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Update on new WHO

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... Basis for Immunization Series: Module 10: Varicella-zoster virus-ISBN 978 92 4 159677 0 ... Varicella-zoster virus. Modules currently being revised. Rubella ... – PowerPoint PPT presentation

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Title: Update on new WHO


1
Update on new WHO UNICEF publications
  • Presentation to the Global Immunization Meeting
  • New York, 17 19 Feb 2009
  • Dr Rudi Eggers
  • EPI, WHO Geneva

2
Acknowledgments
  • WHO
  • Mario Condé
  • Jhimil Bahl
  • UNICEF
  • GIM Preparation team
  • …. Thanks!!

3
New 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

4
Immunological 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

5
New 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

6
New 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)

7
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 gt65 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

8
New position paper Typhoid vaccine (live, oral
Ty21a and injectable Vi polysaccharide)
  • Annual global incidence of typhoid fever at 21
    million cases, 14 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

9
New 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

10
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11
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

12
Global 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

13
Regional 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

14
UNICEF publications
  • The State of the Worlds 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.

15
Regular 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

16
Better dissemination Which of the options would
help increase the dissemination of IVB documents
to a greater audience and assure wider use?
  • Please assist by filling in the questionnaire in
    your folders

17
Thank you
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