“Thanks to vaccines, more children are now living to see their fifth birthday than at any point in history.” Dr. Seth Berkley, CEO of Gavi, said.
While this is an inspiring fact, the truth is that immunization rates in some developing countries are becoming stagnant.
The Plateau of Immunization Rates
The immunization rates of the vaccine for diphtheria, tetanus and pertussis (DTP) usually reflect the quality of the overall immunization coverage within a nation. In the last three years, the immunization rate for the third dose of DTP in Chad has remained at 55 percent. The immunization rate for DTP in Somalia has been about the same since 2009. Guinea, whose DTP immunization rates used to be around 70-80 percent 10 years ago, now has had a rate of 63 percent for the last four years.
This data is somewhat shocking, considering a global effort to prioritize vaccines began in 2000. The same year, Gavi, a global Vaccine Alliance, was created with the help of a $750 million donation from the Bill & Melinda Gates Foundation. Since 2011, Gavi has surpassed its own goals of decreasing child mortality, averting future deaths and increasing child immunization in the more than 60 countries that are Gavi-supported. In just five years, Gavi was able to provide vaccines to 34 million more children than what was anticipated, and the group began administering vaccines for pneumococcal and rotavirus one year ahead of schedule.
Maintaining the Vaccine Schedule
Nonetheless, groups like Gavi struggle to keep immunization active in developing countries after the child is no longer an infant. For example, the vaccine for human papillomavirus (HPV) is typically administered in two doses within 1-2 years for children above the age of nine. HPV can cause cancer, especially in those with weak immune systems, so it is important to time the vaccine administration effectively in order to be nearly 100 percent protected. Since there is no health plan that puts emphasis on older children, HPV becomes more of a threat in countries that do not enforce the strict vaccine schedule.
The World Health Organization has a plan to fix this. The Global Vaccine Action Plan (GVAP) is set to address health program expansion to include services beyond infancy by 2020. Ministers of Health from 194 countries agreed to support the GVAP, which includes nation-specific health program monitoring and strengthened leadership.
Negative Attitudes About Vaccines
Despite intervention from non-governmental groups, the plateau of immunization rates still exists. This may be due to negative attitudes towards vaccines in developing countries. The attitudes stem from the idea that vaccines are harmful or that the health workers are ingenuine. Citizens of three Nigeran states believed that the administration of the polio vaccine would spread AIDS in 2003, and in India, people believed that vaccines were a Western plot to instigate an undercover method of family planning to threaten Muslims. Researchers cite that a way to eliminate this anxiety is to take into account sociocultural behavior when implementing vaccine programs and to strengthen communication and advocacy in order to increase participation.
While negative attitudes towards vaccines contribute to plateauing immunization rates, the expensive price of vaccines may also be a contributing factor. In 2001, six vaccines from the World Health Organization cost less than $1. Now, 12 vaccines from the WHO cost up to $45.59. This can obtaining a vaccine for someone living in Madagascar extremely difficult – the monthly salary in Madagascar is $33.
Immunizations Eradicate Disease
By increasing immunization rates, diseases can begin to disappear. In the U.S., immunization rates in 2000 were at 91 percent for the measles, mumps and rubella vaccine, and the Center for Disease Control declared measles to be officially eradicated. Since then, diagnoses of measles have increased slightly among populations that are unvaccinated.
Despite these few diagnoses, the majority of the U.S. will never come in contact with measles. Dr. Jean Campaiola, hospital psychiatrist, describes this result as “herd immunity.” Herd immunity occurs when a certain percentage of the population receives the vaccine for a particular disease. For some diseases like measles, the percentage is at least 90-95, but for polio, the percentage is 80-85. This means that 20 percent of people could deny receiving the polio vaccine and still be protected from the disease because the remaining 80 percent were vaccinated.
“If this occurs rarely in a population, it’s not a big deal, but if it becomes more common, then previously eradicated diseases could make their way back into the general population,” says Dr. Campaiola. She said fears that the anti-vaccine attitude in the U.S. could cause previously eradicated diseases to re-emerge.
By administering more vaccines in developing countries, an entire community can be protected by herd immunity. Those most vulnerable to diseases (infants and the elderly) can be immune to certain diseases if more people around them receive vaccines.
In third world countries, governments spend $29 for each person’s health. In the U.S., the government spends $4,499. There is a clear need for vaccines in developing countries around the world, including a larger-scale project to improve coverage. Gavi’s next step in revolutionizing immunization is a five-year program to introduce sustainable health programs in low-income countries and to increase equitable use of vaccines. The U.S. has the power to spread the good message of vaccines, and someday, we can eradicate most major diseases all around the world.
– Katherine Desrosiers
Photo: Wikimedia
DREAMS Fights Against AIDS
Today, approximately 36.9 million people are living with HIV globally and 25 percent of that number do not even know their status. Of those millions, HIV infects about 1,000 young girls and women each day and accounts for 74 percent of new HIV infections among adolescents in sub-Saharan Africa. HIV/AIDS continues to be at the forefront of global public health issues in the world today and appears to be most prevalent in low and middle-income countries. However, the organization DREAMS fights against AIDS and initiatives like the United States President’s Emergency Plan for AIDS Relief (PEPFAR) is helping it accomplish its goals.
What is PEPFAR?
PEPFAR emerged in 2003 and has received strong support ever since, resulting in the United States becoming a global leader in the response to the HIV/AIDS epidemic and PEPFAR being a model for development programs around the world. PEPFAR has helped transform the response to HIV/AIDS by working with over 50 countries, as well as causing a significant decline in new HIV diagnoses among young girls and women through the DREAMS partnership.
The DREAMS Partnership
DREAMS is a public-private partnership between PEPFAR, the Bill and Melinda Gates Foundation, Girl Effect, Johnson & Johnson, Gilead Sciences and ViiV Healthcare to implement an ambitious HIV/AIDS reduction program. This initiative launched in 2014 on World AIDS Day and targets 10 African countries in which 65 percent have extremely high HIV rates, especially among young girls and women. This movement aims to support affected women, as well as prevent any further spreading of HIV/AIDS. It has resulted in the integration of DREAMS activities into the plans of the involved countries.
The DREAMS Impact
The DREAMS organization fights against AIDS in 10 countries including Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia and Zimbabwe. These countries’ populations account for more than half of all new HIV infections that occurred in young girls and women globally in 2015.
DREAMS’ plan consists of multiple solutions surrounding the main problem of the HIV/AIDS epidemic in the world. It delivers a package that combines evidence-based approaches addressing structural drivers that directly and indirectly increase the risk of HIV in girls, such as poverty, gender inequality, sexual violence and a lack of education. More specifically, this comprehensive package of interventions has four focus groups including educating girls and young women through a range of activities to prevent their risk of HIV and violence, targeting men and boys within the community for treatments, strengthening families through social protection programs and the implementation of parenting programs related to adolescent HIV risk and shifting norms to mobilize communities and change to prevent violence and the further spread of HIV/AIDS.
Currently, 80 percent of young girls and women ranging from 15 to 24 years old and living with HIV are in sub-Saharan Africa. By the end of 2016, new HIV incident recordings in young girls and women decreased by 25 percent in the hardest-hit countries and further reduced by 40 percent by the end of 2017.
The DREAMS Innovation Challenge
While DREAMS has made significant progress since its formation, HIV/AIDS is still infecting an alarming number of young girls and women every day. Fifty-five organizations won the DREAMS Innovation Challenge and are now implementing solutions in six main focus areas such as strengthening leadership and capacity of community-based organizations (such as nonprofit or grassroots organizations) to support the expansion of intervention, ensuring girls’ access and smooth transition into secondary school, creating new methods to engage men in HIV testing and counseling and treatments, supporting pre-exposure interventions, providing employment opportunities to young women to decrease their risk of exposure to HIV and increasing the availability and use of data to inform, increasing impact and further producing innovative solutions.
Selected solutions resulting from this challenge were those that introduced new innovations in the 10 countries where DREAMS fights against AIDS. It also offers sustainable, long-lasting solutions and countries can implement them rapidly within two years. More than 60 percent of the challenge winners are small, community-based organizations that not only received funding but also became new PEPFAR partners.
Continuing on its innovative path to preventing and reducing the spread of HIV/AIDS, PEPFAR recently announced its investment of nearly $2 billion to empower and support women and girls, with it channeling nearly $200 million through the DREAMS partnership. This will allow more girls to avoid contracting HIV at birth, keep more adolescents HIV free and support vulnerable women and children while treating HIV positive women. Additionally, the partnership has recently grown to provide more than $800 million to 15 African and Caribbean countries since its founding in 2015. PEPFAR has helped 2.4 million babies to be born HIV free from HIV-positive mothers and has saved about 17 million lives through its efforts as DREAMS fights against AIDS. Thankfully, this organization shows no sign of slowing down in the fight against HIV/AIDS for young girls and women around the world.
– Adya Khosla
Photo: Flickr
Top 10 Facts About Living Conditions in Papua New Guinea
With hundreds of ethnic groups indigenous to Papua New Guinea, the nation is made up of predominantly rural villages with their own languages. These top 10 facts about living conditions in Papua New Guinea gives an insight into what life in these communities is like.
Top 10 Facts About Living Conditions in Papua New Guinea
As Papua New Guinea strives to meet future Millennium Development Goals, there must be an improvement in the economy, education and healthcare. Attention must be focused on locals, preserving natural resources, and helping improve productivity within small businesses in order to improve overall living conditions in Papua New Guinea.
– Maura Byrne
Photo: Wikimedia Commons
7 Facts about Girls’ Education in Peru
Girls’ access to education is a topic that has rightfully garnered a lot of attention in recent years. With organizations such as Girl Rising, which began as a 2013 film documenting girls who faced obstacles in receiving education and has since become a renowned advocacy group, the circumstances prohibiting girls from receiving proper education have come under scrutiny. From societal pressures to financial hardships, there is a variety of reasons as to why millions of girls can’t reach their potential through education.
Like in many countries around the world, girls in Peru are at a disadvantage when it comes to their educational opportunities. While there are girls around the Western South American country who are able to complete primary and even secondary schooling, education beyond that is often not accessible, especially for girls in rural areas. The following seven facts about girls’ education in Peru explain how the girls in Peru are at a disadvantage for their education.
7 Facts about Girls’ Education in Peru
These seven facts about girls’ education in Peru highlight the setbacks many young girls face regarding their access to education. However, these facts also shed light on the progress made both in legislation and through organizations. Ultimately, despite the obstacles, more girls are slowly gaining the education they deserve.
– Emi Cormier
Photo: Flickr
Why Invest in Technology in Africa?
Tech Startups in Africa
The value that software and technology have added to the U.S. economy is undeniable. The tech industry in Africa has a promising future. Technology in Africa has grown the most in the startup world. There are two ways that startups and companies have specifically invested in African tech by providing supplements to improve education and agriculture. A variety of recent education startups under the category “edtech” have made news as they entered a Cape Town-based incubator called Injini. Three of the eight startups highlight recent technology in Africa to aid in education:
Impacts of Investing in Tech
In terms of agriculture, larger companies like Google have invested in tech that helps farmers in Africa. Using a product called TensorFlow, farmers can take photos of their plants to diagnose unhealthy or diseased crops. This product originated at Google’s tech-center in Accra, Ghana.
Investments in Africa have also occurred on a broader level. A variety of financial institutions, such as the CDC group from the United Kingdom and FinDev from Canada, have started an initiative called 2X Invest2Impact with a goal of reaching and empowering women-owned businesses. This initiative is partially due to the fact that Africa has the most women entrepreneurs of any country.
Grassroots and high-level initiatives are part of larger developments in Africa’s landscape. In countries like Rwanda, the population of educated people has jumped from 4,000 to 86,000 in just 20 years. Investing in technology in Africa means investing in the next level of growth in the tech industry and helping those in poverty gain access to educational opportunities.
– Luke Kwong
Photo: Flickr
Expanding Indigenous Health Care in Guatemala
Guatemala is currently experiencing an invisible health care crisis because people have not noticed the harmful effects of the lack of access to primary health care services for decades. Guatemala has a population of 16.91 million, with 60 percent of the population living below the national poverty line and 23 percent of the population living in extreme poverty. Fortunately, there are some nonprofit organizations attempting to improve health care in Guatemala.
Barriers to Indigenous Health Care in Guatemala
Access to health care in Guatemala is heavily reliant on environmental and socioeconomic factors. Indigenous populations, in particular, have the greatest difficulty accessing basic health care services. An estimated 40 percent of the population is indigenous and speaks indigenous languages such as Xincan and K’iche. Most health care providers in Guatemala speak Spanish, posing a communication barrier to administering health services.
Another barrier is that the majority of health care services are located in the capital, Guatemala City, making them geographically unreachable for many indigenous people. In order to receive adequate health care, indigenous people would have to take time off work, pay money out of pocket for transportation and travel many hours to the capital. This is unattainable for families who are already struggling to afford basic daily amenities such as food and clean water.
Cultural barriers also represent another hurdle in terms of health care access for indigenous people in Guatemala. Many indigenous communities have rigid cultural practices regarding health care and they feel that the national health care systems do not respect their traditions. Many would prefer to go to a local traditional healer who uses more holistic methods such as plant-based medicine and spiritual guidance. Sometimes this sort of natural-based health care suffices, but with more serious illnesses, traditional remedies do not always work and patients arrive at hospitals with untreated or advanced, serious illnesses.
Government Funding
According to Guatemala’s constitution, access to health care is a human right, however, lack of funding in rural areas excludes indigenous populations from this fundamental right. The Guatemalan government spends around $97 per person per year on public health care, dramatically less than the United States which spends $7,825. This means many local health care services are understaffed, lack proper supplies and are understocked. This has the greatest impact on indigenous people who cannot afford to go to expensive private hospitals and clinics.
Nonprofits and Foreign Aid Working to Expand Indigenous Health Care in Guatemala
Several groups are working to eliminate these barriers to health care access in Guatemala, particularly among the indigenous populations. The local nonprofit, Mayan Families, aims to provide “world-class care to patients free of charge, including primary care, health education, specialist referrals and all medications.”
The international nonprofit, ActionAid, has many regionally focused programs, specifically in Peten, which is home to many Q’echi people, an indigenous group that makes up about 6 percent of Guatemala‘s entire population. ActionAid worked with many local partners to train translators and hospital staff in Q’echi languages and culture so that hospitals could provide adequate health care to local indigenous populations.
USAID’s Health Finance and Governance (HFG) project aims to help improve health in developing countries and is working to increase access to health care in Guatemala. Experts from HFG conducted an assessment of health care in Guatemala and came up with a plan to help increase health care coverage. Its plan includes funding, increasing supplies and training specialists. This will help increase access to health care for indigenous people as more funding means cheaper health care services.
The lack of access to health care in Guatemala for indigenous people is not an unsolvable issue. An increase in attention to the issue has led to international organizations taking action. A combination of advocacy, donations and political actions can greatly improve the country’s current health care system, and increase the overall health of indigenous people in Guatemala.
– Laura Phillips-Alvarez
Photo: Flickr
10 Facts About Life Expectancy in Lesotho
For those living in the landlocked country of Lesotho, life is far shorter than it is in most of the world. Here are 10 facts about life expectancy in Lesotho that help reveal the reasons for its low life expectancy, as well as what the country has done and needs to do to improve the lives of those in Lesotho.
10 Facts About Life Expectancy in Lesotho
Lesotho is attempting to make the lives of the Basotho people better. Free primary education, enhanced feeding programs and efforts at improving the health sector bring new hope and promise for the country. Though Lesotho needs to do more to fully help its people, its people’s lives are slowly growing longer and their quality of life should continuously improve.
– Hannah Stewart
Photo: Flickr
Top 3 Poverty-Related Diseases
Every day, billions of individuals around the world suffer from diseases. To make matters worse, many of these individuals are mired in poverty with limited access to health care services. Reducing the negative impact that these diseases have on individuals in poverty starts with identifying which diseases are affecting the most people. Listed below are three diseases that are closely linked with individuals in poverty.
Top 3 Poverty-Related Diseases
Tuberculosis, or TB, is a disease that stems from the presence of bacteria in someone’s lungs. It is common in many poorer, more urban areas because it can spread quickly when individuals are in close contact with each other. TB killed over 1.5 million people in 2018 and infected 10 million individuals in total. The disease takes advantage of individuals who have weakened immune systems, which can happen to individuals who are malnourished or who are suffering from other diseases simultaneously. When an individual in poverty is diagnosed with TB, their options are limited. Treating TB is costly and many people cannot afford treatment. However, not all hope is lost. Organizations like the TB Alliance aim to produce more affordable TB treatment for individuals in poverty. The TB Alliance has already helped many individuals and is working to expand its operations in the coming years.
Malaria is a parasitic disease that is spread by the Anopheles mosquito. It accounts for roughly 435,000 deaths per year (affecting roughly 219 million people) and disproportionally affects individuals under the age of 5 (children under 5 accounted for over 60 percent of malaria deaths in 2017). One NGO that is leading the fight against Malaria is the Bill and Melinda Gates Foundation. They have partnered with the U.S. Government, the WHO and NGOs like the Global Fund to help protect individuals around the world from malaria-transmitting mosquitos. So far, their work has been beneficial, as the number of malaria cases has been reduced by half since 2000. However, there is still much work to be done, as malaria remains a deadly disease that negatively affects millions.
HIV is a virus that is transmitted through the exchange of bodily fluids. It affects nearly 37 million people worldwide every year, 62 percent of whom live in sub-Saharan Africa. HIV/AIDS (HIV is the virus that leads to AIDS) is common in countries where the population either does not have the knowledge or resources to practice safe sex. HIV can also spread in areas with poor sanitation, as individuals who use previously used needles can become infected with the virus. Many governments and NGOs around the world are doing good work to help stop the spread of HIV/AIDs. For example, in 2003, the U.S. Government launched The United States President’s Emergency Plan for AIDS Relief (PEPFAR) Initiative. The goal of this initiative was to address the global HIV/AIDS issue by helping those who already have the condition as well as by spearheading prevention efforts. Since the program was implemented, the results have been positive- the program is widely credited with having saved millions of lives over the last 16 years.
Each of these diseases negatively affects millions of individuals around the globe on a daily basis. Yet there is reason for optimism — continued work done by NGO’s such as the Bill and Melinda Gates Foundation, TB Alliance and The Global Fund, as well as efforts from governments to improve the current situation, will lead to a better future, hopefully, one where individuals no longer suffer from there poverty-related diseases.
– Chelsea Wolfe
Photo: Flickr
Understanding the Water Shortage in Chennai
Why Access to Water Matters
Water is an integral part of everyday life in Chennai. At least 85 percent of the area is directly dependent on rain to recharge its groundwater. Agriculture is a big part of Chennai’s ecosystem and economy. Rain provides water for irrigation and livestock. Healthy living is another result of easy access to clean water. Rain provides water for drinking, cooking, cleaning and other household needs.
Rainfall is collected, stored and treated in four main reservoirs: Chembarambakkam Lake, Redhills Lake, Poondi Lake and Cholavaram Lake. These bodies of water depend on seasonal rainfall to replenish water levels year after year. At capacity, Chembarmbakkam holds 3,645 million cubic feet (MCFT) of water, Redhills holds 3,330 MCFT, Poondi holds 3,231 MCFT and Cholavarm holds 1,081 MCFT.
Recent records show that combined, all four reservoirs are at 1.3 percent of total capacity. In May 2019, Chembarambakkam only held one MCFT of water, Redhills held 28 MCFT, Poondi held 118 MCFT and Cholavarm held four MCFT. The water shortage is impeding the city’s ability to produce food, creating severe food insecurity and exposing its residents to unsanitary living conditions.
Factors Driving Chennai’s Water Shortage
Various factors are contributing to the water shortage in Chennai. The most observable factor is the lack of rain. Typically, India’s monsoon rain season occurs between June and September. Similar to a hurricane or typhoon, monsoons bring torrential rains across India which replenish the region’s water supply. For the past couple of years, Chennai has experienced lower than normal rainfall. Even monsoon rain levels were recorded to be 44 percent lower than the average in June 2019.
Lower rainfall, combined with scorching temperatures, has created drought-like conditions in the area. To make matters worse, Chennai continues to grow water-guzzling crops like sugarcane, rice and wheat. With no improvements in sight, some Chennai residents have chosen to migrate out of the area to avoid the consequences of the impending water shortage.
Response to the Water Shortage in Chennai
City officials and residents are responding to Chennai’s water shortage and drought. Here are three ways Chennai is increasing and conserving its water levels:
The Chennai Metropolitan Water Supply and Sewerage Board continues to monitor India’s water situation.
– Paola Nuñez
Photo: Flickr
7 Facts About Poverty in Gaza
7 Facts about Poverty in Gaza
Hamas has governed the Gaza Strip since it orchestrated a coup d’état in 2007 Both the United States and the European Union label Hamas as a terrorist organization, This is due to its explicit acts of violence against Israel and its citizens. Meanwhile, the Hamas government has developed robust social and welfare programs in the Gaza Strip. Spending is between $50-70 million annually.
The next among these facts about poverty in Gaza is about its blockade. Since Hamas came to power, Israel and Egypt have enforced a land, air and sea blockade of Gaza, citing security concerns. The blockade has contributed to a struggling economy, a lack of clean drinking water, inadequate housing and severe food insecurity. According to the United Nations, “the blockade has undermined the living conditions in the coastal enclave and fragmented… its economic and social fabric.”
In a 2018 report, the World Bank said Gaza’s economy is in “free-fall.” The World Bank cites a combination of factors as the reason for a six percent decline in the territory’s GDP. While the decade-long blockade has done significant damage to the economy, recent cuts to international aid are placing additional strains on Gaza. Another contributing factor is that 52 percent of Gaza’s inhabitants are unemployed. Gaza has a youth unemployment rate of 66 percent.
In fact, 97 percent of Gaza’s freshwater is unsuitable for human consumption. Diarrhea, kidney disease, stunted growth and impaired IQ result from Gaza’s water crisis. Additionally, humanitarian groups warn that Gaza could become uninhabitable by 2020 due to shortages.
In 2018, the U.N. characterized 1.3 million people in the Gaza Strip as food insecure. This constitutes a 9 percent increase from 2014. The blockade prevents many goods from entering the territory. Further, it places strict limits on fishing activity, a major source of economic revenue. It also limits the availability to the equipment needed for construction, as Israel worries the equipment could be used for violence.
Demand for electricity far exceeds the supply. Likewise, the U.N. describes it as a chronic electricity deficit. From providing healthcare to desalinating water, poor access to electricity makes life more difficult in the Gaza Strip.
The United Nations has several arms at work, including the United Nations Relief and Works Agency (UNRWA) and the United Nations Development Programme (UNDP). The UNRWA provides education, health services and financial loans to refugees in the territory. The UNDP targets its assistance to decrease Gaza’s reliance on foreign aid.
Importance of Addressing Poverty in Gaza
These seven facts about poverty in Gaza provide some insight into the situation. However, addressing the region’s poverty proves to be a worthwhile pursuit. Poverty reduction can lead to greater stability. Furthermore, it can increase the chances for dialogue between Israel and Palestine. Overall, international cooperation and foreign aid have the potential to vastly improve the lives of the 1.8 million individuals in Gaza.
– Kyle Linder
Photo: Flickr
The Need for Immunizations: The Truth about Vaccines in Developing Countries
While this is an inspiring fact, the truth is that immunization rates in some developing countries are becoming stagnant.
The Plateau of Immunization Rates
The immunization rates of the vaccine for diphtheria, tetanus and pertussis (DTP) usually reflect the quality of the overall immunization coverage within a nation. In the last three years, the immunization rate for the third dose of DTP in Chad has remained at 55 percent. The immunization rate for DTP in Somalia has been about the same since 2009. Guinea, whose DTP immunization rates used to be around 70-80 percent 10 years ago, now has had a rate of 63 percent for the last four years.
This data is somewhat shocking, considering a global effort to prioritize vaccines began in 2000. The same year, Gavi, a global Vaccine Alliance, was created with the help of a $750 million donation from the Bill & Melinda Gates Foundation. Since 2011, Gavi has surpassed its own goals of decreasing child mortality, averting future deaths and increasing child immunization in the more than 60 countries that are Gavi-supported. In just five years, Gavi was able to provide vaccines to 34 million more children than what was anticipated, and the group began administering vaccines for pneumococcal and rotavirus one year ahead of schedule.
Maintaining the Vaccine Schedule
Nonetheless, groups like Gavi struggle to keep immunization active in developing countries after the child is no longer an infant. For example, the vaccine for human papillomavirus (HPV) is typically administered in two doses within 1-2 years for children above the age of nine. HPV can cause cancer, especially in those with weak immune systems, so it is important to time the vaccine administration effectively in order to be nearly 100 percent protected. Since there is no health plan that puts emphasis on older children, HPV becomes more of a threat in countries that do not enforce the strict vaccine schedule.
The World Health Organization has a plan to fix this. The Global Vaccine Action Plan (GVAP) is set to address health program expansion to include services beyond infancy by 2020. Ministers of Health from 194 countries agreed to support the GVAP, which includes nation-specific health program monitoring and strengthened leadership.
Negative Attitudes About Vaccines
Despite intervention from non-governmental groups, the plateau of immunization rates still exists. This may be due to negative attitudes towards vaccines in developing countries. The attitudes stem from the idea that vaccines are harmful or that the health workers are ingenuine. Citizens of three Nigeran states believed that the administration of the polio vaccine would spread AIDS in 2003, and in India, people believed that vaccines were a Western plot to instigate an undercover method of family planning to threaten Muslims. Researchers cite that a way to eliminate this anxiety is to take into account sociocultural behavior when implementing vaccine programs and to strengthen communication and advocacy in order to increase participation.
While negative attitudes towards vaccines contribute to plateauing immunization rates, the expensive price of vaccines may also be a contributing factor. In 2001, six vaccines from the World Health Organization cost less than $1. Now, 12 vaccines from the WHO cost up to $45.59. This can obtaining a vaccine for someone living in Madagascar extremely difficult – the monthly salary in Madagascar is $33.
Immunizations Eradicate Disease
By increasing immunization rates, diseases can begin to disappear. In the U.S., immunization rates in 2000 were at 91 percent for the measles, mumps and rubella vaccine, and the Center for Disease Control declared measles to be officially eradicated. Since then, diagnoses of measles have increased slightly among populations that are unvaccinated.
Despite these few diagnoses, the majority of the U.S. will never come in contact with measles. Dr. Jean Campaiola, hospital psychiatrist, describes this result as “herd immunity.” Herd immunity occurs when a certain percentage of the population receives the vaccine for a particular disease. For some diseases like measles, the percentage is at least 90-95, but for polio, the percentage is 80-85. This means that 20 percent of people could deny receiving the polio vaccine and still be protected from the disease because the remaining 80 percent were vaccinated.
“If this occurs rarely in a population, it’s not a big deal, but if it becomes more common, then previously eradicated diseases could make their way back into the general population,” says Dr. Campaiola. She said fears that the anti-vaccine attitude in the U.S. could cause previously eradicated diseases to re-emerge.
By administering more vaccines in developing countries, an entire community can be protected by herd immunity. Those most vulnerable to diseases (infants and the elderly) can be immune to certain diseases if more people around them receive vaccines.
In third world countries, governments spend $29 for each person’s health. In the U.S., the government spends $4,499. There is a clear need for vaccines in developing countries around the world, including a larger-scale project to improve coverage. Gavi’s next step in revolutionizing immunization is a five-year program to introduce sustainable health programs in low-income countries and to increase equitable use of vaccines. The U.S. has the power to spread the good message of vaccines, and someday, we can eradicate most major diseases all around the world.
– Katherine Desrosiers
Photo: Wikimedia