{"id":74574,"date":"2019-02-19T02:40:58","date_gmt":"2019-02-19T00:40:58","guid":{"rendered":"http:\/\/www.times.mw\/?p=74574"},"modified":"2019-02-19T02:40:58","modified_gmt":"2019-02-19T00:40:58","slug":"taking-vaccines-the-last-mile","status":"publish","type":"post","link":"https:\/\/archive.times.mw\/index.php\/2019\/02\/19\/taking-vaccines-the-last-mile\/","title":{"rendered":"Taking vaccines the last mile"},"content":{"rendered":"

By Radhika Batra: <\/em><\/strong><\/p>\n

\"\"<\/a>
CRUCIAL\u2014Vaccines<\/figcaption><\/figure>\n

A four-year-old girl recently came to the emergency room where I work as a resident doctor. She was writhing in pain, her body convulsed with seizures. My team and I moved fast to activate seizure protocol, secure her intravenous drip and deliver all appropriate medications. We then performed a test: I blew air toward her and she collapsed in pain; I offered her water and her agony intensified sharply. The diagnosis was clear: she had rabies \u2013 and it was too late to save her.<\/p>\n

The girl\u2019s family knew that a dog had bitten her, but they had been told that traditional herbs would heal her, so they had delayed taking her to the hospital. She died after less than a day in our care. Had her parents taken her to a hospital immediately for the anti-rabies serum and the appropriate vaccination \u2013 she would still be alive. Her grief-stricken mother\u2019s tormented screams still echo in my mind.<\/p>\n

As a resident doctor in paediatrics, I am no stranger to death. But watching an innocent child succumb to an ailment that is so easily prevented by a simple intervention takes a severe toll. After all, the little girl I watched die that day was hardly an anomaly.<\/p>\n

Despite significant progress on expanding global immunisation, the World Health Organisation (WHO) reports that coverage has stalled at about 85 percent in recent years. According to Unicef, nearly 20 million children under the age of one did not receive the three recommended doses of DPT\u2014 the vaccination for diphtheria, whooping cough, and tetanus\u2014in 2017 and nearly 21 million did not receive a single dose of measles vaccine. WHO estimates that 1.5 million deaths could be avoided each year if global immunisation coverage improved.<\/p>\n

Moreover, there have been persistent shortfalls in delivering vitamin A supplements \u2013 an important component of immunisation protocols, often administered alongside routine vaccines. This has contributed to blindness in 1.4 million people \u2013 75 percent of them in Asia and Africa.<\/p>\n

The story in my country, India, is consistent with this global reality. India has a strong health-care system. And in 1985, the government established the Universal Immunisation Plan \u2013 a much-acclaimed programme that aims to provide at least 85 percent coverage.<\/p>\n

Yet, according to Unicef, India\u2019s national average for immunisation stands at just 62 percent, with little progress having been made in recent years. India has more non-immunised children \u2013 7.4 million \u2013 than any other country.<\/p>\n

As is so often the case, immunisation coverage reflects deep inequities. Children in rural areas are less likely than their urban counterparts to have received a complete set of vaccinations; girls receive far fewer vaccines than boys; and poor children fare far worse than wealthier ones.<\/p>\n

The hospital where I work is located in the slums of Ghaziabad, India, which has a huge population of migrants who have left their villages in search of employment. Conditions are diff i c u l t : overcrowding, poor sanitation and an erratic and low-quality water supply undermine the health of all residents \u2013 especially the children. Substance abuse is rampant.<\/p>\n

In many cases, both parents must work long hours to make ends meet. They lack enough money for healthy and diverse foods, leaving their children eating primarily the lowest-quality rice. Unsurprisingly, they have little time or resources to dedicate to meeting their children\u2019s routine health-care needs, such as immunisation.<\/p>\n

This injustice is indefensible. It is only when we delve deep into the depths of truth do we realise the magnitude of atrocities in the world. Children falling ill, becoming disabled, or all too often dying from preventable causes is among humankind\u2019s most shameful failings, particularly when one considers that, according to the WHO, no single preventive health intervention is more cost-effective than immunisation.<\/p>\n

While expanding immunisation coverage is undoubtedly challenging, there is no excuse not to be making steady progress with low-cost, scalable and sustainable solutions. To take top-down immunisation schemes to the doorsteps of the disadvantaged, governments and civil society must work together to establish and expand efficient last-mile channels for vaccine delivery, accounting for barriers ranging from lack of awareness to out-of-pocket cost.<\/p>\n

Had she been vaccinated against rabies, that four-year-old girl could have lived, gone to school, made friends, fallen in love, experienced heartbreak, fallen in love again. She might even have decided to dedicate herself to studying to become a doctor like me. Instead, she died, having barely lived, in searing agony.<\/p>\n

Persistent gaps in vaccination coverage must be addressed on a war-like footing. Children will continue to suffer and die \u2013 and devastated mothers will continue to weep over them \u2013 unless we embrace the battle. If not, we shall continue to lose innocent lives and mothers will mourn loud and long. We cannot be blind to their plight any longer. We cannot turn a deaf ear to their laments. \u2013 Project Syndicate <\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

By Radhika Batra: A four-year-old girl recently came to the emergency room where I work as a resident doctor. She was writhing in pain, her body convulsed with seizures. My team and I moved fast to activate seizure protocol, secure her intravenous drip and deliver all appropriate medications. We then performed a test: I blew […]<\/p>\n","protected":false},"author":3,"featured_media":74579,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-74574","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/posts\/74574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/comments?post=74574"}],"version-history":[{"count":1,"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/posts\/74574\/revisions"}],"predecessor-version":[{"id":74580,"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/posts\/74574\/revisions\/74580"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/media\/74579"}],"wp:attachment":[{"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/media?parent=74574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/categories?post=74574"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/archive.times.mw\/index.php\/wp-json\/wp\/v2\/tags?post=74574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}