KAMPALA – This year’s Africa Vaccination Week started on Friday, April 24 as the COVID-19 pandemic is causing significant disruption to vaccination efforts and to the surveillance of vaccine-preventable diseases on the continent.
Prior disease outbreaks and humanitarian emergencies have underscored the importance of maintaining essential health services such as immunization. Even brief interruptions of vaccination activities make outbreaks more likely to occur, putting children and other vulnerable groups more at risk of life-threatening diseases.
Africa has been experiencing a resurgence of measles. Measles preventive mass vaccination campaigns in Chad, Ethiopia, Nigeria and South Sudan have been suspended because of COVID-19, leaving around 21 million children who would have been vaccinated, unprotected.
“While the complexity and breadth of the Covid-19 response is unprecedented, we must continue to protect African children against vaccine-preventable diseases,” said Dr Matshidiso Moeti, World Health Organization (WHO) Regional Director for Africa. “Let us not be blind-sided by COVID-19 and let down our guard against measles and other childhood threats”.
WHO has developed new guidelines on immunization in the context of COVID-19 that stress the need for a dynamic approach.
They recommend that countries temporarily pause preventive mass vaccination campaigns but they urge countries to prioritize the continuation of routine immunization of children as essential service delivery, as well as adult vaccinations such as influenza for groups most at risk.
The conduct of outbreak response mass vaccination campaigns will require a careful risk-benefit analysis on a case-by-case basis. For example, countries under total lockdown may not be able to fully implement routine health services at all sites, so they may opt to preemptively scale up routine services before the announcement of total lockdown, or to ramp up once the lockdown ends. If immunization services must be suspended, urgent catch-up vaccinations should be rescheduled as soon as possible, prioritizing those most at risk.
The 2020 Africa Vaccination Week theme is #Vaccines Work for All. The campaign will focus on how vaccines – and the people who develop, deliver and receive them – are heroes by working to protect the health of everyone, everywhere. The initiative – aims to promote the use of vaccines to protect people of all ages against diseases. As part of the 2020 campaign, WHO and partners aim to:
- Demonstrate the value of vaccines for the health of children and communities even in the context of Covid-19.
- Demonstrate that routine immunization is the foundation for strong, resilient health systems and universal health coverage.
- Highlight the need to build on immunization progress while addressing gaps, including through increased investment in vaccines and immunization.
Moreover, as we promote Africa Vaccination Week this year, WHO honors nurses and midwives for their crucial role as early vaccine champions for new parents and parents-to-be, as we celebrate 2020 as the International Year of the Nurse and the Midwife.