Polio & Measles

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| Speech

IFRC Secretary General Keynote speech at the 10th Pan African Conference in Nairobi

Excellencies, Ladies and gentlemen, distinguished guests, colleagues and friends, I’m so pleased to be here in vibrant Nairobi. You have always extended such warmth and enthusiasm every time I visit Africa. Thank you for your unmatched hospitality. I am grateful to Kenya Red Cross for hosting Pan African conference of the IFRC. IFRC Vice President Elder Bolaji Akpan Anani, Chair of the PAC. Governor Korir of the Kenya Red Cross. Governing Board members, Commission and Committee chairs of the IFRC, of the Standing Commission, Africa governance group, Vice President of ICRC (continuing our proud history to invite ICRC to IFRC statutory meetings because we can be successful when we work together as a Movement), National Society and youth leaders, staff and volunteers and the entire IFRC secretariat team. I want to particularly recognize the Africa team led by our Regional Director Mohammed Mukhier for working tirelessly to support the organization of the conference. I pay tribute to all of you for your immense contributions to the IFRC network, today and always. Your dedication to the communities we serve is unparalleled, especially through the recent growing complex crises across Africa. Let me join in solidarity with Morocco and Libya as they work hard to recover from two terrible disasters. As we gather here today, I am struck by the rich tapestry of Africa’s history, cultures, and the extraordinary resilience and spirit of its people. Yet, this comes with its own set of opportunities and challenges. A continent of immense beauty and diversity, Africa presents us with a complex humanitarian landscape. Africa is a place of paradoxes, where soaring aspirations uncomfortably co-exist with profound inequalities. Humanitarian needs are growing each day, stretching the bounds of lives, livelihoods, and human dignity. Poverty, inequality, and political instability compound these humanitarian needs. Economic challenges including high unemployment rates, limited industrialization, and a heavy reliance on primary commodities for export make many African nations vulnerable to fluctuations in global markets. We continue to witness alarming hunger levels across the continent, with 167 million facing acute food insecurity in Sub-Saharan Africa, a 14% increase from 2022. The impact of El Niño in 2023/2024, forecasts a 90% probability of flooding in Kenya, Somalia, and Ethiopia, alongside reduced rainfall in Southern Africa. We know this will further exacerbate food insecurity in the coming years, as African food systems are very vulnerable to climate extremes and shifts in weather patterns. Disease and epidemics are on the rise as a result. Last year, 96 disease outbreaks were officially reported in 36 countries, with cholera, measles, and yellow fever being the most common. As climate disasters worsen, 7.5 million people were displaced in Africa, the highest annual figure ever reported for the region. And with the cascading effects of political instability in a number of countries, the number of people on the move have begun to climb as well, with 9 million people torn from their homes in 2022. We cannot forget that behind these distressing statistics are actual people –women, men, and children with increasing needs and less resilience to cope. These are the challenges that exist in a continent which is full of young and dynamic population full of unparalleled vibrancy and dynamism. It also has many beautiful tourist destinations. This is a continent full of natural resources - minerals, oil and gas, timber, agricultural land, fisheries, renewable energy, gemstones, water resources, forestry products. Almost everything you can think of. It makes me wonder how come a continent so full of resources is also facing so many challenges. How can we contribute to addressing these humanitarian gaps? Please allow me to share just three fundamental approaches that could help us to make a meaningful contribution to the people and communities in Africa. First is Solidarity – Working together in partnerships: We are bound together in our journey in search of a brighter future. The expanding humanitarian needs push us to the brink, but our unwavering solidarity pulls us back and drives us forward. Solidarity and commitment to our Strategy 2030 and Agenda for Renewal allows us to respond to multiple crises and disasters, build community resilience and strengthen localization in this region. Just last month, I visited Gambia and Egypt to better understand the migration situation. My conversations with volunteers, National Society and government leaders were eye opening. When it comes to migration, Africa is a continent on the move. This comes with positive benefits too—In Gambia migrants contribute to 20% of the country’s GDP. To the rest of the world, the migration of Africans is often framed around their movement beyond Africa’s borders. Yet the story of the millions of refugees and internally displaced people being hosted within Africa, which is more than 85%, is not acknowledged. Through the IFRC’s Global Route-based Migration programme and humanitarian service points we witness how Africans are overwhelmingly supporting fellow Africans on the move. Africans standing shoulder-to-shoulder with fellow Africans, is a testament to our capacity to overcome adversity. As we address urgent crises before us, it's our combined strength that forms our bedrock of hope. Internal solidarity sometimes can be challenging. Let us not doubt ourselves in our commitment to solidarity. Let us foster trust and belief among ourselves. Second is Solutions to scale- think big, act big: Across Africa much progress has been made and the vast opportunities lie ahead. 34 countries, representing approximately 72% of Africa’s population, have demonstrated significant progress in governance over the last two decades, especially in the areas of rule of law, the protection of rights, and growth of civil society. Africa’s great untapped potential is more visible than ever, with economic growth and investment in public services contributing to the improvement of millions of lives and transformation of societies. The theme of this 10th Pan African Conference is renewing investment in Africa. I suggest that we make this investment people centric. You may want to consider calling it "renewing people-centric investment in Africa". I encourage every one of us to consider how investments in National Societies, and especially in their young volunteers, can harness Africa’s agility and innovation that empowers people to address the needs when they come and continue to work to reduce humanitarian needs by building long term resilience in the communities. For this, our Agenda for Renewal guides the IFRC to work for and with National Societies in everything we do. We have invested in scaling up digitalization, risk management, new funding models for greater agility, accountability, and impact to reach the communities. We foster learning and strengthen National Society capacities, so that we become leaders in the humanitarian field, not just in response but in resilience building, data, influence, collaboration, and innovation. In 2020-2021, during the COVID-19 pandemic, African National Societies came together with the IFRC secretariat to reach 450 million people with humanitarian services. The REACH initiative between Africa CDC, the African Union and the IFRC comes with an ambition to scale up the community health workforce by two million and strengthening National Society capacity across the continent to address health needs. These are solutions that are tailored to African communities, that reflect African needs and that can be measured by the outcomes we achieve for the people. Let’s not play small. Let’s think big, let’s act big. Because that’s what it is needed now. Third is Leadership – listen, learn and lead. Our humanitarian action must make a positive difference in people’s lives. In this era of fast paced change and shifting political divides, our leadership has never been more crucial. Leadership to partner with others along equal and mutually reinforcing terms, Leadership to position our National Societies as unparalleled community partner, with unmatched local intelligence and reach, Leadership to engage in internal transformation, Leadership to embody our Fundamental Principles, Leadership to invest in young people--Africa’s most abundant and greatest resource--harness their skills, give them opportunities to lead us to a more just and equitable future. Leadership to build trust, internally and externally, to be bold at communicating good news as well as challenges, to bring about collective energy and hope. Leadership that doesn’t accept business as usual. Leadership that strives for excellence in everything we do. There will be ups and downs, but we will persist. This is what leadership is all about. In our pursuit of a brighter future for Africa, let us hold ourselves to lead with accountability, not just to the challenges of today but also to the aspirations of tomorrow. Let every action we take, every initiative we launch, and every partnership we forge be a testament to our unwavering commitment to the people. I wish you a very productive Pan-African Conference. And please allow me to conclude by sharing a quote from Nelson Mandela – «one of the things I learned when I was negotiating that until I changed myself, I couldn’t change others». Let this conference give us the inspiration to be the real agent of change for the people of Africa. Thank you.

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| Basic page

Communicable diseases

Communicable diseases are diseases that spread from person to person or from animals to humans. Learn about various communicable diseases below and about what the IFRC and our National Societies do to keep communities around the world healthy.

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| Article

The race to eradicate the curse of polio in the Philippines. Again.

We are on the verge of wiping out polio again in the Philippines, a battle many of us have been waging for decades. Growing up with neighbors and schoolmates who wore leg braces for limbs withered from polio, I didn't realize that polio was an ancient scourge that globally maimed or killed tens of thousands of people every year. My first job as an assistant to the Philippines Health Secretary 30 years ago gave me the privilege to work on eliminating the wild poliovirus that was living in nine million Filipino children when then Health Secretary Juan Flavier launched an immunization campaign called "Oplan Alis Disis" -- Remove Sickness -- that was based on a simple strategy: mobilize the 3 "M"s: mayors, midwives, and the media. Calling for a "Ceasefire for Children," the Philippines established local "peace zones" in areas of best by armed conflict. There we were able to deliver polio drops and other lifesaving vaccinations against measles, diphtheria, pertussis, tetanus, and Vitamin A -- regardless of religion, socio-economic status, or political affiliation. In response, mothers, fathers, and grandparents brought nine million children -- some dressed in their Sunday best -- to receive vital polio drops at health centers adorned with balloons, bands, and freebies as if for a fiesta. It took ten years of consistent routine vaccination, interspersed with national immunization days and the constant education of families in health centers, to the point of eradicating polio. By the time I became Undersecretary of Health in 1998 and by 2000, the Philippines was declared "polio-free." Yet polio is back. Today, I am seeing Red Cross volunteers and staff wearing face masks and shields standing alongside government health teams as they scour the densely populated slums of Metro Manila, going door to door to administer polio vaccine drops. After almost 20 years being polio-free, the virus has returned. The COVID-19 crisis has only made it more difficult for health workers. Today stands as one of the most dangerous periods in decades, with thousands of children not receiving vital polio vaccinations because of the lockdown. There are other problems too. Some Red Cross vaccination teams are welcomed with smiles, with families grateful that they do not have to bring their children to a health facility where they are afraid of contracting the COVID-19 virus. But for many other families, the fear of contracting COVID-19 is so great that they refuse to open their doors, speaking only through their windows. We must not allow COVID-19 to block out the message that the Philippines government has embarked on a new effort to halt the spread of polio. Take the example of Mary Rose Amauin, who refused to talk to Red Cross volunteers at first when they knocked on her door in August and her husband claimed their child had already been vaccinated. Patiently the Red Cross volunteers urged Mary Rose to reconsider. After all her questions were answered, Mary Rose eventually allowed her 10-months-old baby, Bianca to receive the drops, apologizing that she was more cautious as times are tough because of COVID-19. For Philippine Red Cross volunteer Merlita Daygo, patience and kindness have helped her convince other hesitant parents like Mary Rose to allow their children to be vaccinated. She knows that taking the time to clearly explain the purpose of the vaccine will help save children's lives. Without a house-to-house vaccination campaign, many children would miss their polio vaccination. As part of the preparation for the mass polio vaccination, volunteers and staff undergo training on how to handle refusals and how to keep everyone safe. Another volunteer vaccinator Mary Grace Kafilas told me how sad she feels when parents decline the polio vaccine. On the first day of a recent vaccination push in Rizal, seven parents refused the vaccination. What hurts so much is that it's such a simple, easy measure to prevent a life-threatening virus I am encouraged by parents whose children have contracted polio and who now strongly advise and encourage other parents to take immunization seriously. Polio infections have occurred for thousands of years and was portrayed in ancient Egyptian paintings and carvings. But it was only in the 1940s and 1950s that polio epidemics infected more than half a million people around the world every year, inflicting a lifetime of paralysis, and in some cases death. As we celebrate the great success of the eradication of the wild poliovirus in Africa, we must remember that national immunization days and the strengthening of routine vaccinations through grassroots mother and child health programs played a critical role in ridding an entire continent of this terrible disease. As the global race for a COVID-19 vaccine heats up, we must also remember that today millions of children in the Philippines also need lifesaving polio drops to address its re-emergence. In the middle of the worst pandemic in 100 years, let's make sure we take the last steps. This article first appeared in the Nikkei Asian Review

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| Press release

Philippines: Red Cross triples polio vaccination target

Manila / Kuala Lumpur, 25 October 2019 – The Philippine Red Cross is more than tripling the number of children it aims to vaccinate in a door-to-door polio vaccination campaign, the Red Cross and the International Federation of Red Cross and Red Crescent Societies (IFRC) said today. On 1 October 2019, the Red Cross announced support for a Department of Health campaign by activating volunteers in parts of Mindanao and Metro Manila to vaccinate 30,000 children in the hardest-to-reach communities. In fact, the Philippine Red Cross has reached nearly 60,000 children. Today, the target was increased to 100,000. Announcing the increase, Philippine Red Cross Chairman Richard Gordon said: “We’re particularly worried about children under five in urban slums, rural areas, migrant families and indigenous communities who have missed out on life-saving vaccinations. It’s simply not right that these children are at risk of death or lifelong disability in the 21st century. The tripling of our target reflects the commitment of Red Cross volunteers and staff, who are literally climbing mountains and crossing rivers to ensure no child is left behind. What’s more, they will do this again in a month when children need a booster, and a month after that too.” Apart from low immunization rates, factors that contribute to the spread of polio, dengue and measles include low health literacy, unsafe water, poor sanitation, poor living conditions, high rates of chronic childhood malnutrition and poor access to healthcare. The Red Cross is also planning to reach 1 million people with life-saving health, hygiene and sanitation information. IFRC Philippines Head of Country Office Chris Staines said: “The current outbreaks of measles and polio in the Philippines are a serious risk. There is a real danger that the situation could return these preventable diseases to being endemic. While mass immunization right now, successfully implemented, will stop the transmission, we need routine vaccination for several years to bring these diseases under control.” Polio, measles and dengue fever have featured at the 16th annual South-East Asia Red Cross and Red Crescent leaders’ meeting in Manila, attended by Brunei Darussalam, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, Timor-Leste and Viet Nam, and IFRC and the International Committee of the Red Cross.

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| Press release

Philippines: Red Cross scales up as polio threatens 11 million children

Manila/Kuala Lumpur/Geneva 2 October 2019 - Polio has made an alarming come-back after officially being eradicated 19 years ago in the Philippines. The Philippine Red Cross and the International Federation of Red Cross and Red Crescent Societies (IFRC) are scaling up to help contain the highly infectious virus. On 19 September, a three-year-old girl was diagnosed with polio, the Philippines’ first confirmed case since 2000. A five-year-old boy has since tested positive. The polio virus was also detected in Manila’s sewage and the waterways of Davao in Mindanao. Low immunization rates have contributed to the outbreak. Polio is mainly transmitted by food, water or hands contaminated with human faeces containing the virus, so good hygiene is vital. Philippine Red Cross Chairman, Richard Gordon said: “We have mobilized all our chapters to coordinate with the health department and local officials and to provide the full support of volunteers for mass immunization and updating the list of all zero to five-year-old children and get their vaccination status. This will help us identify the areas with the highest risk of polio based on low vaccination coverage as well as the lack oftoilets and limited running water." The IFRC has released 336,302 Swiss francs (336,700 US dollars) from its disaster relief emergency fund to support the Philippine Red Cross in Mindanao and Metro Manila to go house-to-house to vaccinate in high-risk areas including in informal settlements and hard-to-reach areas, and children who have missed out on vaccinations. Social mobilization teams and an information campaign will target 1.2 million people with messages on the importance of vaccination. Head of the IFRC Philippines Country Office, Chris Staines said: “We are very concerned that the resurgence of polio in the Philippines puts 11 million Filipino children under five at high risk of disability and even death. We appeal to all parents to protect their children against the virus during this massive, synchronized nationwide campaign. The Philippines has eradicated polio before, and together we can do it again.” According to the World Health Organization, polio, which has no cure, can be prevented with multiple doses of a safe and effective vaccine. More than two billion children globally are protected against polio through these vaccinations. This is the third health emergency this year that the Philippine Red Cross has responded to, with babies and young children disproportionately affected. During a measles outbreak in February, the Red Cross cared for 3,400 patients by setting up seven measles care units in tents outside six hospitals, vaccinated nearly 17,000 children between six months and five years of age, and reached more than 1.9 million people with life-saving information. In response to a dengue outbreak, the Red Cross cared for 5,000 patients in nine emergency medical units set up at eight hospitals, and reached 120,000 people with messages on dengue prevention and management. Philippines Red Cross volunteers continue to respond to both of these ongoing health emergencies, even as they scale up to face the urgent risks of polio.

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| Article

Mothers of measles patients at risk as cases continue to rise

By Leena Reikko, IFRC For the past several weeks, the Philippine Red Cross emergency healthcare unit in the Philippines have been tending to the youngest of patients, children and babies coughing with fever, and whose bodies and faces are covered in red rashes. In early February, the local authorities declared a measles outbreak and since then 355 people have died, most of them children under 5 years of age. But these patients are not the only ones at risk. Mothers treating their children in hospitals are now threatened by the same virus. “We are in an acute phase of a chronic humanitarian situation. It is not only one generation that missed the measles vaccination. While the mothers do not have antibodies to pass to their children, they themselves are at risk too,” says Gopal Mukherjee, the health programme manager with the International Federation of Red Cross and Red Crescent Societies (IFRC) in the Philippines. Many communities living in overcrowded barangays and in remote areas are also facing a challenge in getting to vaccination centers. Because of this, some parents push vaccinations to later dates, and even forget how important it is to vaccinate. This situation is worsened by the low level of immunity among communities in the Philippines, which makes the virus just as deadly after the peak of the measles crisis. While it is a contagious virus, measles can be easily avoided through vaccination. “My son was not vaccinated because we have been so busy. It has just not been possible”, says Rosaly Abitona, 35, while she comforts her one-year-old son, John Carl, who had fallen ill a day earlier and taken to hospital. The development of measles in the Philippines has been alarming. There was a 547 per cent spike from 4,000 cases of measles in 2017 to 21,812 cases in 2018. By the end of March this year, almost 26,000 people have been infected. The Philippine Red Cross with has carried out mass vaccinations in the worst-affected districts, immunizing more than 15,500 children to date. They are also running campaigns to raise awareness on the importance of vaccinations to stop this virus from spreading further.

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| Press release

Millions of children at risk as death toll rises in Philippines measles outbreak

Manila / Kuala Lumpur / Geneva, 14 March 2019 – An estimated 3.7 million children under five in the Philippines are at risk during a measles outbreak that has already claimed 286 lives, most of them children or babies, the Red Cross is warning. Deaths from measles are already 42 per cent higher this year than for all of 2018, when 202 people died. It is estimated that 3.7 million children under five have never been vaccinated and have no protection to the highly contagious virus, which is still spreading. Health experts estimate that every person sick with the measles could infect up to 18 others. Philippine Red Cross Chairman Richard Gordon said: “We are in the grip of a measles outbreak that, tragically, is hitting the very young hardest. The Red Cross has been crucial in restoring people’s confidence in vaccines, which makes it easier now to convince parents to get their children vaccinated. But we are aiming for a 100 per cent immunisation rate.” Of 286 deaths so far this year, 110 have been of babies under nine months old. The median age of those who’ve died is just two years old. Since 10 February, the Philippine Red Cross, supported by the International Federation of Red Cross and Red Crescent Societies (IFRC), has been working with the Department of Health to support patients and their families. The Red Cross has set up tents with cots and bedding to reduce over-crowding and give care to measles patients. It has set up welfare desks, portable water and sanitation facilities, and hygiene equipment inside hospitals. The Red Cross has also called for volunteer doctors and nurses to help during a mass vaccination campaign. The aim is to ensure vaccination of all children aged six months to five years. Head of the IFRC Philippines Country Chris Staines said: “With experts warning that the outbreak could last for months, potentially not stabilising until May, many more lives are at risk. This is a preventable tragedy. We have no time to lose and no time to be complacent. We need to support Philippines Red Cross staff and volunteers today in their life-saving actions.” The Philippine Red Cross has a strong capacity to complement the government’s response to the outbreak, with over 2 million volunteers. Red Cross staff and volunteers are already playing a key role informing, educating and warning communities about the early signs and symptoms of measles, and what action to take. The Red Cross has already given vaccinations to more than 13,500 children. But to be able to support the Department of Health to protect all children aged six months to five years in the highest risk areas as soon as possible, IFRC is appealing to donors and partners to contribute 2 million Swiss francs (1.9 million US dollars / 105 million Philippine pesos). ENDS About measles[1] Measles is a highly contagious infectious disease caused by a virus. It affects mostly children but people of any age who have not been vaccinated against measles can be infected. Measles spreads very easily. The virus lives in the nose and throat mucus of an infected person. It canspreadto others through coughing and sneezing. The virus can live for up to two hours in an airspace where the infected person coughed or sneezed. People usually get sick about 10 to 12 days after getting infected with the virus. The symptoms include red eyes, runny nose, fever (as high as 1040F/ 400C) and skin rashes for more than three to seven days. Infected people are most contagious from about four days before their rash starts until four days afterwards. Complications include diarrhea, middle ear infection, pneumonia, swelling of the brain, malnutrition and blindness. Complications may lead to death. There is no specific treatment for the virus, although severe complications can be avoided. Measles can be effectively prevented by vaccination. According to the WHO, between 2000 and 2017, measles vaccination resulted in an 80 per cent drop in deaths worldwide. In 2017, about 85 per cent of the world's children received one dose of measles vaccine by their first birthday through routine health services – up from 72 per cent in 2000. [1] https://www.who.int/news-room/fact-sheets/detail/measles

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