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UPDATED: Mon Feb 18 16:59:04 2002

Dr Gro Harlem Brundtland        
Director-General
World Health Organization

Kinshasa
5 July 2001

   

National Immunization Days, Central African Sub-Region

Mr President,

Your Excellencies,

Mr Ravizza, from Rotary International,

Mr Ambassador,

Mr Governor,

Distinguished Guests,

Ladies and Gentlemen,

Je tiens, tout d'abord, à vous remercier de m'avoir invitée ici pour cette manifestation importante. Le lancement de ces journées et les activités de vaccination synchronisées qui suivront sont un nouveau élément essentiel de notre assaut final contre la poliomyélite.

Grâce à vos efforts, la santé publique internationale arrive à un tournant historique - l'éradication mondiale de la polio. J’espère que vous réussirez à administrer, ces prochains jours le vaccin à tous les enfants. Vous contribuerez de façon déterminante à interrompre la transmission du virus qui paralyse depuis trop longtemps un trop grand nombre d'enfants en Afrique.

En éradiquant de toute urgence la poliomyélite, nous pouvons améliorer sans délai la santé pour tous. Nous contribuerons à mettre en place des systèmes de santé renforcés capables de faciliter la prévention et le traitement des autres maladies.

Here in this country, you have planned well, and worked hard to immunize more than 10 million children - under very difficult conditions. I am very impressed with the improved surveillance throughout the country allowing us to target this year's immunization days even better.

The neighbouring countries represented here today have also made excellent progress. Gabon has not found a poliovirus for several years. In Congo, an outbreak last year sparked renewed efforts to improve immunization coverage. And in Angola, where the poliovirus still circulates intensely, improvements have been made in both immunization and surveillance activities.

Your efforts are bringing not only the African continent, but the entire planet closer to eradicating the wild poliovirus. In a united, global effort, National Immunization Days are taking place in countries all over the world. Last year 550 million children were immunized against polio - in over 80 countries in South America, China, India, Europe and of course here in Africa. This global movement has resulted in the lowest number of polio cases in human history - a full 99 % reduction since we began the Global Polio Eradication Initiative in 1988.

Much of this success is due to the very same strategies you are using here. Last year, 17 West and Central African countries "synchronized" their National Immunization Days. The result - 76 million children protected in one short week and then a month later, leading to a major fall in the number of polio cases in the region.

Today, for the first time, Angola, Congo, the Democratic Republic of Congo and Gabon will begin their synchronized NIDs. I congratulate the Ministers of Health for their collective vision and actions to make this happen. By synchronizing your efforts, you can reach more children than ever before.

You are planning to access children who may never have seen a health worker - giving them their very first health service. You will immunize children crossing borders, who otherwise would have been missed. And, you will go house-to-house, finding every single child under five and ensuring they receive the protective polio drops. Experience here and indeed around the world has proven that by going house to house, you will reach many more children. By using this strategy during synchronized NIDs, you can succeed in kicking the polio virus out of this region - leading to a polio-free Africa, and a polio-free world.

The polio eradication programme in this country is reaching more children in more districts, more often and more effectively than any other programme. It is providing a basis for other national public health efforts - including the surveillance of diseases, improvement in vitamin A status, and response to outbreaks. This focus on the health of all people contributes to equity and national development. As the national capacity to promote public health increases with success in eradicating polio, efforts can be extended to other priority conditions - such as measles, malaria and HIV/AIDS.

Mr President,

The challenges to polio eradication and public health remain substantial. Great progress has been made in this region but it still represents one of the few regions where the virus continues to circulate and attack children. In 2000, 4 out of every 10 African children paralysed by polio came from four countries.

Accessing every child remains a challenge - and it is my hope that all families, wherever they live, can have their children under five immunized.

Together with Carol Bellamy, Executive Director of UNICEF, I am making a strong appeal: Today, the people of Angola, Congo, the Democratic Republic of Congo and Gabon are starting out on an extraordinary effort to immunize over 15 million children. It is essential that all these children receive polio vaccine if we are to deliver the promise of a polio-free world. We urge the leaders of these countries, and all parties involved in conflict, to respect the coming days as days of tranquillity to ensure the safe passage of health workers and volunteers. They need to administer polio vaccine to all children over the coming week, and again in August and September of this year.

We owe this to the children. For as long as the wild poliovirus circulates in this region, it continues to threaten children all over this continent. This was proven all too tragically last year, when a virus from Angola caused an outbreak in Cape Verde - paralysing 56 people, and killing many.

I appeal to Ministers of Health to maintain a high standard of surveillance. It enables us to find the last pockets of polio and mop them up. Surveillance is also the only way we can assure ourselves we have found the very last virus. I encourage all countries to achieve and maintain their surveillance efforts to this standard.

I appeal to families, too. When the health worker or volunteer comes to your homes, please have your children immunized. Remember that by doing this, you are protecting your child, and also your neighbour’s children, from polio. You are contributing to better health in your country - and to the achievement of a global goal, which will benefit all children, for all time.

Again, congratulations to all of you who are contributing to the achievement of this global public good. Thank you to our partners - to Rotary International, the Centers for Disease Control and Prevention, and UNICEF - and to the donors: We are grateful. I also want to extend our warm appreciation to the health workers and the volunteers who will spend the next few days walking many, many kilometres finding and immunizing every single child.

En contribuant aujourd'hui à l'éradication de la poliomyélite, vous aidez à améliorer les services de santé de demain. Nous pouvons, et nous devons, utiliser les solides fondations jetées ici par le programme d'éradication de la poliomyélite pour dispenser plus de soins de santé aux populations.

Je sais qu'en continuant à travailler ensemble nous pourrons faire de ces journées nationales de vaccination une immense réussite. Ensemble, nous repousserons la poliomyélite hors de l'Afrique. Ensemble, nous réaliserons un monde sans poliomyélite.

Je vous remercie.

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