India continues to have the highest burden of pneumonia and diarrhea in children's deaths in the world, with 158,176 pneumonia and 102,813 deaths due to diarrhea in 2016, according to the Progress Report of Pneumonia and Diarrhea from the International Access Center for Vaccines (IVAC).
The report found that health systems fell "unfortunately short" to ensure that vulnerable children have access to prevention and treatment services in 15 countries, including India, representing 70% of mortality due to global pneumonia and diarrhea in children under five years old.
In spite of the significant reduction of the diseases in the last years due to improvements in the access and use of the sanitary interventions, almost two million deaths by pneumonia and diarrhea have still taken place in two countries: India and Nigeria.
The number of deaths of children under five years of pneumonia in 2016 was 1.58176, while deaths from diarrhea were 1,02,813, according to the report.
Launched before the tenth annual annual World Pneumonia on November 12, at Johns Hopkins Bloomberg School of Public Health, describes progress in the fight against these two diseases in 15 countries.
According to the report, the 15 nations with the highest number of deaths due to pneumonia and childhood diarrhea are India, Nigeria, Pakistan, Democratic Republic of the Congo, Ethiopia, Chad, Angola, Somalia, Indonesia, Tanzania, China, Niger, Bangladesh. , Uganda and Côte d 'Ivoire.
Drawing on the coverage of RotaC, it said that as of 2017, the vaccine against rotavirus was not introduced in eight of the 15 central nations: Nigeria, Democratic Republic of the Congo, Chad, Somalia, Indonesia, China, Bangladesh and Uganda.
Of the seven countries where the rotavirus vaccine was introduced, the median coverage of the complete rotavirus vaccine is 58%. "Among the countries that introduced the vaccine from 2017, the lowest coverage levels were in Pakistan (12%) and India (13%), which recently started international phase-outs that have not yet reached all states or provinces, "said the report.
He worked on progress in India, the home of more deaths of pneumonia and diarrhea under five years than any other country in 2016, was "mixed," he said. Increasing the coverage of Haemophilus influenzae type b (Hib) vaccines, as well as the continued increase in rotavirus vaccines introduced in mid-2016, have caused a scoring risk for these interventions since last year's report.
"Introduced in 2017, the pneumococcal conjugate vaccine (PCV) was included in only six updated states. Consideration should be given to increased vaccine scaling for all states," said the report, which analyzed government data.
He also pointed out that India's ratings for exclusive breastfeeding declined as ORS coverage. "The proportion of children who receive important treatments remains very low, with only 20 percent receiving ORS for diarrheal diseases," he said.
"Progress in preventing child deaths is being hampered by persistent inequities in countries around the world," said Kate Ellie, MD, MPH, professor at the Department of International Health at Bloomberg School and executive director of IVAC. "Facing these inequalities requires higher levels of funding, strong political commitment, sustained responsibility for better data and a coordinated global effort that prioritizes the most vulnerable," he added.
The report found that, although countries are progressing towards improved vaccine coverage, they are seriously detrimental in efforts to treat childhood diseases, especially among remote, impoverished or other populations.