1. VACCINATIONS Agis Terzidis, Paediatrician Spyridon Gialamas, Medical Doctor SEMINAR ON TROPICAL AND TRAVEL MEDICINE AT TTCIH Athens University Medical School IFAKARA 1 JULY 2009

2. IMMUNIZATION - VACCINATION….A LONG STORY One of the most effective «weapons» in medicine 10th century in Central Asia Smallpox  Africa - Europe 1798 Edward Jenner immunizes first time against smallpox 1885 Louis Pasteur prepares the 1st vaccine against Rabbies 1927 BCG (bacillus Galmette-Guerin) 1955 Salk vaccine against poliomyelitis 1960 MMR….. HPV vaccine

3. SUCCESFULL VACCINATION PROJECTS SMALLPOX Vaccination WHO ( 1967 - 1977 ) Last naturally acquired case SOMALIA 1977 1978 last death Global eradication 1979

6. MORE THAN 2.300.000 LIFES SAVED DUE TO GLOBAL VACCINATION PROJECTS CONDUCTED BY WHO IN 2003

7. VACCINATION PROJECTS A CONTINIOUS EFFORT «GLOBALISATION INCREASED THE POSSIBILITY OF AN EPIDEMIC AND NOW MORE THAN EVER NATIONS SHOULD COOPERATE FOR THE ERRADICATION OF THE PREVENTABLE DISEASES» Dr LEE John-wook Ms Ann M.Veneman General Director, WHO Executive Director, UNICEF 2005, Global Immunization Vision and Strategy

8. MORTALITY OF INFECTIVE DISEASES (GLOBALLY 2003) 2.1 MILLION DEATHS DUE TO PREVENTABLE BY VACCINATION INFCTIOUS DISEASES 1.4 MILLION CHILDREN < 5 years Measles ~540.000 hemophilus influenzae ~400.000 Pertussis ~300.000 Tetanus ( neonatal) ~180.000 Deaths due to infections as a percantage % of known etiology deaths Africa: 50% Europe: 2% source: WHO, Global immunization Data, 2005

10. STRATEGY MONITORING - SURVEILLANCE VACCINE AVAILIABILITY QUALITY CONTROL AWARENESS - EDUCATION

11. GLOBAL SUCCESS ? HPV vs DTP - POLIO - MMR……..

15. The eight Millennium Development Goals By WHO MDG 1: To eradicate extreme poverty and hunger MDG 2: To achieve universal primary education MDG 3: To promote gender equality and empower women MDG 4: To reduce child mortality MDG 5: To improve maternal health MDG 6: To combat HIV/AIDS, malaria, and other diseases MDG 7: To ensure environmental sustainability MDG 8: To develop a global partnership for development

16. WE CAN REDUCE HEALTH INEQUALITIES