From today, Somali children will receive the Pentavalent vaccine, a combination of five vaccines in one against diphtheria, tetanus, pertussis (whooping cough), Hepatitis B and Haemophilus influenzae type B (Hib – the bacteria that causes meningitis, pneumonia and other illnesses), all of which are highly prevalent. The vaccine will be part of the routine immunization program.

More than 1.3 million doses of Pentavalent vaccine have been provided to Somalia for 2013 and will be used to immunize children under one year of age. Pentavalent vaccines will be delivered to the 425,000 child born each year in Somalia through existing health structures as well as community health workers at district level. Each child will require three doses of the vaccine.

The launch of the new vaccine takes place in Mogadishu, Garowe (Puntland) and Hargeisa (Somaliland) and will be attended by leading government officials and representatives from GAVI Alliance, UNICEF and WHO.

“Somalia has one of the lowest immunization rates in the world,” said Dr. Seth Berkley, CEO of the GAVI Alliance. “The country’s health system has been destroyed after more than 20 years of conflict and thousands of children are not protected against major killer diseases. This situation is unacceptable and that’s why GAVI and its donors have committed substantial funding to Somalia until 2016.”

The launch of the vaccine is being accompanied by an outreach campaign to make parents aware of the importance of the new vaccine which replaces the DTP vaccine for diphtheria, tetanus and pertussis (whooping cough). A recent household survey (Multiple-Indicator Cluster Survey – MICS4) carried out by UNICEF and the relevant Ministries, found only seven percent of children in Puntland and 11 percent of children in Somaliland had received the required three doses of DTP by their first birthday.

“It is crucial that this vaccine reaches every Somali child in the country,” said Sikander Khan, UNICEF Somalia Representative. “We urge all parents, community, traditional and religious leaders to participate in the immunization activity, to ensure all children of Somalia can benefit from the protection offered”.

Continued conflict in Somalia has resulted in the country having some of the worst health indicators in the world. Child and maternal mortality rates are among the highest in the world; one in every five Somali children dies before their fifth birthday.

The introduction of Pentavalent vaccine means that the children will for the first time be protected against one of the causes of pneumonia, which is one of the leading causes of child deaths. It is the first time in 35 years that children in Somalia are being offered a vaccination that protects them against additional diseases apart from diphtheria, pertussis (whooping cough), tetanus, measles, polio and tuberculosis which they already receive.

“Both Haemophilus influenzae type B and Hepatitis B are of public health importance,” said Dr. Marthe Everard, World Health Organization Representative in Somalia. “There is little data on the epidemiologic burden of Hepatitis B and Hib disease, or on the burden of diseases from meningitis or pneumonia, but data from neighbouring countries and the developing world indicate that Hib is a leading cause of acute bacterial meningitis and an important cause of severe pneumonia.”

Somalia is the 71st GAVI-eligible country to introduce the Pentavalent vaccine – others include Afghanistan, the Democratic People’s Republic of Korea, East Timor, Pakistan or Yemen. By the end of 2014, all 73 GAVI-eligible countries will have introduced it.

The launch of the five-in-one Pentavalent vaccine in Somalia takes place during  the Global Vaccine Summit in Abu Dhabi, co-hosted by His Highness General Sheikh Mohammed bin Zayed bin Sultan Al Nahyan, Crown Prince of Abu Dhabi; Bill Gates, co-chair of the Bill & Melinda Gates Foundation; and Ban Ki-moon, United Nations Secretary-General. In partnership with GAVI, the Summit will celebrate progress in immunizing children against polio and other life-threatening diseases.

The launch coincides with World Immunization Week as well as the African Vaccination Week. During this week, UNICEF and WHO will conduct a nationwide polio immunization campaign in Somalia to protect children from life-long paralysis caused by the disease.

Note

Hib is a deadly bacterium which is the third biggest cause of vaccine-preventable death in children aged under five worldwide. Hib causes a variety of diseases including meningitis and pneumonia with survivors suffering paralysis, deafness and learning disabilities. Hib disease can be transmitted through contact with mucus or droplets from the nose and throat of an infected person.

HepB is a viral infection that is more than 50 times more infectious than HIV and which claims 600,000 lives every year through chronic or acute liver infections. Babies and young children are most at risk from Hep B, with the virus often passing from mother to child before or shortly after birth, and putting victims at high risk of death from cirrhosis of the liver and liver cancer in later life.

About GAVI Alliance

The GAVI Alliance is a public-private partnership committed to saving children’s lives and protecting people’s health by increasing access to immunization in developing countries. The Alliance brings together developing country and donor governments, the World Health Organization, UNICEF, the World Bank, the vaccine industry, technical agencies, civil society, the Bill & Melinda Gates Foundation and other private sector partners. GAVI uses innovative finance mechanisms, including co-financing by recipient countries, to secure sustainable funding and adequate supply of quality vaccines. Since 2000, GAVI has financed the immunization of an additional 370 million children and prevented more than 5.5 million premature deaths. Learn more at www.gavialliance.org and connect with us on Facebook and Twitter.

About UNICEF

UNICEF works in more than 190 countries and territories to help children survive and thrive, from early childhood through adolescence. The world’s largest provider of vaccines for developing countries, UNICEF supports child health and nutrition, good water and sanitation, quality basic education for all boys and girls, and the protection of children from violence, exploitation, and AIDS. UNICEF is funded entirely by the voluntary contributions of individuals, businesses, foundations and governments. For more information about UNICEF and its work visit: www.unicef.org

In June 2012, the Governments of Ethiopia, India and the United States with UNICEF launched a global roadmap to end preventable deaths of children under the age of five. Since then, under the banner of Committing to Child Survival: A Promise Renewed, more than 170 countries have signed up and renewed their commitment to child survival.

About WHO

WHO helps countries integrate immunization into national health policies and plans and thus increase access to existing vaccines. The Organization promotes new vaccines and new initiatives such as the integrated plan to end preventable child deaths worldwide from pneumonia and diarrhoea by 2025. It works to ensure access to quality vaccines and immunization equipment, notably through the prequalification of vaccines and immunization equipment. WHO is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.

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The campaign includes television, radio and internet ads featuring well-known actors and public figures, and will direct audiences to visit www.usaid.gov/FWD to find more information about the crisis and a listing of U.S.-funded humanitarian organizations—including Salesian Missions—working in the Horn of Africa that are accepting donations to aid in disaster relief.

The FWD campaign was developed in response to the drought and famine in the Horn of Africa. The campaign encourages Americans to do more than just donate by providing tools to spread awareness of the crisis, support the humanitarian organizations conducting the relief operations, and learn more about the solutions through President Obama’s Feed the Future initiative.

Across the eastern Horn of Africa, more than 13 million people—a number greater than the populations of Los Angeles and New York City combined—are now in need of emergency assistance to survive. The crisis is the most severe humanitarian emergency in the world today, and the worst that East Africa has seen in six decades. Crops have failed, livestock have died, and high prices in local markets prevent many people from buying what is needed to feed their families. Millions of people are affected in Ethiopia, Djibouti, Kenya, and in Somalia where tens of thousands of people have died as a result of the crisis.

Through the Feed the Future initiative, the United States Government is addressing the root causes of chronic hunger by helping foster better farming, stronger markets, and greater resilience to climate shocks.

“We know that these types of crises don’t need to happen. Through Feed the Future, we are working to end hunger around the world,” says Rajiv Shah, USAID administrator. “By partnering with governments, the private sector and smallholder farmers, we can help nations build resilient agricultural sectors and break the devastating cycle of food riots, famine and failed states.”

Despite the magnitude of the crisis, according to a national survey released today by the Ad Council, conducted online by Harris Interactive among 2,226 U.S. adults aged 18 and older in September 2011, more than half (52 percent) of the general public say that they have not seen, heard, or read anything about the drought and famine occurring in the Horn of Africa.

The campaign aims to change those numbers with television and web ads featuring Dr. Jill Biden and actors Uma Thurman, Josh Hartnett, Geena Davis and Chanel Iman. The campaign will also be engaging high-profile athletes such as Lance Armstrong and writer and television host Anthony Bourdain. In addition to the traditional ads, the campaign includes an extensive social media program via USAID’s Facebook and Twitter channels, as well as blogs and other sites.

“We are extremely proud to be among the humanitarian organizations partnering with USAID,” says Father Mark Hyde, executive director of Salesian Missions headquartered in New Rochelle, NY. “We are very thankful for the Ad Council’s work on the FWD campaign and are hopeful more people will become aware of the crisis and take action to help save lives.”

Salesian Missions supports programs in South Sudan, Ethiopia and Kenya which have all been affected by the crisis in the region. In refugee camps served by Salesians in the area, more than 80,000 people are in need of assistance, according to Brother Cesare Bullo, executive director of the Salesian Planning and Development Office in Addis Ababa, Ethiopia.

“They arrive after having walked more than 600 kilometers,” says Br. Bullo, emphasizing the urgent nature of the refugees’ needs. “We are working to distribute food outside the refugee camps while they are waiting to be registered,” he says, referring to the area of Dolo Ado in the Southern part of Somalia. “We estimate we can provide 2,000 daily rations which means 1,000 people will benefit from the daily distribution for at least three or four days before entering the camps.”

The Salesians specialize in assessing specific needs and identifying best possible emergency interventions to aid as many people as possible. Since they are already established in the communities working to help those in need, they are in a unique position to assess situations and respond. Amid the growing numbers of refugees and declining food and water supply at the Kakuma camp, the seemingly impossible is happening. Young people are receiving job training and children are attending school.

Salesian Missions calls on the public to make donations, as they are urgently needed to fulfill these essential life-saving projects. To make a donation, go to www.SalesianMissions.org, click on Donate Now and select “African Famine Fund.”

Salesian Missions is the U.S. arm of the Salesians of Don Bosco, which operates in more than 130 countries around the globe with a focus on providing education and opportunity to youth. Since registering with USAID as a private voluntary organization, the Salesian Missions Office for International Programs has implemented 70 projects totaling more than $50 million in financial support.

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Source: USAID | Salesian Missions

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The reality of the situation in the Horn of Africa is unimaginable, and those working in the crisis zone struggle to provide critical information to the outside world, while also trying to save lives.

The international community’s reaction to the signs of massive famine in the Horn of Africa came too late, say the Salesians of Don Bosco in Ethiopia.  Refugee camps throughout the region are filled with tens of thousands of people in desperate need. The camp locations are extremely remote, with workers reporting they feel isolated and cut off from the rest of the world. Warnings of a famine disaster began in December 2010 but “nobody was listening,” said Mattia Grandi, a local project coordinator for the Salesian relief efforts told EWTN News.

Getting up-to-date information is a challenge even for humanitarian organizations who were already established in the famine zones, says Father Mark Hyde, executive director of Salesian Missions, the U.S. arm of the Salesians of Don Bosco. “Our missionaries working in the thick of the crisis are trying their best to send reports. But as expected, they must first attend to the immediate needs of the children and adults dying of malnutrition. Every second counts.”

Photographs that have made their way out of the isolated region tell stories that words simply cannot. The images are surreal, given the severe nature of the famine and the large numbers of people in desperate need of assistance. The realities of the situation are hard for anyone to process, even those who devote their lives to helping the poor and providing emergency aid.

“Long lines stretch from our refugee camps,” says Fr. Hyde, describing scenes from such photographs from the five Salesian refugee camps in the region, where an estimated 150,000 people are living in in desperate need of food and water.

“People of all ages waiting patiently for help. There is no visible sign of panic on their faces as malnutrition has sapped their energy and their spirits. Many of the victims are so frail, it is only a matter of days or even hours before they succumb to the starvation.”

Humanitarian organizations like Salesian Missions are urging people to help even though the situation may be overwhelming or seemingly hopeless. Although, the death toll is expected to be large, donations can and do make a difference, says Fr. Hyde. “Many lives can still be saved, we must not be discouraged.”

During recent weeks, the Salesians participated in the delivery of 49 tons of food to North Horr in Kenya, consisting of 25 tons of corn, 10 tons of beans, 10 tons of fortified flour, 3 tons of rice and 1 ton of cooking fat. An additional 25 tons of food were sent to Lodwa-Turkana – including corn, beans, cooking oil, peas, flour, biscuits and powdered milk.

Currently, Salesian Missions is providing 2,000 food rations each day and 10,000 liters of water twice a day. An international campaign launched by the Salesians is aimed at helping almost 4 million people living in the region. Donations can be made by going to www.SalesianMissions.org.

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To date, six areas in Somalia are in famine, namely Bakool, Bay, Lower Shabelle, Middle Shabelle, the Afgooye corridor IDP (internally displaced persons) settlement, and the Mogadishu IDP community, all of which are in the south. FSNAU warns that the food security situation could deteriorate further in the absence of a massive scale-up in interventions.

Coupled with famine are massive displacements both within Somalia and to neighboring countries. Partners report that, over the past weeks, more than 1,200 people are crossing into Kenya daily.

Many also use alternate routes through Diif and Degelema on the Somali side and Dhadag Bulla in Kenya. Significant numbers of IDPs in both locations on the Somali side of the border are in need of assistance. Estimates are that more than 917,000 Somalis now live as refugees in the four neighboring countries: Kenya, Ethiopia, Djibouti and Yemen. Approximately one in every three was forced to flee this year. Altogether, more than 1.4 million Somalis are displaced within the country, which means that a third of Somalia’s estimated 7.5 million people are displaced.

Not only is Somalia in need of greater access to food, but also safe water, sanitation, shelter and healthcare.

Somalia is facing outbreaks of cholera and acute watery diarrhea (AWD), malaria, measles and pneumonia, mostly in the south. Waterborne diseases are expected to increase with the onset of rains coupled with congested living conditions. Prevailing high levels of severe acute malnutrition (SAM) and under-5 mortality magnify the risk among the most vulnerable population.

The situation requires a massive, multi-sectoral response to prevent additional deaths and the total collapse of livelihoods. Improved access to food to address health/nutrition issues, complemented by access to water and sanitation together with measures to preserve productive assets are among the interventions needed most urgently. Humanitarian partners need to step up efforts to arrest further deterioration in a fragile situation that is expected to persist into 2012. The humanitarian community acknowledges the need to scale up its response and has made some headway, since the declaration of famine in July, in meeting needs by expanding the provision of assistance, particularly in the border areas with Kenya. However, security remains challenging, and incidents like the death of about 100 people in Ceel Waaq, Gedo region following heavy fighting between the Transitional Federal Government (TFG) and Al Shabaab forces on Sept. 11 are a clear example of the volatile environment in which humanitarian organizations continue to operate.

Beyond immediate food relief, partners are also working with governments and other agencies to strengthen the resiliency of communities in drought-prone areas by supporting smallholder farmers and those most vulnerable to changing weather patterns through livelihoods programs.

About Salesian Missions at the United Nations

SOURCES:

UNOCHA Somalia Famine & Drought Situation Report No. 13 (Sept. 14, 2011)

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“The crisis in the Horn of Africa is a human disaster becoming a human catastrophe,” reports Anthony Lake, executive director of UNICEF, the U.N.’s children’s agency.

According to Lake, 1.4 million children are affected in Somalia alone, with an estimated 390,000 suffering from malnutrition. His agency estimates that nearly 140,000 children in south-central Somalia are currently suffering from “severe acute malnutrition” and are near death.

On July 20, the U.N. declared a famine in two regions of southern Somalia, marking the first time since the early 90s that the U.N. has declared famine in Somalia. Across the region, nearly 11 million people are at risk according to UNICEF.

Malnutrition rates in Somalia are currently the highest in the world, with peaks of 50 percent in southern areas, according to Mark Bowden, the U.N. humanitarian coordinator for Somalia.

Aid agencies have struggled to reach the most desperate parts of Somalia, where Al-Shabab extremists maintain control and refuse access to essential humanitarian organizations, including the U.N. World Food Program. As a result, tens of thousands are fleeing to refugee camps in neighboring countries Ethiopia and Kenya.

The children and people of the Horn of Africa face not only a threat of death from starvation, but from diseases that spread easily in overcrowded refugee camps. Men, women and children travel hundreds of miles on foot to make it to refugee camps where, sadly, they face another deadly threat.

Water-borne diseases are also a “lethal threat to children in southern Somalia,” according to an Aug. 18 report from UNICEF, which urges that a rapid response is needed as cholera cases increase. The report cites that 75 percent of all cases of highly infectious acute watery diarrhea are among children under five.

According to UNICEF, many of the Horn of Africa’s rural and urban areas rely on shallow wells, which – unless they are protected or treated with chlorine – can become a perfect breeding ground for water-borne diseases.

Therefore, aid must not only focus on providing food, it must also include plans for access to ongoing clean water, says Brother Cesare Bullo, executive director of the Salesian Planning and Development Office in Addis Ababa, Ethiopia.

His office has put together plans to “rehabilitate” shallow wells to make them safe as well as dig new wells.

“We have located four water points that need to be rehabilitated and strengthened through the purchase of new pumps and additional excavations to find more water,” says Br. Bullo. “The new wells will be built in four areas for local communities very much in need of water at the moment. The wells need to be capable of providing a sufficient quantity of water during the droughts.”

In order to complete these projects, and provide life-saving food aid and water distribution, the Salesians have coordinated an international fundraising initiative. Salesian Missions of New Rochelle, NY, has put out an urgent appeal to U.S. donors to help raise the project goal of $850,000 that this initial response will require. To make a donation, go to www.SalesianMissions.org.

UN Photo/Stuart Price

Sources:

http://www.un.org/apps/news/story.asp?NewsID=39086&Cr=Somali&Cr1=

http://www.unicef.org/media/media_59585.html

http://www.unicef.org/media/media_59241.html

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“Entire communities have nothing to eat and people, many of them children, are dying,” explained Salesian missionaries serving in the Kakuma refugee camp in northern Kenya. More than 20,000 Somali refugees sought refuge at the camp after fleeing the political instability, hunger and overcrowding of other camps. This brings the total refugees at Kakuma to more than 50,000 with an estimated 1,000 additional Somali refugees arriving daily.

In refugee camps served by Salesians in the area, more than 80,000 people are in need of assistance, according to Brother Cesare Bullo, executive director of the Salesian Planning and Development Office in Addis Ababa, Ethiopia.

Authorities fear that this crisis could become worse than the famine of 1984-85 when more than one million people died. In response, the Salesians have organized an international fundraising initiative aimed to raise at least $850,000 to provide necessary aid for 6 months.

Projects to address the urgent needs of the drought and famine victims include the repair and maintenance of existing wells, drilling of new wells, water distribution and emergency food aid.

The repair and maintenance of four wells will provide a long-term water supply for 8,000 people. In additional, four new wells will be constructed. In total, it is estimated that at least 14,000 people will benefit from these new water sources.

“We have located four water points that need to be rehabilitated and strengthened through the purchase of new pumps and additional excavations to find more water,” says Br. Bullo. “The new wells will be built in four areas for local communities very much in need of water at the moment. The wells need to be capable of providing a sufficient quantity of water during the droughts.”

The Salesians also have a plan in the works to provide a water tracking service for water distribution in the area around Jijiga, to aid the pastoralist communities. The goal is to distribute 10-12,000 liters of water twice daily.

With 1,000 new refugees arriving daily in Ethiopia from Somalia, Br. Bullo says it takes three to four days for them to register with UNHCR and enter the camp to receive aid.

“They arrive after having walked more than 600 kilometers,” says Br. Bullo, emphasizing the urgent nature of the refugees’ needs.

“We are working to distribute food outside the refugee camps while they are waiting to be registered,” he says, referring to the area of Dolo Ado in the Southern part of Somalia. “We estimate we can provide 2,000 daily rations which means 1,000 people will benefit from the daily distribution for at least three or four days before entering the camps.”

Br. Bullo estimates they will help at least 10,000 people outside the camps in the first month.

Salesian Missions calls on the public to make donations, as they are urgently needed to fulfill these essential life-saving projects.

“So far, we have raised about a third of the needed funds and are hopeful that the remaining amount will follow as caring friends and donors learn of the crisis,” says Father Mark Hyde, director of Salesian Missions in New Rochelle, NY.

To make a donation, go to www.SalesianMissions.org, click on Donate Now and select “African Famine Fund.”

The Salesians specialize in assessing specific needs and identifying best possible emergency interventions to aid as many people as possible. Since they are already established in the communities working to help those in need, they are in a unique position to assess situations and respond.

For example, in Ethiopia the Salesians operate in 14 towns, providing schools, feeding programs, housing for orphans, and HIV/AIDS intervention programs. In Kenya, the Salesians bring classrooms to refugee camps, protect youth from disease, teach agriculture skills, feed hungry children and families, and much more.

PHOTO: ROBERTO SCHMIDT (AFP/Getty)

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