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VACCINATIONS Agis Terzidis, Paediatrician Spyridon Gialamas, Medical Doctor SEMINAR ON TROPICAL AND TRAVEL MEDICINE AT TTCIH Athens University Medical School IFAKARA 1 JULY 2009
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IMMUNIZATION - VACCINATION….A LONG STORY One of the most effective «weapons» in medicine 10th century in Central Asia Smallpox Africa - Europe 1798 Edward Jenner immunizes first time against smallpox 1885 Louis Pasteur prepares the 1st vaccine against Rabbies 1927 BCG (bacillus Galmette-Guerin) 1955 Salk vaccine against poliomyelitis 1960 MMR….. HPV vaccine
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SUCCESFULL VACCINATION PROJECTS SMALLPOX Vaccination WHO ( 1967 - 1977 ) Last naturally acquired case SOMALIA 1977 1978 last death Global eradication 1979
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MORE THAN 2.300.000 LIFES SAVED DUE TO GLOBAL VACCINATION PROJECTS CONDUCTED BY WHO IN 2003
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VACCINATION PROJECTS A CONTINIOUS EFFORT «GLOBALISATION INCREASED THE POSSIBILITY OF AN EPIDEMIC AND NOW MORE THAN EVER NATIONS SHOULD COOPERATE FOR THE ERRADICATION OF THE PREVENTABLE DISEASES» Dr LEE John-wook Ms Ann M.Veneman General Director, WHO Executive Director, UNICEF 2005, Global Immunization Vision and Strategy
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MORTALITY OF INFECTIVE DISEASES (GLOBALLY 2003) 2.1 MILLION DEATHS DUE TO PREVENTABLE BY VACCINATION INFCTIOUS DISEASES 1.4 MILLION CHILDREN < 5 years Measles ~540.000 hemophilus influenzae ~400.000 Pertussis ~300.000 Tetanus ( neonatal) ~180.000 Deaths due to infections as a percantage % of known etiology deaths Africa: 50% Europe: 2% source: WHO, Global immunization Data, 2005
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STRATEGY MONITORING - SURVEILLANCE VACCINE AVAILIABILITY QUALITY CONTROL AWARENESS - EDUCATION
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GLOBAL SUCCESS ? HPV vs DTP - POLIO - MMR……..
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The eight Millennium Development Goals By WHO MDG 1: To eradicate extreme poverty and hunger MDG 2: To achieve universal primary education MDG 3: To promote gender equality and empower women MDG 4: To reduce child mortality MDG 5: To improve maternal health MDG 6: To combat HIV/AIDS, malaria, and other diseases MDG 7: To ensure environmental sustainability MDG 8: To develop a global partnership for development
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WE CAN REDUCE HEALTH INEQUALITIES
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