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Ending of preventable deaths from pneumonia and diarrhoea: An achievable goal - Dr. Elizabeth Mason
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Ending of preventable deaths from pneumonia and diarrhoea: An achievable goal - Dr. Elizabeth Mason


Dr. Elizabeth Mason: Ending of preventable deaths from pneumonia and diarrhoea: An achievable goal. …

Dr. Elizabeth Mason: Ending of preventable deaths from pneumonia and diarrhoea: An achievable goal.
Director, Department of Maternal and Child Health

As presented at Launch of The Lancet Series on Childhood Pneumonia and Diarrhoea, at the Royal College of Pediatrics and Child Health - 12 April 2013

In support of the UNICEF & WHO Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea

View the film accompanying the presentation at:

Published in Health & Medicine , Education
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  • Again we have the opportunity to change the situation. The world's community is united more than ever before to say enough is enough. We have unprecedented commitment from the UN Global Strategy for Women and Children's Health to Promises Renewed. In addition …


  • 1. Childhood Pneumonia and Diarrhoea 4Ending of preventable deaths from pneumonia and diarrhoea:an achievable goalMickey Chopra, Elizabeth Mason, John Borrazzo, Harry Campbell, Igor Rudan,Li Liu, Robert E Black, Zulfiqar A Bhutta
  • 2. Countries with the largest burden of pneumonia and diarrhoea deaths 15 countries with largest burden 15 countries with largest burden of pneumonia deaths of diarrhoea deathsAfghanistanAngolaBurkina FasoDemocratic Republic of the CongoEthiopiaIndiaKenyaMaliPakistanNiger 13 of the 15 countries with the highest pneumoniaNigeria mortality are also among the 15 countries with the 85% of global pneumonia deathsSudan-precession 81% of global diarrhoea deaths highest diarrhoea mortality. These 13 countries accountUganda for 78% of pneumonia and diarrhoea mortality. Source: Global, regional and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2010. The Lancet, 11 May 2012.
  • 3. Promise Renewed: Target <20 deaths/1000 live births for under five mortality by 2035Under-5 mortality rate (per 1000) versus percentage of under-5deaths attributed to pneumonia and diarrhoea in 2010 To reach this target, reducing deaths from pneumonia and diarrhoea will be critical, especially in countries with higher under-five mortality rates.
  • 4. Proposed target: < 3 deaths/1000 from pneumonia and< 1 death/1000 from diarrhoea Target is global average by 2025, all countries by 2035 Aggregate reduction in cause-specific mortality across 74 Countdown countries
  • 5. Four opportunities for further acceleration: New Increased products financial and resources technology Integrated A health service system delivery approach
  • 6. New approaches reinvigorate and accelerate progress• New vaccines for preventing pneumonia and diarrhoea – Hib, pneumococcal conjugate vaccines – Rotavirus vaccines• Improvements in case management – Low osmolarity ORS Diarrhoea – Zinc supplementation – Short course antibiotics for non-severe pneumonia Pneumonia – Oral amoxicillin for severe pneumonia• New evidence on other preventive modalities – Reduction of indoor air pollution – Hand washing
  • 7. Action Steps: Strengthen Global and National Leadership Country leadership & Implementation Key advocacy events and catalytic initiatives in support of Every Woman Every Child A Promise Family Planning Born too soon Renewed Summit Decade of Vaccines Innovation Working Group Commission on Live-saving Commodities CoIA independent Expert Review Group
  • 8. Addressing global drivers of mortality is critical Global drivers of pneumonia and diarrhoea mortality in the years 2000 and 2010 Prioritise interventions Foster Intersectoral Collaboration WASH = water supply, sanitation, and hygiene
  • 9. A multi-pronged approach is necessary• Pneumonia and diarrhoea are caused by multiple pathogens and no single intervention will address the entirety of the problem.• Multiple interventions of proven effectiveness exist, which are complementary but not implemented in a coordinated fashion.• Establishing better coordination between existing programmes can lead to synergies and efficiencies that will maximize the benefits of the individual interventions.
  • 10. Strategies for preventing and treating pneumonia and diarrhoea
  • 11. The Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea
  • 12. Protect, Prevent, Treat: a useful framework for an integrated approach
  • 13. Five-step process can be used totranslate evidence into policy and action Understand disease epidemiology and intervention packages Understand the health system context Understand existing investments and barriers Establish an enabling environment Be accountable for progress
  • 14. Key messagesSubstantial reductions in deaths due to pneumonia and diarrhoea –but still cause 2 million deaths per yearEnding preventable deaths form pneumonia and diarrhoea is possible:Target: < 3/1000 deaths for pneumonia; <1/1000 for diarrhoeaScaling up cost-effective interventions can prevent 95% diarrhoealdeaths and 65% pneumonia deaths by 2025Five-step approach to planning and management of programmes canrapidly lead to scale-upThe cost to achieve the goal by 2025 is about $6.7 billion