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SÃO PAULO – The world recorded a record number of children vaccinated last year – 123 million, according to data released Tuesday 17, by Unicef and World Health Organization – an increase in both the population increase and the immunization coverage. Brazil, however, is heading against this move, with a decrease in the percentage of children vaccinated over the past three years.
The Ministry of Health numbers that drew the country's attention have recently been used as a warning sign by organizations. This is the case of coverage of the MMR vaccine (against measles mumps and rubella ), stable and close to 100% in Brazil in 2014, but fell at 96.1% in 2015 and continued to decline to 95.4% in 2016 and only 85% last year.
Another example is poliomyelitis, a disease eradicated in Brazil, which rose from 95% of immunized children in 2015 to 84.4% in 2016, reaching only 19.5% in 2017 .
There has also been a decline in the coverage of DTP, which protects against diphtheria, tetanus and whooping cough. It was above 90% in 2015. It fell to 89.5% in 2016 and 78.2% in 2017. In all cases, adequate protection is envisaged when coverage is 95%. Below, there is a risk of recurrence of the disease.
The ministry reported by note that "it has been heavily involved in spreading information to society, alerting us to the risks of low coverage." He also said that declining immunization coverage, especially among children under five, has triggered a red light in the country and that they are the main concern of the record right now.
Cristina Albuquerque, Head of Health, HIV and Child Development at Unicef in Brazil, considers that the improvement seen globally must be badyzed from the point of view of view that the initial levels were very low. For example, global coverage against measles and rubella has increased from 35% in 2010 to 52% in 2017.
"Of course, these are still very low values, but it's a breakthrough that gives us hope that the world will improve." Many countries are diversifying their immunization schedule, putting more vaccine varieties, more doses, "he says.
According to the report, global coverage for poliomyelitis and diphtheria, tetanus and whooping cough has remained stable at around 85% in recent years.
"Brazil had a very different starting point, much later, it has a giant tradition, it managed to eradicate poliomyelitis.Always made beautiful campaigns.For example, in 2008, A against rubella was the largest in the world, with over 60 million people vaccinated, "recalls Cristina.
"But now things have changed, if in 2013, for example, the country had almost all adequate coverage, today we have only two states that can be considered: Rondônia and Ceará. It is extremely worrying because polio is not eradicated in the world, so it can come back, "said the researcher.
Success
For the ministry, one of the reasons for the decline in coverage is the very success of vaccination campaigns, which could give a false sense that vaccination is no longer necessary . Cristina and the president of the Scientific Department of Immunizations of the Brazilian Pediatric Society, Renato Kfouri, agree. "Diseases disappear with the use of vaccines, which causes loss of perception of urgency," he says.
Kfouri recalls that the rapid growth of measles cases in Brazil, after a period of eradication of the disease, shows the importance of the population to keep the vaccine situation up to date. "Today, the risk is a fact and we already have measles.We had received the certificate of end of circulation of the virus.When the disease is sensitive, it is transmitted easily.What we see with measles n & rsquo; Is nothing more than achieving our low coverage and this can happen with diphtheria and polio. "
The Ministry of Health said that resources spent on immunization rose from 761.1 million reais in 2010 to 4.5 billion reais in 2017. By 2018, the forecast is 4 , 7 billion reais. He also said that campaign resources have increased campaign vaccination campaigns by 60 per cent from R $ 33.6 million in 2015 to R $ 53.6 million in 2017. Until June, 31 9 million reais have been invested (f, b, e, v, n, t, s) {if (f.fbq) returns; n = f.fbq = function () {n.callMethod?
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