Missing children in millions


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The corona virus has caused ample damage around the world leaving almost every country distraught economically and socially. Ironically, the health sector was on the front line facing brunt of the situation. With all its worrying effects, the virus has steered the governments around the world to commence damage-assessment in various circles. Taking stock of the situation, Unicef has pointed out the alarming number of missed vaccination targets as a result of the lockdowns.
In Pakistan, an already suffering vaccination campaign against the polio disease has been further debilitated. Unicef has reported sporadic outbreaks of preventable diseases such as measles and diphtheria in Nepal, Bangladesh and Pakistan.
Pakistan is a large country with high childhood mortality and low immunization coverage rates as every year, more than one million children miss out a full course of the most basic vaccines here hinting that it is difficult to find children missing out during the anti-polio campaign as well yet access to vaccinators is also difficult in case the vaccination staff did not get to a child during the campaign.
Roughly around 40 million children missed polio drops in the country due to postponement of April’s nationwide anti-polio drive after the novel virus (COVID-19) surfaced,
According to the data, 146 polio cases were reported in 2019 while 39 have been recorded so far in 2020. Rahul Basharat, a senior reporter from a national daily, reported that National Coordinator on Emergency Operations Centre for Polio Eradication (EOCPE) Rana Muhammad Safdar said that the nationwide anti-polio drive to be held in mid of April was suspended due to COVID-19 situation in the country. Around 40 million children were to be immunized during this campaign which couldn’t occur,” he said.
He said that the government had successfully carried out two back to back nationwide anti-polio drives in the month of December last year and in February 2020, achieving immunization for 99 percent of the population. 
Though the health departments have been doing a lot to improve coverage under Expanded Programme on Immunization on refusal cases and to mitigate the effects of misconceptions being propagated against National Polio Immunization Days, a lot is yet to be done to make access to vaccinators easy for parents whose children are missed out due to one or the other reason.
According to various surveys fully immunized child coverage in Pakistan ranges below 80 per cent while overall, less than 70 per cent of children are fully vaccinated with BCG, measles, and three doses of DPT and polio which is far from satisfactory level. Many health experts believe that the weak immunization coverage in the country is one of the key reasons behind increase in number of polio cases in last two years.
South Asia could face a further public health crisis as children miss routine vaccinations.  The UN, spurring fears, warned that the fallout from the novel coronavirus pandemic might reverse hard-earned gains in the region.
The United Nations children’s agency Unicef said hundreds of thousands were at risk as lockdowns across South Asia halted immunization drives and parents ceased from taking their children to doctors to be immunized.
Millions of children around the world have already missed the immunization programmes. More damage can be expected if government’s focus remained on corona virus.
The Government of Pakistan should consider other approaches to cover the gap that has been created during the lock down. The authorities might advise parents to visit the doctors and administer the required vaccines to their children. Similarly, door to door vaccination drives while practicing the precautions can also be planned in this regard.




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