Pittsburgh Post-Gazette

Fight against kids’ diseases gets a boost

- By Jacqueline Charles

In Haiti, 69 children out of every 1,000 born alive die before their fifth birthdays. Many of those deaths are from diseases that are preventabl­e by vaccinatio­n.

Still, the country has one of the lowest immunizati­on rates — 58 percent — in the Western Hemisphere.

“You don’t really need bricks and mortar to immunize a child. You can immunize a child under a tree,” said Anuradha Gupta, deputy CEO of Gavi, the Vaccine Alliance. “It takes really very little.”

Worried about Haiti’s low immunizati­on coverage and high child mortality rate, Ms. Gupta will lead a three-day mission to Port-au-Prince Tuesday to push Haiti’s new government to increase its budget for immunizati­ons and health. Ms. Gupta will be joined by representa­tives from other health-financing donor groups including the Pan American Health Organizati­on/ World Health Organizati­on, UNICEF and the U.S. Agency for Internatio­nal Developmen­t.

Ms. Gupta hopes that with a doctor in charge of the government — the new prime minister, Jack Guy Lafontant, is a gastroente­rologist — Haitian leaders will recognize the importance of spending more of their meager resourceso­n health.

“The fact they have new leaders, new people at the helm of affairs –– this really gives us hope and optimism that we can have a renewed dialogue,” she said.

Gavi, a public-private internatio­nal group, has committed almost $50 million to Haiti until 2020 as part of its commitment to increase access to immunizati­ons in poor countries. Among the vaccines it has supported is the one for rotavirus, a deadly form of diarrhea, is among the. It has also supported several cholera vaccine campaigns since the deadly waterborne virus was introduced by United Nations troops 10 months after Haiti’s 2010 earthquake.

New commitment­s include a $20 million grant for health-systems strengthen­ing, and technical support for the next five years.

Despite the money already spent and various vaccinatio­n campaigns over the years in Haiti, a high number of children and infants die from major killers like diarrhea and pneumonia.

As a result of drops in routine immunizati­on coverage, for example, diphtheria­outbreaks have increased since 2014. There were 247 probable cases of the easily preventabl­e disease. Of them, 107 were lab-confirmed cases, with 39 deaths as of May. In the majority of cases, said Frederique Tissandier of Gavi, the vaccinatio­nstatus is unknown.

Although cases have spread to six of the 10 regional department­s, the Artibonite, Center and West department­s have beenthe most affected, Ms. Tissandier said, “which is not surprising as routine coverage in those three department­s show the highest numbers of (undervacci­nated) children for the sameperiod.”

Ms. Gupta said Gavi and its partners are seekinga “strong political commitment for a better performing immunizati­on program so that children actually benefit from lifesaving vaccines.” The group also wants to have “a constructi­ve and positive dialogue” with Dr. Lafontant and President Jovenel Moise, she said, on “stepped-up domestic investment­s.”

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