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Vaccines_The Week in Review_26 May 2012

Vaccines_The Week in Review_26 May 2012

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Published by davidrcurry
Vaccines: The Week in Review is a digest of global events, announcements and publications focused on vaccines and immunization.
Vaccines: The Week in Review is a digest of global events, announcements and publications focused on vaccines and immunization.

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Published by: davidrcurry on May 27, 2012
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Vaccines: The Week in Review26 May 2012Center for Vaccine Ethics & Policy (CVEP)
This weekly summary targets news, announcements, articles and events in global vaccines ethics and policy gathered from key governmental, NGO and industry sources, key journals and other sources. This summary supports ongoing initiatives of the Center for Vaccine Ethics & Policy, and is not intended to be exhaustive in its coverage. Vaccines: The Week in Review is also posted in pdf form and as a set of blog posts at http://centerforvaccineethicsandpolicy.wordpress.com/ . This blog allows full-text searching of some 2,500 entries..Comments and suggestions should be directed to David R. Curry, MS Editor and Executive Director Center for Vaccine Ethics & Policy 
[Editor’s Note: The 65th World Health Assembly concluded in Genevaearlier today. Full documentation from the WHA continues to be postedhere
Wehighlight just a few items of interest here sourced from the WHA Journaland Daily Notes, and will provide a fuller summary in our next issue]
Sixty-fifth World Health Assembly: daily notes on proceedings- Notes: Friday, 25 May 2012
Intensification of the global polio eradication initiative
Committee A today approved a draft resolution (EB130.R10) which declares thecompletion of poliomyelitis eradication a programmatic emergency for global publichealth. India was once again congratulated for stopping indigenous wild polioviruscirculation. However, three countries still face endemic transmission of wild polio virus;unless poliovirus transmission is stopped in these countries, there will be a globalresurgence of the disease with a real risk of severe outbreaks in areas that have longbeen polio-free. The approved resolution requires the full implementation of current andnew eradication strategies, the institution of strong national oversight and accountabilitymechanisms for all areas infected with poliovirus, and the application of appropriatevaccination recommendations for all travellers to and from areas infected withpoliovirus.Member States with poliovirus transmission are urged to declare such transmission to bea “national public health emergency”, requiring the development and full implementationof emergency action plans. Pakistan, Nigeria and Afghanistan have already establishednational emergency plans for polio eradication and shifted their national polioeradication initiatives to an emergency status, with an all-of-government and society
approach to ensure all children are reached and vaccinated. During the discussion,partners reiterated their support to the polio eradication initiative and the importance of treating polio eradication as a programmatic emergency, and urged all partners to befully committed in their action and their financing.http://www.who.int/mediacentre/events/2012/wha65/journal/en/index1.html
SIXTY-FIFTH WORLD HEALTH ASSEMBLY (Draft) A65/5526 May 2012Third report of Committee A
(Draft)Committee A held its eighth, ninth and tenth meetings on 25 May 2012. These meetingswere held under the chairmanship of Mr Herbert Barnard (Netherlands) and Dr ZangleyDukpa (Bhutan).It was decided to recommend to the Sixty-fifth World Health Agenda item 13.10
Poliomyelitis: intensification of the global eradication initiative
The Sixty-fifth World Health Assembly,- Having considered the report on poliomyelitis: intensification of the global eradicationinitiative;- Recalling resolution WHA61.1 on poliomyelitis: mechanism for management of potential risks to eradication, which, inter alia, requested the Director-General todevelop a new strategy to reinvigorate the fight to eradicate poliovirus and to developappropriate strategies for managing the long-term risks of reintroduction of poliovirusand re-emergence of poliomyelitis, including the eventual cessation of use of oralpoliovirus vaccine in routine immunization programmes;- Recognizing the need to make rapidly available the necessary financial resources toeradicate the remaining circulating polioviruses and to minimize the risks of reintroduction of poliovirus and reemergence of poliomyelitis after interruption of wildpoliovirus transmission;- Noting the finding by the Independent Monitoring Board of the Global Polio EradicationInitiative finding in its report of October 2011 that “polio simply will not be eradicatedunless it receives a higher priority – in many of the polio-affected countries, and acrossthe world”1 and its recommendation in its April 2011 report that the World Health Assembly “considers a resolution to declare the persistence of polio a global healthemergency”;- Noting the report of the meeting in November 2011 of the Strategic Advisory Group of Experts on immunization at which it stated “unequivocally that the risk of failure to finishglobal polio eradication constitutes a programmatic emergency of global proportions forpublic health and is not acceptable under any circumstances”;- Recognizing the need for Member States to engage all levels of political and civilsociety so as to ensure that all children are vaccinated in order to eradicatepoliomyelitis;- Having noted the current high cost and limited supplies of inactivated polio vaccinethat are hampering the introduction and scaling-up of inactivated polio vaccine, resultingin major programmatic and financial implications to developing countries;- Noting that the technical feasibility of poliovirus eradication has been proved throughthe full application of new strategic approaches;- Noting that continuing poliovirus transmission anywhere will continue to pose a risk to
poliomyelitis-free areas until such time as all poliovirus transmission is interruptedglobally;
1. DECLARES the completion of poliovirus eradication a programmaticemergency for global public health
, requiring the full implementation of currentand new eradication strategies, the institution of strong national oversight andaccountability mechanisms for all areas infected with poliovirus, and the application of appropriate vaccination recommendations for all travellers to and from areas infectedwith poliovirus;12. URGES Member States with poliovirus transmission to declare such transmission to bea “national public health emergency” making poliovirus eradication a national priorityprogramme, requiring the development and full implementation of emergency actionplans, to be updated every six months, until such time as poliovirus transmission hasbeen interrupted;3. URGES all Member States:(1) to eliminate the unimmunized areas and to maintain very high population immunityagainst polioviruses through routine immunization programmes and, where necessary,supplementary immunization activities;(2) to maintain vigilance for poliovirus importations, and the emergence of circulatingvaccine-derived polioviruses, by achieving and sustaining certification-standardsurveillance and regular risk assessment for polioviruses;(3) to make available urgently the financial resources required for the full and continuedimplementation, to the end of 2013, of the necessary strategic approaches to interruptwild poliovirus transmission globally, and to initiate planning for the financing to the endof 2018 of the polio endgame strategy;(4) to engage in multilateral and bilateral cooperation, including exchangingepidemiologic information, laboratory monitoring data, and carrying out supplementaryimmunization activities simultaneously as appropriate;4. REQUESTS the Director-General:(1) to plan for the renewed implementation through 2013 of the approaches foreradicating wild polioviruses outlined in the Global Polio Eradication Initiative StrategicPlan 2010–2012 and any new tactics that are deemed necessary to completeeradication, including the enhancement of the existing global polio eradication initiativewithin the Organization;(2) to strengthen accountability and monitoring mechanisms to ensure optimalimplementation of eradication strategies at all levels;(3) to undertake the development, scientific vetting, and rapid finalization of acomprehensive polio eradication and endgame strategy and inform Member States of the potential timing of a switch from trivalent to bivalent oral poliovirus vaccine for allroutine immunization programmes; and includes budget scenarios to the end of 2018that include risk management;(4) to coordinate with all relevant partners including vaccine manufacturers, to promotethe research, production and supply of vaccines, in particular inactivated polio vaccines,to enhance their affordability, effectiveness and accessibility;(5) to continue mobilizing and deploying the necessary financial and human resourcesfor the strategic approaches required through 2013 for wild poliovirus eradication, andfor the eventual implementation of a polio endgame strategy to the end of 2018;(6) to report to the Sixty-sixth World Health Assembly and the subsequent two Health Assemblies, through the Executive Board, on progress in implementing this resolution.

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