scholarly journals National Routine Adult Immunization Programs among World Health Organization Member States: An Assessment of Health Systems to Deploy Future SARS-CoV-2 Vaccines

2020 ◽  
Author(s):  
Sarah R. Williams ◽  
Amanda J. Driscoll ◽  
Hanna M. LeBuhn ◽  
Wilbur H. Chen ◽  
Kathleen M. Neuzil ◽  
...  

Author(s):  
Caio Assunção Torres ◽  
Vanessa Jamille Mesquita Xavier ◽  
Flávio José Craveiro Cunto

Road deaths phenomenon suggests the development of studies that consider the complex causal relationship between the factors that influence it at the compatible level with the definition of road safety policies. This paper analyzes the influence of 48 road safety performance indicators on the mortality rate of 175 World Health Organization Member States in 2016. Structural equation models were proposed to evaluate the proposition and use of latent variables that represent five major road safety policy areas and the influence on mortality rates. The proposed model structure indicated that management has a strategic role in public policies, having an indirect influence on reducing the mortality rate through safe vehicles, user safety, and safe roads and mobility. The results indicated that policies aimed at encouraging users’ safe behavior were the ones that had the greatest influence in reducing road deaths followed by policies in safer vehicles, road safety management, safer roads and mobility, and post-crash response.



2020 ◽  
Author(s):  
Sarah R. Williams ◽  
Amanda J. Driscoll ◽  
Hanna M. LeBuhn ◽  
Wilbur H. Chen ◽  
Kathleen M. Neuzil ◽  
...  

ABSTRACTIntroductionAs the SARS-CoV-2 pandemic disproportionately affects older adults, future pandemic vaccine response will rely on existing adult immunization infrastructures.MethodsWe evaluated the 2018 WHO/UNICEF Joint Reporting Form on Immunization for country reports on adult immunization programs. We described countries with programs and used multivariable regression to identify independent factors associated with having them.ResultsOf 194 WHO Member States, 120 (62%) reported having any adult vaccination program. The Americas and Europe had the most adult immunization programs, most commonly Hepatitis B and influenza vaccines (>45% and >90% of countries). Africa and South-East Asia had the fewest adult immunization programs, with <11% of countries reporting any adult immunization programs for influenza or hepatitis vaccines, and none for pneumococcal vaccines. In bivariate analyses, high- or upper-middle income, introduction of new or underused vaccines, having achieved pediatric vaccine coverage goals, and meeting National Immunization Technical Advisory Groups basic functional indicators were significantly associated (p<0.001) with having any adult immunization programs. In multivariable analyses, the factor most strongly associated with adult immunization programs was country income, with high- or upper-middle income countries significantly more likely to report having a program (aOR 19.3, 95% CI 6.5, 57.7).DiscussionThat 38% of countries lack functional platforms for adult immunization has major implications for future SARS-CoV-2 vaccine deployment. Systems for vaccine storage and handling, delivery, and waste management for adult immunization do not exist in much of the world. Developing countries should strengthen immunization programs to reach adults with SARS-CoV-2 vaccines when they become available.



Author(s):  
SaurabhRamBihariLal Shrivastava ◽  
PrateekSaurabh Shrivastava ◽  
Jegadeesh Ramasamy


2005 ◽  
Vol 20 (6) ◽  
pp. 428-431
Author(s):  
Bjorn Melgaard ◽  
Maria Cristina Profili ◽  
Peter Heimann ◽  
Aryono Pusponegoro ◽  
Edward O'Rourke ◽  
...  

AbstractThis is a summary of the presentations and discussion of Panel 2.9, Repair and Recovery of Health Systemsof the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04–06 May 2005. The topics discussed included issues related to the repair and recovery of health systems as pertain to the damage created by the Tsunami. It is presented in the following major sections: (1) needs assessment; (2) coordination; (3) filling gaps; (4) capacity building; (5) what was done well, and what should have been done better; (6) lessons learned; and (7) recommendations. Recommendations included: (1) how to make health systems better prepared for coping with disasters; and (2) how to support preparedness in local communities.



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