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Global Vaccine Coverage Decline Raises Alarms as Preventable Diseases Re-emerge

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Why Vaccine-Preventable Diseases Are Rising Again

Global health agencies — WHO, UNICEF, and Gavi — have issued a joint warning that diseases such as measles, meningitis, and yellow fever are making a comeback due to:

  • Massive drops in immunisation coverage
  • Reduced donor funding and disrupted supply chains
  • Misinformation, humanitarian crises, and population growth

Key Alarming Findings

  • WHO’s survey of 108 countries (mainly low/lower-middle income) found:
    • Nearly 50% face moderate to severe disruptions in immunisation campaigns
    • Over half have weakened disease surveillance systems
  • In 2023, 14.5 million children missed all routine vaccines, up from 13.9 million in 2022 and 12.9 million in 2019
  • Over half of unvaccinated children live in fragile/conflict-hit regions
  • Measles outbreak in the U.S.: 935 cases reported as of May 1, 2025 — triple 2024 figures

Vaccination: A Proven High-Return Investment

  • WHO: Immunisation offers a $54 return for every $1 spent
  • 154 million lives saved in 50 years — six lives a minute
  • Accounts for 40% improvement in infant survival rates
  • Measles vaccine alone saved 60% of those lives
  • Vaccines annually prevent 4.2 million deaths from 14 major diseases

India’s Progress Through Immunisation

  • Universal Immunization Programme (UIP) targets:
    • 26 million newborns and 34 million pregnant women annually
    • 13 million immunisation sessions held each year
  • Major milestones:
    • Polio-free (2014) and tetanus eliminated (2015)
    • National rollout of Measles-Rubella, PCV, and Rotavirus vaccines
  • As per NFHS-5 (2019–21), India’s full immunisation coverage is 76.1% — meaning 1 in 4 children still miss essential vaccines

Urgent Actions Needed

  • Governments must prioritise immunisation as a critical public health and economic investment
  • Strengthen the ‘Big Catch-Up’ initiative and commit to the Immunisation Agenda 2030
  • Gavi’s June 25, 2025 pledging summit seeks to raise $9 billion to:
    • Protect 500 million children
    • Save at least 8 million lives between 2026–2030

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