaria vaccines and responding to deadly outbreaks – saving millions of lives and generating billions in economic benefits,” said Thabani.

The report, which assesses the life-saving impact of vaccines, was released today at the start of this year’s African Vaccination Week and World Immunization Week being marked from 24–30 April under the theme “Safeguarding Our Future: Humanly Possible”.

With the continuous support from WHO, UNICEF and Gavi, the Vaccine Alliance and many others, today most countries in the region provide antigens for 13 vaccine-preventable diseases, up from the initial six when the EPI was introduced.

Notable achievements have been made, including reduction in measles deaths, with an estimated 19.5 million deaths averted over the last 22 years.

The region has also witnessed a sharp decline in meningitis deaths by up to 39 percent in 2019 compared with 2000 while the maternal and neonatal tetanus has nearly been eliminated in the region an African region was declared free of indigenous wild poliovirus in 2022 following years of relentless work to protect every child from the virus.

Efforts to address gaps in immunization coverage have been intensified through the “Big Catch-Up” initiative that aims to reach children who have been underserved or missed by routine vaccination programmes.

Innovative initiatives such as the Zero-Dose Immunization Programme have also been established to reach communities that are living in conflict and fragile areas with essential health services.

According to the experts, further efforts are needed to accelerate progress to meet the goals of Immunization Agenda 2030, a strategy endorsed during the WHO World Health Assembly in 2020, which seeks to reduce mortality and morbidity from vaccine-preventable diseases, ensure equitable access to vaccines and strengthen immunization within primary health care.

By Wangari Ndirangu

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