update on new who & unicef publications · module 3 : immunization safety module 4 : supportive...

Update on new

WHO & UNICEF publications

Presentation to the Global Immunization Meeting

New York, 17 – 19 Feb 2009

Dr Rudi Eggers

EPI+, WHO Geneva

Update of WHO and UNICEF documents | 18 Feb 20092 |

AcknowledgmentsAcknowledgments

� WHO

– Mario Condé

– Jhimil Bahl

� UNICEF

� GIM Preparation team

…. Thanks!!

Update of WHO and UNICEF documents | 18 Feb 20093 |

New WHO/IVB documents in 2008New WHO/IVB documents in 2008

� An introduction to the Global Immunization Vision and Strategy - WHO/IVB/08.13 -

� WHO vaccine-preventable diseases: monitoring system - 2007 global summary-WHO/IVB/2007

� Immunological Basis for Immunization: Module 9: Haemophilus influenza type b vaccines- ISBN 978 92 4 159613 8

� Immunological Basis for Immunization Series: Module 10: Varicella-zoster virus-ISBN 978 92 4 159677 0

Update of WHO and UNICEF documents | 18 Feb 20094 |

Immunological basis for immunizationImmunological basis for immunization

� The main purpose of these module documents is to give vaccination professionals a brief and easy-to-understand overview of the scientific basis of vaccination.

� Updated and new modules

� Tetanus

� Haemophilus influenza type b vaccines

� Varicella-zoster virus

� Modules currently being revised

� Rubella (due March 2009)

� Measles (due May 2009)

� Other modules (General; Diphtheria; Pertussis; Tuberculosis; Poliomyelitis; Yellow fever) to be revised in future

Update of WHO and UNICEF documents | 18 Feb 20095 |

New WHO/IVB documents in 2008New WHO/IVB documents in 2008

� Influenza– Meeting with International Partners on Influenza Vaccine technology Transfer

to Developing Country Vaccine Manufacturers-WHO/IVB/08.09– The Global Action Plan (GAP) to Increase Supply of Pandemic Influenza

Vaccines WHO/IVB/08.10

� Dengue– Guidelines for the clinical evaluation of dengue vaccines in endemic areas-

WHO/IVB/08.12

� Meeting reports– Proceedings of the Seventh Global Vaccine Research Forum, 3-6 December

2006, Bangkok, Thailand-WHO/IVB/07.10

� Progress reports– IVR report 2006-2007- WHO/IVB/08.11– WHO immunization work: 2006-07 highlights-ISBN 978 92 4 159674 9

Update of WHO and UNICEF documents | 18 Feb 20096 |

New polio documents in 2008New polio documents in 2008

� Framework for the new GPEI Strategic Plan 2009-2013

� Polio outbreak response guideline, incl.

– Training material, basic forms (tally sheets)

– Q & A and fact sheets

– PowerPoint presentation

� WER - Health conditions for travelers

to Saudi Arabia for the pilgrimage

to Mecca (Hajj)

Update of WHO and UNICEF documents | 18 Feb 20097 |

New position papers: 23-valent pneumococcal polysaccharide vaccine

New position papers: 23-valent pneumococcal polysaccharide vaccine

� Broad review of available data:– Results show protective effect against IPD and all-cause-pneumonia among

healthy young adults– Lesser degree of protection against IPD in individuals aged >65 years. – HOWEVER: overall data on the efficacy and effectiveness of PPV23 for other

age groups are inconsistent– Failed to demonstrate efficacy against IPD or all-cause pneumonia in

individuals with immunocompromising conditions

� In resource-limited settings, the evidence does not support routine immunization of the elderly and high-risk populations with PPV23; higher priority to infant PCV7

� In low-income countries, WHO recommends the additional use of other measures that help prevent pneumococcal disease

� Need for more efficacious conjugated vaccines or other types of vaccines covering the majority of the pneumococcal serotypes

Update of WHO and UNICEF documents | 18 Feb 20098 |

New position paper: Typhoid vaccine

(live, oral Ty21a and injectable Vi polysaccharide)

New position paper: Typhoid vaccine

(live, oral Ty21a and injectable Vi polysaccharide)

� Annual global incidence of typhoid fever at 21 million cases, 1–

4% fatal; 90% of these deaths occur in Asia.

� Two new-generation typhoid vaccines: Countries should consider the programmatic use of typhoid vaccines for

controlling endemic disease

– Most countries: vaccination only of high-risk groups and populations

– Decisions whether to initiate programmatic use of typhoid vaccines should be based on local knowledge

• Subpopulations at particular risk

• Age-specific incidence rates

• Sensitivity of the prevailing S. Typhi strains to relevant antimicrobial drugs

• Cost effectiveness

Update of WHO and UNICEF documents | 18 Feb 20099 |

New position paper: Typhoid vaccineNew position paper: Typhoid vaccine

� Choice of vaccine, choice of delivery strategy and choice of

target age group depends on local immunization programme

capacity and other logistic and cultural factors

� Vaccination recommended for

– Outbreak control

– Travellers to destinations where the risk of typhoid fever is high

� Improved vaccines against typhoid fever are desirable

� All typhoid fever vaccination programmes should be

implemented in the context of other efforts to control the

disease

Update of WHO and UNICEF documents | 18 Feb 200910 |

Update of WHO and UNICEF documents | 18 Feb 200911 |

WHO recommendations for routine

immunization schedule - summary tables

WHO recommendations for routine

immunization schedule - summary tables

�To assist programme managers develop optimal immunization schedules, WHO has compiled key information on its current routine immunization recommendations in to two summary tables.

�Presentation to GIM

Update of WHO and UNICEF documents | 18 Feb 200912 |

Global MLM modulesGlobal MLM modules

� Module 1 : Cold chain, vaccines and safe-injection equipment management

� Module 2 : Partnering with communities

� Module 3 : Immunization safety

� Module 4 : Supportive supervision

� Module 5 : Monitoring the immunization system

� Module 6 : Making a comprehensive annual national immunization plan and budget

� Module 7 : The EPI coverage survey

� Module 8 : Making disease surveillance work

Update of WHO and UNICEF documents | 18 Feb 200913 |

Regional publications of general interestRegional publications of general interest

� AFRO

– Implementing the Reaching Every District

Approach

� EURO

– Preparing for the Introduction of HPV Vaccine in the WHO

European Region -Strategy paper

� PAHO

– Operating Procedures of the PAHO Revolving Fund

Update of WHO and UNICEF documents | 18 Feb 200914 |

UNICEF publicationsUNICEF publications

� The State of the World’s Children 2008 provides a wide-ranging assessment of the current state of child survival and primary health care for mothers, newborns and children.

� Outlines the most important emerging precepts and strategies for reducing deaths among children under age five and for providing a continuum of care for mothers, newborns and children.

� The State of the World's Children 2009 examines critical issues in maternal and newborn health, underscoring the need to establish a comprehensive continuum of care for mothers, newborns and children.

� Outlines the latest paradigms in health programming and policies for mothers and newborns, and explores policies, programmes and partnerships aimed at improving maternal and neonatal health.

Update of WHO and UNICEF documents | 18 Feb 200915 |

Regular newsletters, bulletinsRegular newsletters, bulletins

� Global Immunization Newsletter – GIN

– Compiled from many different information sources and reports by WHO HQ

– Sent out electronically to partners, regions and countries

� Polio

– Polio News

– The Polio Pipeline - quarterly update of ongoing

research in the Global Polio Eradication Initiative

� Regional

– Measles and Polio updates

– Lab updates

– AFRO Sub-regional monthly summaries

Update of WHO and UNICEF documents | 18 Feb 200916 |

Better dissemination: Which of the options would help increase the dissemination of IVB

documents to a greater audience and assure wider use?

Better dissemination: Which of the options would help increase the dissemination of IVB

documents to a greater audience and assure wider use?

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