Prsentation PowerPoint

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PARIS JUNE 18 2002
The Vaccine Fund experiences and perspectives
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GAP
WHY ???
TWO YEARS AGO VACCINE PREVENTABLE DISEASES

• 30 000 000 NON VACCINATED CHILDREN
• 3 000 000 DEATH UNDER FIVE
• 30 for complete vaccination
• 300 saves one live

80 VACCINATION COVERAGE 2005
TOMORROWS VACCINE PREVENTABLE DISEASES
ANOTHER MORE THAN 2,5 million SAVED
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Annual deaths from infectious diseases (in
million)
3 million vaccine-preventable deaths per
year hepatitis B 900,000 measles 900,000 Hib
400,000 tetanus 400,000 pertussis 350,000 other
50,000 3,000,000
10 years 3 Bio
Tuberculosis 1.5
2000
Vaccine preventable 3
HIV/AIDS 2.6
Maternal causes - .5
Respiratory illness (not incl. Hib) 3
Malaria - 1.1
Diarrhoea 2.2
Another 4 Bio
Vaccine in four years
14 million deaths per year
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GAVI and The Vaccine Fund?
Moral obligation to save childrenss lives and
reduce poverty

• An unprecedented partnership of the private and
  public sectors, NGOs TO FILL THE GAP was formed
  in 1999/2000
• FOCUSED on Country initiative, Country commitment
  and realization, supervision, set objectives,
  validation

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GAVI Board overall oversight, policies and
strategy setting, country proposal approvals
The Vaccine Fund fund raising, advocacy,
additional resources to countries
Secretariat
Working Group policy and strategy suggestions/
options
Task Forces
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EXPERIENCES

• raised 1,15 B io of the 2,2 needed
• Fund commitments from in MiO

• Bill and Melinda Gates Foundation 750,
  Norway125, The Netherlands 100 ,United
  States101,United Kingdom 50, Denmark1,1, Sweden
  3, Canada 7, Private Fundraising to raise 125
  
• OTHERS ????
• COMMITMENTS FOR 832 Mio in 54 POOREST For
• Vaccines and
  vaccine equipment
• Infrastructure,
  capacity building

EU and other EU countries critical
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PERSPECTIVES
Assure sustainibility of todays live saving
vaccines more than 80 coverage in all
districts Assure capacity building in the
countries Testing of new vaccines pneumo,
meningo and rota now Increase infrastructure
capacity for administration and field testing
Raise the financial resources for present live
saving vaccines 2 Bio needed EUROPEAN ROLE
council, parliament, commission.
Raise financial resources for new vaccines 4
Bio EUROPEAN ROLE
Assure and increase the partnership use of
todays vaccines success of tomorrows new
vaccines (Aids, Malaria, TBC)
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April Cape Town Imm. Conference
Recently, South African Finance Minister Trevor
Manuel told the Cape Town conference the 4,000
children who died worldwide every day from
preventable diseases represented a "collective
crisis of conscience for governments."
 The tragedy of our times is that although the
low cost and effectiveness of vaccinations, and
dispite the fact that no argument medical,
sociological or political can be offered against
it, too many countries are too poor to provide
this service,  he said.
CONFIRMED BY J. SACHS 2001 WHO REPORT
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J. Sachs 2002 WHO REPORT

• All diseases in the poorest countries represent
  hundreds of billions of losses per year
• Yearly effort needed is estimated at 27 billion
  
• This 1/1000 or less of the income of the
  richest countries
• GAVI program 7 billion over TEN YEARS drop
  for saving more than 5 million lives a year plus
  positive impact of preventing clinical disease
  etc. etc
• GAVI has proven its efficacy in a minimum of
  time (2 years )
• ALL PARTNERS ADVOCACY NEEDED FOR SUPPORT
  including third window
• Particular European effort needed.

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APRIL CAPE TOWN IMM. CONFERENCE
An "urgent global response" was needed to address
the vaccine shortage,which could fast develop
into a crisis, the South African Press
Association quoted Bellamy as saying. While it
usually took about two years to produce vaccines,
most donors only committed funds for a year at a
time, making it difficult for poor countries to
enter into long-term commitments with
manufacturers.The result was that between 1998
and 2001, 10 out of 14 vaccine manufacturers had
partially or totally stopped production of
traditional childhood vaccines.
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CHILD IMMUNIZATION AN EXCELLENT METHOD OF
CONTRIBUTION TO POVERTY REDUCTION Helps reach
the 0,7 objective
Not all programs offer such a good value for
money. - The World Bank World Development
Report 1993, speaking of the
Expanded Program on Immunization (EPI)
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CONCLUSION

• Long-term funding by EU of vaccination efforts
  best investement for poverty reduction and its
  own availibility of vaccines ?
• Use of infrastructure and built capacity for
  clinical trials pneumo, menigo and rota as a
  challenge of the system for AIDS, TB and Malaria
  vaccines