Keeping rotavirus vaccines on the international agenda

Grais, Rebecca F.; Adamou, Hamadou

doi:10.1093/inthealth/ihu005

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…[4][5][6][7][8][9][10][11][12][13][14] Sub-Saharan Africa has the highest rate of death associated with rotavirus disease, 1 but vaccination on a large scale presents challenges. [15][16][17] Current prices of the two licensed vaccines are probably unsustainable without external subsidies. In addition, the global supply of the vaccines is constrained, [18][19][20] and unreliable transportation and storage systems make delivery of vaccines that require refrigeration difficult.…”

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confidence: 99%

Efficacy of a Low-Cost, Heat-Stable Oral Rotavirus Vaccine in Niger

et al. 2017

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Efficacy of a Low-Cost, Heat-Stable Oral Rotavirus Vaccine in Niger

et al. 2017

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“…As a consequence there are limited data available and very few reports of humanitarian assistance programs in the country. A large proportion of the population does not have access to health services, also due to security problems and unavailability of public transportation[3][4]. Emergency health services, including trauma care, are limited and difficult to reach[5].…”

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confidence: 99%

Before the bombing: High burden of traumatic injuries in Kunduz Trauma Center, Kunduz, Afghanistan

Hemat¹,

Shah

Isaakidis

et al. 2017

PLoS ONE

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BackgroundMédecins Sans Frontières (MSF) has been providing healthcare in Afghanistan since 1981 including specialized health services for trauma patients in Kunduz Trauma Center (KTC) from 2011. On October 3rd, 2015, a US airstrike hit the KTC, killing 42 people including 14 MSF staff. This study aims to demonstrate the impact on healthcare provision, after hospital destruction, by assessing the extent of care provided for trauma and injuries by the MSF KTC and to report on treatment outcomes from January 2014 to June 2015, three months prior to the bombing.MethodsThis is a descriptive, retrospective review of hospital records. All patients with traumatic injuries registered in the Emergency Department (ED) or hospitalized in In-Patients Department (IPD) and/or Intensive Care Unit (ICU) of KTC between January 2014 and June 2015 were included in the study.ResultsA total of 35647 patients were registered in KTC during the study period. 3199 patients registered in the ED were children aged <5 years and 310 of them were admitted including 47 to the ICU. 77.5% patients were from Kunduz province and the remaining were from other provinces. The average length of stay was 7.3 days and 3.3 days while the bed occupancy rate was an average 91.1% and 75.8% in IPD and ICU, respectively. Of 4605 IPD patients, 105 (2.3%) developed complications. Among those admitted to the ICU, 12.6% patients died. About one-third surgical interventions were carried out on an urgent basis and the major proportion (45.8%) of surgical procedures was wound surgery followed by orthopedic surgery (27.0%).ConclusionsThis study highlights the high burden of traumatic injuries in Kunduz province and MSF Trauma Center’s contribution to saving lives, preventing disabilities and alleviating suffering among adults and children within the region. The bombing and destruction of KTC has resulted in a specific gap in critical healthcare services for the local communities in the health system of this war-ravaged region. This suggests the urgent need for reconstruction and re-opening of the center.

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Keeping rotavirus vaccines on the international agenda

Cited by 2 publications

References 8 publications

Efficacy of a Low-Cost, Heat-Stable Oral Rotavirus Vaccine in Niger

Efficacy of a Low-Cost, Heat-Stable Oral Rotavirus Vaccine in Niger

Before the bombing: High burden of traumatic injuries in Kunduz Trauma Center, Kunduz, Afghanistan

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