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Global Immunisation Coverage Stalls, Putting 2.7 Million Children at Risk

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Global childhood immunisation coverage has stagnated in 2023, resulting in 2.7 million additional children being under-vaccinated compared to pre-pandemic levels in 2019, according to a report jointly published by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) on Monday.

The latest estimates highlight significant gaps in national immunisation efforts across the world, particularly affecting vaccinations against 14 diseases. Despite efforts to catch up and strengthen health systems, the data underscores persistent challenges in reaching all children with vital vaccines.

UNICEF Executive Director Catherine Russell emphasized the need for concerted global action, stating, “Closing the immunisation gap requires investment in primary healthcare and community workers to ensure every child receives vaccination and overall healthcare is bolstered.”

Key findings from the report indicate that while 84% of children received three doses of the vaccine against diphtheria, tetanus, and pertussis (DTP) in 2023, crucial markers of global immunisation coverage have plateaued. Alarmingly, the number of children not receiving any vaccine doses increased from 13.9 million in 2022 to 14.5 million in 2023.

A significant proportion of unvaccinated children reside in 31 countries facing fragile, conflict-affected, and vulnerable conditions, exacerbating their susceptibility to preventable diseases due to healthcare disruptions and limited access to essential services like security, nutrition, and health.

Moreover, 6.5 million children did not complete their third dose of the DTP vaccine, crucial for early childhood disease protection. These trends highlight ongoing challenges such as healthcare service disruptions, logistical issues, vaccine hesitancy, and unequal access to healthcare services.

Regarding measles vaccination, global coverage remains insufficient with only 83% of children receiving the first dose through routine health services in 2023, and a modest increase to 74% for the second dose. These figures fall short of the 95% coverage needed to prevent outbreaks and achieve measles elimination goals, leaving nearly 35 million children vulnerable.

WHO Director-General Dr Tedros Ghebreyesus underscored the urgency of addressing these gaps, stating, “Measles outbreaks are indicative of broader immunisation gaps and disproportionately affect vulnerable populations. Solving this issue is feasible with widespread use of affordable vaccines, even in challenging environments.”

Amidst these challenges, there have been positive strides in immunisation coverage. The introduction of new vaccines and expanded usage, including for diseases like human papillomavirus (HPV), meningitis, pneumococcal disease, polio, and rotavirus, has bolstered protection in various countries. Notably, HPV vaccine coverage among adolescent girls globally increased from 20% in 2022 to 27% in 2023, with strong progress in Gavi-supported countries like Bangladesh, Indonesia, and Nigeria.

Dr Sania Nishtar, CEO of Gavi, highlighted the impact of HPV vaccination, stating, “The progress in HPV vaccine coverage is a testament to effective partnerships and signifies a pathway towards eliminating cervical cancer. Continued efforts are needed to extend vaccine coverage and protect more girls.”

The report concludes with a call for sustained global commitment and investment in immunisation programmes to bridge existing gaps, protect vulnerable children, and ensure equitable access to life-saving vaccines worldwide.

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Milestone; Kwara LG Declared Open Defecation Free by FG

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Stephen Olufemi Oni, Ilorin

The Federal Ministry of Water Resources and Sanitation has officially declared Oke-Ero Local Government Area (LGA) in Kwara State as Open Defecation Free (ODF), following a comprehensive validation exercise conducted by the National Task Group on Sanitation (NTGS).

The validation exercise was carried out between 21st and 25th July, 2025 by the NTGS, during which Oke-Ero LGA was assessed in accordance with the revised national ODF protocol. Based on the findings, the LGA was found to have met all required indicators and was therefore approved for ODF status on 27th August, 2025.

The official communication of this development was conveyed to Mr. Olorunfemi Adewumi Oladipo, the General Manager of the Kwara State Rural Water Supply and Sanitation Agency (RUWASSA), through a formal letter authored by the Director of Water Quality Control and Sanitation at the Federal Ministry; Mrs. Elizabeth Ugoh. The letter was issued on behalf of the Minister of Water Resources and Sanitation.

Mrs Elisabeth Ugoh, who congratulated the Kwara State Government and the people of Oke-Ero on achieving this national milestone, noted that sanitation is a continuous activity.

The correspondence described the achievement as a significant step forward in the national effort to eradicate open defecation and commended the sustained efforts of the local government, community leaders, stakeholders, and sanitation partners.

It would be recalled that the NTGS validation team conducted detailed assessments across households, institutions, and public spaces in Oke-Ero LGA, confirming the absence of open defecation and the presence of functional sanitation facilities, hygiene awareness, and sustained behavioural change, all of which are prerequisites under the national ODF criteria.

As part of the formal process, the Minister, Prof. Engr. Joseph Terlumun Utsev, is expected to communicate this achievement in writing to Governor AbdulRahman AbdulRazaqn, as, in line with established national protocol, the Governor is expected to host an official event to commemorate the ODF declaration of Oke-Ero LGA.

Reacting to the development, the Commissioner for Water Resources, Hon. Yinusa Lade, lauded the milestone as a testament to the state’s unwavering commitment to improving sanitation and public health. He commended the people of Oke-Ero for their resilience, cooperation, and ownership of the sanitation initiatives, which he described as critical to the sustainability of this achievement.

Hon. Lade, who reiterated the State government’s commitment to scaling up similar interventions across other LGAs, noted that with Oke-Ero setting the pace, the Ministry will intensify efforts to ensure that the entire State is declared Open Defecation Free well ahead of the national 2030 target.

Responding to the announcement, Mr. Oladipo expressed appreciation for the recognition, describing it as a reflection of collaborative effort across multiple levels of governance and community participation. Mr Olorunfemi Oladipo reaffirmed RUWASSA’s continued commitment to supporting other LGAs in the State to achieve similar results.

Mr Oladipo also urged local authorities and stakeholders in Oke-Ero to ensure the sustainability of this status, by adhering to the recommendations outlined in the validation report, which has been enclosed with the official communication.

This development positions Kwara State as one of the leaders in sanitation progress and contributes meaningfully to Nigeria’s broader objective of eliminating open defecation nationwide by 2030, in alignment with the Sustainable Development Goals (SDGs).

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Nigeria Records 43,000 Snakebite Annually, Experts Urge Local Anti venom Production

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By Hassan Taiye

The Toxinological Society of Nigeria (TSN) has called on the federal and state governments to invest in local anti venom production and strengthen healthcare facilities to curb the rising burden of snakebite envenoming across the country.

This was contained in a communique issued by the Society’s Secretary-General, Dr. Mustapha Shehu Muhammad, at the end of its 2nd Annual General Meeting held between September 14 and 17 at Gombe State University.

The four-day conference, with the theme “Exploring Indigenous Anti-Venom Development and Therapy in Nigeria: Policies, Challenges and Opportunities,” attracted over 1,000 participants, including policymakers, clinicians, researchers, traditional leaders, and students.

Experts at the meeting disclosed that Nigeria records about 43,000 snakebite cases every year, leading to nearly 1,900 deaths, with children accounting for 30 percent of victims.

They identified delayed treatment, the high cost of anti venom, and inadequate facilities especially in rural areas as key factors worsening outcomes.

In his keynote address, Prof. Abdulrazak Habib stressed the urgent need for government and private sector collaboration in developing indigenous anti venom, warning that failure to act would worsen mortality rates and economic losses.

Delegates also visited the Snakebite Treatment and Research Hospital in Kaltungo, describing it as overstretched and in dire need of expansion.

The Society recommended establishing a National Centre of Excellence for Venom, Anti venom, and Natural Toxins Research in Gombe, and upgrading the Kaltungo hospital into a fully equipped National Snakebite Hospital with modern equipment, surveillance systems, and training capacity.

It further urged the Gombe State Government to dedicate at least one percent of its internal revenue to snakebite response, including free anti venom distribution, and to integrate snakebite research and training into the curriculum of Gombe State University.

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FG Strengthens Border Checks as Fresh Ebola Outbreak Spreads in DRC

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By: Fabian Apechihin

The Federal Government has stepped up health surveillance at all entry points into Nigeria following the confirmation of new Ebola Virus Disease (EVD) cases in the Democratic Republic of Congo (DRC).

Director of Port Health Services, Federal Ministry of Health and Social Welfare, Dr. Akpan Nse, announced on Friday that airports, seaports, and land borders are now under reinforced monitoring. Additional personnel, backed by the World Health Organisation (WHO), have been deployed nationwide, while thermal scanners at airports are being serviced in partnership with private firms to ensure continuous operation.

Health authorities in the DRC on September 5 confirmed an outbreak of the Ebola Zaire strain in Kasai Province, with 28 suspected cases and 16 deaths, including four health workers. The country, which has recorded 15 outbreaks since 1976, last battled the virus in 2022.

Dr. Nse warned that Nigeria remains at risk due to heavy travel links with the DRC. He said all passengers arriving from Congo or transiting through the country must undergo mandatory screening and complete health declaration forms.

“We have intensified surveillance at every point of entry,” he said. “All arrivals from Congo are screened—by air, land, or sea. We are on full alert to prevent importation of the virus into Nigeria.”

Ebola is a highly fatal disease transmitted through direct contact with the blood or bodily fluids of infected persons or animals, particularly fruit bats, which are considered natural carriers.


Want me to also add Nigeria’s 2014 Ebola response as context, to remind readers how the country previously contained the outbreak?

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