Issues in pediatric vaccine-preventable diseases in low- to middle-income countries.
The highest burden of pediatric vaccine-preventable disease is found in developing nations where resource constraints pose the greatest challenge, impacting disease diagnosis and surveillance as well as the implementation of large scale vaccination programmes. In November 2012, a Working Group Meeting convened in Casablanca to describe and discuss the status with respect to 8 vaccine-preventable diseases (pertussis, pneumococcal disease, measles-mumps-rubella-varicella (MMRV), rotavirus and meningococcal meningitis) to identify and consider ways of overcoming obstacles to pediatric vaccine implementation. Experts from Europe, Russia, the Commonwealth of Independent States, the Middle East, Africa and South East Asia participated in the meeting. A range of region-specific needs and barriers to uptake were discussed. The aim of this article is to provide a summary of the ongoing status with respect to pediatric vaccine preventable disease in the countries represented, and the experts' opinions and recommendations with respect to pediatric vaccine implementation.
a Center for Infectious Diseases Research, Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center , Riad El Solh , Beirut , Lebanon.
Ghassan
G
Dbaibo
b Child Health Research Centre , Moscow , Russia.
Vladimir
V
Tatochenko
c Friedrich Schiller University of Jena, Institute of Virology and Antiviral Therapy , Jena , Germany.
Peter
P
Wutzler
D003141:Communicable Diseases / Q000453:epidemiology*; D003906:Developing Countries; D018562:Disease Transmission, Infectious / Q000517:prevention & control*; D006297:Health Services Accessibility; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration; D014611:Vaccination / Q000706:statistics & numerical data*; D014612:Vaccines / Q000008:administration & dosage*
D014612:Vaccines
Pediatric vaccines; barriers; developing countries; vaccine implementation; vaccine-preventable disease