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Typhoid Conjugate Vaccine drive begins in Sindh

Discussion in 'Social & Current Events' started by Valar., Nov 19, 2019.

  1. Valar.

    Valar. SENIOR MEMBER

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    Typhoid Conjugate Vaccine drive begins in Sindh
    Web Desk On Nov 19, 2019
    [​IMG]
    KARACHI: A two-week Typhoid Conjugate Vaccine drive against Extensively Drug-Resistant begins across Sindh on Monday.

    According to Radio Pakistan, over 10 million children, aged between nine months to fifteen years, will be vaccinated during the drive.

    The immunization campaign, using a newly-developed shot designed to prevent typhoid fever infection for up to five years, starts in the Sindh province and is targeted at children between 9 months and 15 years old, officials said.

    By 2021, it will become a nationwide program and part of routine child vaccination schedules.

    “Beginning the vaccination in urban areas is critical in preventing the disease among the communities most at risk,” Azra Fazal Pechuho, Sindh’s provincial minister for health, said in a statement. Typhoid also disproportionately affects children.

    Typhoid is caused by Salmonella Typhi bacteria and spreads through contaminated food and water. It causes fever, nausea, stomach pain and pink spots on the chest, and in severe cases can lead to complications in the gut and head that can be fatal.

    A Global Burden of Disease study by the U.S. Institute for Health Metrics and Evaluation estimates that in 2017 there were 11 million typhoid cases and 116,000 typhoid deaths worldwide.

    The typhoid outbreak in Pakistan is caused by a bacterial strain that has evolved extensive drug resistance and become a so-called “superbug”. It started in 2016 and has so far infected around 11,000 people, with a death rate of around 1%.

    https://arynews.tv/en/typhoid-conjugate-vaccine-drive-begins-in-sindh/
     
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  2. Valar.

    Valar. SENIOR MEMBER

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    World’s first vaccine campaign against XDR typhoid begins in Sindh
    Dr Taneer Ahmed
    November 16, 2019

    [​IMG]
    The federal government, Sindh health department and international donor agencies inaugurated the world’s first immunisation campaign to protect children against extremely drug-resistant typhoid in Sindh.

    The campaign was initiated after more than 10,000 people in the province contracted the disease, with the majority being children under the age of 15. The drug-resistant typhoid strain had also spread to other parts of the world because of Pakistan.

    “When the history of those who got XDR typhoid around the world was tracked, it revealed that they travelled to Pakistan,” said Dr Zafar Mirza, special assistant to the prime minister on health, at the launching ceremony on Friday.

    “We had exported the strain to seven other countries. Since we are a signatory to the International Health Regulations, it is compulsory for us to fulfill our global health responsibilities.”

    Dr Mirza said the need for the typhoid conjugate vaccine was the most urgent in Sindh following which the vaccine will be rolled out in Punjab and other provinces.

    “It will become the 11th vaccine in EPI’s routine immunisations in Sindh from January 1, 2020,” said Dr Arshad Chandio, national programme manager of the Expanded Programme on Immunisation. “In routine immunisation it will be given to children with the measles vaccine at the age of nine months.”

    The ambitious campaign

    More than 8,000 vaccination teams will be working on ground, Dr Akram Sultan, the programme director for EPI Sindh, told the audience.

    The teams will include 15,120 social mobilisers, 1,428 first level supervisors, 425 second level supervisors, 462 AEFI (adverse event following immunisation) doctors, vaccinators, nurses, medical officers, paramedical staff, private doctors, lady health workers and NGO workers. They will cover 937 fixed sites and 6,992 outreach sites.

    “We’re ready to go on with the campaign,” said Dr Azra Pechuho, Sindh’s minister for health and population welfare. “We’ve interacted with schools and madrassas to reach school-going children. We’re also targeting out-of-school children.”

    The need for a special typhoid vaccine

    Back in 2017, there were 515,914 typhoid cases reported in Pakistan. Sixty-three per cent of the cases and 70% of typhoid deaths were among children under 15 years of age.

    The need for a preventive vaccine that targeted typhoid and its dangerous extremely drug-resistant strain was urgently felt, Dr Mirza said, adding that Dr Pechuho had been instrumental in introducing the new vaccine in Sindh.

    “Typhoid is a highly contagious disease that spreads more quickly and easily when people live in crowded neighbourhoods with weak water and sanitation infrastructure. Beginning the vaccination in urban areas is critical in preventing the disease among the communities most at risk,” Dr Pechuho said.

    Dr Mirza also conceded that the country’s public health infrastructure was weak and with no work done on prevention, extremely drug-resistant diseases were beginning to spread.

    The vaccine

    The typhoid conjugate vaccine (TCV) is a safe, one-dose vaccine, injected usually in the arm and expected to provide long-lasting immunity in adults, children, and infants older than nine months of age.

    This campaign, however, is only targeting children between the ages of nine months and 15 years.

    The World Health Organization has recommended the use of the vaccine along with focusing on integrated preventive measures such as improvements in safe water, sanitation and hygiene.

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    https://www.samaa.tv/living/health/...campaign-against-xdr-typhoid-begins-in-sindh/

    __________________________________________

    PM’s assistant launches drive against XDR typhoid in Sindh


    Special Assistant to Prime Minister for Health Dr Zafar Mirza on Friday inaugurated a Typhoid Conjugated Vaccine (TCV) campaign against the extensively drug-resistant (XDR) bug in Sindh, claiming that Pakistan would be the first country to vaccinate such a large number of children against the waterborne disease after it was exported to seven countries of the world.

    “Cases of XDR typhoid were detected in seven countries of the world and case investigations tracked them back to Sindh and Punjab, where this strain of extensively drug resistant typhoid is present.

    Under international obligations, we have to take measures to contain this outbreak,” he said while speaking at the inaugural ceremony of the TCV vaccination at a hotel in Karachi. On the occasion, three children under the age of 15 were given TCV shots at a ceremony, which was also attended by provincial health minister Dr Azra Pechuho, National Coordinator EOC Islamabad Dr Rana Muhammad Safdar, National EPI official Dr Arshad Chandio, Rehan Baloch, and a large number of paediatricians and health officials.

    The prime minister’s special assistant praised the Sindh health minister for planning to vaccinate over 10.1 million children against XDR typhoid in the province and called for adopting a broader health approach to contain the outbreaks of blood-borne and waterborne diseases in the country.

    “Vaccination can only help us to contain the outbreak, but we need to improve the water and sanitation conditions to prevent waterborne diseases, including typhoid, as well as polio in the country,” he observed.

    AKU symposium

    Later, speaking at the 22nd annual National Health Sciences Research Symposium of the Aga Khan University in Karachi, Dr Zafar Mirza expressed his government’s commitment to work with the provinces and public and private key stakeholders on the implementation of the National Action Plan for Anti Microbial Resistance (AMR).

    The theme of the three-day symposium is ‘Antimicrobial resistance: an opportunity to transform global health’. He maintained that in order to prevent any further outbreak of HIV like in Ratodero, they had decided to introduce auto-lock syringes in the country after international experts blamed unsafe injection practices and poor infection control for the spread of HIV among children there.

    National and international experts attending the symposium said that up to 95 per cent of the population of Pakistan could be carrying bacteria that makes them resistant to life-saving antibiotics, adding that antimicrobial resistance happens when microorganisms, such as bacteria, fungi, viruses and parasites change when they are exposed to antimicrobial drugs.

    Microorganisms that develop AMR are sometimes referred to as ‘superbugs’. As a result, the medicines become ineffective and infections persist in the body, increasing the risk of spread to others.

    A recent UN report warned that the threat of AMR can be a global health crisis that could lead to 10 million deaths every year by 2050. Pakistan is the sixth most populous country in the world, and it is expected to rise to fourth place by 2050.

    If not managed timely, AMR may lead to a “health emergency-like situation” that might have implications for the country’s health system as well as economy, they said. Antibiotics have been a founding stone of modern medicine. Use of antimicrobials has enabled the implementation of novel treatment modalities such as cardiac bypass surgeries, joint replacements and bone marrow transplants. Management of infectious complications would not have been possible without antibiotics.

    The spread of resistant bugs is now taking us back in the pre-antibiotic era where advance medical interventions may become compromised, said Rumina Hasan, a professor of microbiology at the AKU and chair of the 22nd NHSRS organising committee.

    “Antimicrobials have also been instrumental in the control of infections in farm animals and in crops, allowing an increase in agricultural output and providing food security. Emergence of antimicrobial resistance threatens this progress,” she added.

    Realising that AMR puts the gains of the Millennium Development Goals at risk and jeopardises achieving the Sustainable Development Goals, WHO-instituted a global action plan to tackle AMR in the 68th World Health Assembly in 2015, which was endorsed by all countries, including Pakistan.

    “The misuse and overuse of antimicrobial medicines is fueling resistance worldwide and the Eastern Mediterranean Region is no exception. Drug-resistant infections are estimated to cause at least 700,000 deaths globally each year,” said Maha Talaat, WHO EMRO regional coordinator for infection prevention and control, and the keynote speaker. “Implementation of AMR surveillance, hospital infection prevention and control, and antimicrobial stewardship are extremely important measures to curtail the spread of resistant bugs.”

    “Although AMR is a global problem, estimates suggest that 89 per cent of deaths related to AMR in 2050 will occur in Africa and Asia. The UK government has set up the Fleming Fund to provide the much needed resources to better understand and address AMR. Such Coordinated global actions are required to minimise the emergence and spread of AMR,” said Anthony Huszar, South East Asia Regional Coordinator, Fleming Fund, and the keynote speaker.

    AKU President Firoz Rasul, deans Adil Haider and David Arthur, and interim CEO of the Aga Khan University Hospital Shagufta Hassan also addressed the symposium and applauded the organisers and participants for highlighting the issue of AMR.

    The NHSRS is the AKU’s annual flagship event that focuses on a health sciences topic relevant to Pakistan and the region. The second and third days of the symposium will cover discussions on animal AMR, antimicrobial use surveillance, food safety, control of antibiotics quality in Pakistan, ‘Ignite’ and several other sessions.

    https://www.thenews.com.pk/print/569419-pm-s-assistant-launches-drive-against-xdr-typhoid-in-sindh
     
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  3. Basel

    Basel ELITE MEMBER

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    IMG-20191119-WA0011.jpg IMG-20191119-WA0013.jpg IMG-20191119-WA0013.jpg
     
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  4. Valar.

    Valar. SENIOR MEMBER

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    @VCheng , you doctor? Any comments?
     
  5. VCheng

    VCheng ELITE MEMBER

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    Comments about what?
     
  6. Valar.

    Valar. SENIOR MEMBER

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    The thread and the screenshot claiming kids from school are not feeling well due to typhoid shots.
     
  7. VCheng

    VCheng ELITE MEMBER

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    The issue of oro-fecally transmitted diseases such as typhoid will take much more than vaccination to resolve, as will the abuse of antibiotics leading to resistant strains. The claims attributed to the children do not have enough information for me to be able to comment.
     
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  8. Valar.

    Valar. SENIOR MEMBER

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    Typhoid vaccination: several children got ill in Karachi after getting injected
    [​IMG]
    By Rao Afnan – Reporter

    18th November, 2019
    [​IMG] Health

    Karachi: Children illness case is reported at school in Orangi Town during a typhoid vaccination campaign, several children were admitted to hospital after vaccination

    According to police sources, several children went ill just after the vaccination at school, school administration rushed towards a local hospital.

    SSP Shaukat Kathian told media that children were transferred to a private hospital, six children have been discharged after treatment but rest are still admitted in the hospital.

    He also said, affected children complained about abdominal pain just after the typhoid vaccination was done, but higher medical authorities refused to accept it as cause of illness.

    Mean while, Director National Institute of child health (NICH) Dr. Jamal Raza said while commented on the case, there is no side effects of typhoid vaccination reported yet and it is being used after the approval of world health organisation.

    Pakistan becomes first country to introduce new typhoid vaccine
    he urged citizens, not to pay attention on rumors and make sure that each child should be vaccinated, as the modern day typhoid is not curable and early vaccination is the only cure.

    it is to remember that there were more than one thousand cases of deaths due to typhoid, which was named as super bug, were reported in 2017. It was highest death toll in the world.

    After the typhoid out break, Government of Pakistan started a vaccination drive, once a modern day vaccine named TCV become available in market after the approval of WHO.

    [​IMG]
    Atta Ur Rehman Khan
    Web Editor & Columnist, BOL News conributed to the story
    https://www.bolnews.com/health/2019/11/typhoid-vaccination-several-children-got-ill-in-karachi/


    _________________________________________________



    Typhoid vaccine is completely safe: Sindh health department
    Dr Taneer Ahmed
    48 mins ago

    [​IMG]
    Health workers inject the typhoid vaccine during an immunisation drive after an increase in the number of typhoid cases reported in Hyderabad. Photo: Online

    The drive to vaccinate children against typhoid is in full swing in Sindh but it has already been marred by false rumours about adverse reactions to the vaccine.

    Soon after the campaign started on Monday there were reports of school children from Karachi’s Orangi Town being hospitalised after reacting to the vaccine.

    The children were all students of White House Grammar School from Block L, Orangi Town.

    The project director of Sindh’s expanded programme of immunisation, Dr Akram Sultan, who is also spearheading the typhoid conjugate vaccine (TCV) campaign, told SAMAA Digital that all of the affected children are stable and have been discharged.

    He added that the children had panicked after seeing other children getting injected. Some had become dizzy and fainted.

    “Around 24 kids were referred from one school to the hospital. This school is already a polio refusal school. Its staff and principal beat up doctors. There has been no negative reaction in all of Sindh. Why only in this school?” Dr Sultan said indignantly.

    He said the vaccine was safe and necessary, and side effects, if any, were limited to pain and swelling at the injection site and fever.

    The doctor who had received the children at Al Khidmat Hospital in Orangi said they were brought in with various symptoms.

    “Seven children were given first aid treatment and discharged immediately. But some of them were more serious. They were referred to NICH, AKU, Abbasi Shaheed and Qatar Hospital since we don’t have an ICU here,” Dr Rooh Ul Amin told SAMAA Digital.

    He claimed some of the children had chest congestion, body pain, rashes, pain at the injection site and vomiting. Dr Amin confirmed that those shifted to Qatar Hospital had been discharged Monday night and were stable.

    A distressing environment had been created at the hospital on Monday, Dr Amin said. The district health officer, officials of the Sindh Healthcare Commission and Sindh Assembly members had all been summoned by him.

    The Sindh health department has reiterated that the TCV vaccine is safe and adverse events are being monitored by the vaccination teams.

    “I just had a meeting with the Karachi Commissioner. Everyone from WHO Islamabad, international experts, private schools representatives to the health department were present,” said Dr Sultan.

    Specialists were monitoring the situation at all levels: union council, district and provincial. Paediatricians from the private and public sector in Sindh were also on board, Dr Sultan added, and they had the medical records of patients from all hospitals.

    He said the vaccine was safe enough to be given to pregnant women and his own children had received it as well.

    The day the campaign was inaugurated, some health experts, including Dr Khalid Shafi, associate professor at Dow Medical University and general secretary of the Pakistan Paediatrics Association Sindh, had vaccinated their children against it.

    In a video message released on Tuesday, Dr Shafi urged parents to not believe false rumours and get their children vaccinated.

    “I would like to reassure parents that this vaccine is completely safe. It has no serious side effects. When some children see the vaccine they panic which has been misconstrued and wrongly presented.”

    The typhoid conjugate vaccine is WHO certified and recommended for children over six months of age in places where there is a disease outbreak.

    “This vaccine is pre-qualified by WHO which means that its production is rigorously monitored by WHO,” Dr Palitha Mahipala, country representative of the World Health Organisation, said in an audio message to the public.

    “TCV is recommended for use because it’s safe and effective in granting protection. Moreover, TCV was used in different countries in the world including Pakistan and proved its safety.”

    Follow SAMAA English on Facebook, Twitter, and Instagram.

    https://www.samaa.tv/living/health/...e-is-completely-safe-sindh-health-department/
     
  9. VCheng

    VCheng ELITE MEMBER

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    Abdominal pain after vaccination is a known side-effect in up to 10% of patients.
     
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  10. Valar.

    Valar. SENIOR MEMBER

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    WHO, Unicef and Pakistani experts declare new typhoid vaccine ‘very safe’

    [​IMG]

    As a mass vaccination drive against extensively drug-resistant (XDR) typhoid started in Karachi and other parts of Sindh on Monday, the World Health Organisation (WHO), Unicef and Pakistani child specialists and doctors said the newly-introduced vaccine was fully safe and would prevent children from nine months to 15 years of age from typhoid, which has emerged as major health issue in the province.

    “TCV [Typhoid Conjugate Vaccine) is very safe vaccine and no serious adverse events were observed after its administration. This vaccine is pre-qualified by the World Health Organisation, which means that its production is rigorously monitored by WHO. TCV is recommended for use by WHO because it’s safe and effective in granting the protection [against XDR typhoid],” said Dr Palitha Gunarathna Mahipala, WHO representative in Pakistan, in a message to The News on Monday.

    Dr Mahipala said: “Moreover, TCV was used in different countries in the world, including Pakistan, and proved its safety.”

    Unicef officials as well as other international donor agencies also urged the parents to get their children vaccinated against typhoid through the vaccine, saying this would provide protection to their children against the disease for many years.

    At the same time, Pakistani health officials and renowned paediatricians urged the parents in Karachi and the rest of Sindh to grab the opportunity and get their children vaccinated against typhoid, saying the vaccine was being imported with millions of dollars but it was being administered to children free of charge by the authorities.

    “Typhoid Conjugate Vaccine is an absolutely safe vaccine which was earlier injected to hundreds of thousands of children in Hyderabad and later in Lyari by the Aga Khan University experts, and not a single child faced any adverse reaction. Instead of listening to rumours, parents should get their children vaccinated against the lethal waterborne disease,” said Prof Dr Jamal Raza, director of the National Institute of Child Health (NICH), while talking to The News.

    Pakistan is the first country that has planned to vaccinate over 10.1 million children in Sindh, including 5.2 million children in 192 union councils of Karachi. The decision came after over 13,700 cases of XDR typhoid were reported in Karachi and Hyderabad, compelling the health authorities in Pakistan to plan a massive vaccination campaign in the province to contain the spread of the deadly, drug-resistant typhoid.

    Health officials said around 10.1 million children from nine months to 15 years to be vaccinated in 462 union councils across Sindh. Out of these, 5.2 million children would be vaccinated in 192 UCs of Karachi, adding that a total of 930 fixed site teams, 6,992 outreach site teams and 15,000 social mobilisers are taking part in this campaign in the province.

    Prof Jamal Raza maintained that no child had an adverse reaction due to the TCV vaccine, saying it was normal for children to get scared watching their peers receiving injections.

    “Typhoid Conjugate Vaccine is a safe and tested vaccine. Children don’t faint because of vaccination. All children who were given the TCV are stable,” he assured parents and said media should encourage all parents to vaccinate their children.

    Prof Khalid Shafi, vice president of the Pakistan Pediatric Association (PPA) and an eminent pediatrician, also urged the parents not to pay attention to the rumours and get their children vaccinated when teams came to their homes or schools for vaccination, saying this vaccine had already been used in other parts of the province, including Hyderabad and Lyari, where hundreds of thousands of children were protected against typhoid through this vaccine.

    “On Friday, when this vaccination campaign was launched in Sindh, my daughter was the first child, who got the TCV shot in her arm and some other children, who were sons and daughters of other health officials were also vaccinated. This was just to show to the parents that this vaccinate is extremely safe and effective.”

    Earlier on Monday, about a dozen children had reportedly fainted in a private school after receiving TCV vaccination shots, who were taken to a nearby private health facility and were sent home after given first aid. However, panic gripped parents in the country after this minor incident was highlighted by a section of the electronic and print media as a major health fiasco.

    https://www.thenews.com.pk/print/57...experts-declare-new-typhoid-vaccine-very-safe
     
  11. Valar.

    Valar. SENIOR MEMBER

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    Typhoid vaccination drive extended till Dec 7 in Sindh
    By Our Correspondent
    Published: December 1, 2019
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    [​IMG]
    PHOTO: FILE

    KARACHI: The Typhoid Conjugate Vaccination campaign has been extended till December 7 in Sindh to cover a higher percentage of children in the province. The decision was taken during a meeting held at Sindh Emergency Operation Centre (EOC) on Saturday.

    Speaking on the occasion, Sindh EOC Project Director Dr Akram Sultan expressed gratitude towards the teams participating in the campaign and stated that anti-typhoid vaccine has been administered to nine million children in Sindh during 12 days of the campaign, which began on November 18.

    “The campaign has successfully achieved 90% of its set target,” he said, and thanked Pakistan Paediatric Association’s Sindh branch as well as the media for their cooperation in running and promoting the campaign. He said that more children will benefit if the duration of the campaign is extended.

    Besides extending the duration of the campaign across Sindh till December 7, “the vaccination teams will visit different schools and hospitals of Karachi from December 2 to December 17,” said Sultan. The vaccination drive will also be carried out at all Expanded Program on Immunization (EPI) Centres of Karachi.

    The campaign was originally planned to last from November 18 to November 30, aimed at vaccinating 10 million children aged between 3 months and 15 years.

    Published in The Express Tribune, December 1st, 2019.

    https://tribune.com.pk/story/2109638/1-typhoid-vaccination-drive-extended-till-dec-7-sindh/