EBOLA UPDATE BOARD MEETING Stefano Malvolti 2-3 December 2015, Geneva www.gavi.org
Current epidemics at the end but risks remain for the future 28,599 cases - 11,299 deaths (> 510 deaths in health workers) Sierra Leone : Ebola-free since November 7 th Guinea : last case October 29 th . All contacts completed 21-days follow-up period. Liberia : 3 new cases recently emerged Short-term: measures to enable a sustained end to current epidemic avoid reintroduction or re-emergence of Ebola virus Mid-term: risk of new outbreaks from contacts not properly traced or if virus reintroduced from animal reservoirs or through contact with asymptomatic carriers Board meeting 2-3 December 2015 2
Gavi has progresses across the 4 areas of work approved by the Board Restoration of EPI services: Recovery of health systems • • Catch-up vaccination campaigns Fast-track reprogramming of • Strengthening national efforts on existing HSS grants • routine immunisation Doubling of HSS ceilings • • Mitigation of loss of confidence in Approval and disbursement health care systems tailored to meet needs and • Supply Chain upgrades and absorption capacity restoration (Guinea and Liberia) • Co-financing waivers for 2014-15 Availability of EVD vaccine Deployment of EVD Vaccine • • WHO’s Global Ebola Vaccine Working with manufacturers to ensure availability of vaccine in Implementation Team preparation case of new outbreak and of deployment plans for registered stockpile vaccine Board meeting 2-3 December 2015 3
Gavi support helped addressing immediate gaps and preventing other outbreaks Coverage (Jan-June 2014-2015): 85-60% DTP3 and 89-63% MCV1 Coverage (Jan-June 2014-2015): 1,802 Measles cases in Sept-Oct ‘15 100-51% DTP3 and 95-49% MCV1 1 case of poliomyelitis (Kanakan) Coverage (Jan-June 2014-2015): No outbreaks in Sep- Oct ‘15 QI-QII 15: Measles ORIs (6m-10y) 81-46% DTP3 and 69-51% MCV1 in several districts Dec 14-Jan 15: 1 st and 2 nd round of Aug 15: MenA mass campaign 63 suspected measles cases in PIRI Nov 15: National Measles SIA (9- Sept- Oct ‘15 in 6 different counties QI 15: National Measles SIA 59m) May-June 15: Polio SIA & Measles Dec 14: 1 st first round of PIRI (9-59m) campaign Feb 15: 2 nd round of PIRI T OTAL BUDGET (US$): 6.1M July 15: Polio SIA May-June 15: Polio SIA and Oct 15: 3 rd round Polio SIA Measles ORI 9-59m July 15: 2 nd round Polio SIA T OTAL BUDGET (US$): 2.4M Oct 15: 3 rd round Polio SIA T OTAL BUDGET (US$): 4.1M Board meeting 2-3 December 2015 4
Gavi’s role in Ebola response focused on deployment of licensed vaccines 2016 2017-8 2015 Ring-vaccination using Deployment of Zaire (current EUAL-authorised licensed monovalent Use current lead outbreak) monovalent vaccine vaccine(s) in specific candidate vaccine in according to WHO population and ongoing clinical trials guidance country at risk based [Under a PHEIC] on GEVIT plans In scope for Gavi Other Strains Explore safety and efficacy of new monovalent or multivalent vaccines Potential engagement to be discussed in Board retreat Board meeting 2-3 December 2015 5
Lessons learnt open discussion on future outbreak preparedness and response Board meeting 2-3 December 2015 6
THANK YOU www.gavi.org
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