India still has the biggest weight of deaths of children from pneumonia and diarrhea in the world, with 158,176 pneumonia and 102,813 deaths from diarrhea in 2016, according to the IVAC (International Tobacco Accessory Impaired Exposure Progress Report on Disease and Diarrhea) .
The report found that health systems are "sadistically soon" to ensure that most vulnerable children have access to prevention and treatment services in 15 countries, including India, accounting for 70% of global pneumonia and diarrhea deaths in children under five years.
Despite significant reductions in disease in recent years, due to improved access and use of health interventions, nearly half a million pneumonia and diarrhea deaths occurred in two countries – India and Nigeria.
The number of deaths of children under five years of age due to pneumonia in 2016 was 1.58.176, while death from diarrhea was 1.02,813, according to the report.
It was released before the 10th annual World Pneumonia Day on November 12 at the Johns Hopkins Bloomberg School of Public Health and describes progress in fighting these two diseases in 15 countries.
According to the report, the 15 nations with the highest number of lung and diarrheal child deaths are India, Nigeria, Pakistan, the Democratic Republic of Congo, Ethiopia, Chad, Angola, Somalia, Indonesia, Tanzania , China, Niger, Bangladesh, Uganda and Côte d'Ivoire.
Editing about RotaC's coverage, he said that since 2017, the rotavirus vaccine had not been introduced in eight of the 15 focusing countries – Nigeria, DRC, Chad, Somalia, Indonesia, China, Bangladesh and Uganda.
Of the seven countries where a rotavirus vaccine has been introduced, the mean coverage of the full rotavirus vaccine is 58%. "Among the countries that imported the vaccine from 2017, the lowest levels of coverage were Pakistan (12%) and India (13%), which have recently begun to gradually raise national upgrades that have not yet reached all states or provinces , the report said.
Progress on India, where more than five patients with pneumonia and diarrhea live than any other country in 2016, has been "mixed," he said. The increase in coverage of Haemophilus influenzae type b (Hib) vaccines, as well as the continued escalation of rotavirus vaccines introduced for the first time in mid-2016, led to a decline in the results of these interventions from last year's report.
"Introduced in 2017, pneumococcal conjugate vaccine (PCV) has been included in only six countries to date," said the report, which analyzed government data, to examine the escalation of the vaccine in all countries.
He also pointed out that India's exclusive breastfeeding scores were down as the ORS coverage. "The percentage of children receiving significant treatments remains abnormally low, with only 20% receiving ORS for diarrheal disease," he said.
"Progress to prevent child deaths is hampered by persistent inequalities in countries in the world," said Kate O'Brien, MD, MPH, professor at the Bloomberg School of International Health and the executive director of IVAC. "Addressing these inequalities will require higher levels of funding, strong political commitment, accountability backed up by better data, and coordinated global effort that will give priority to the most vulnerable," he added.
The report found that although countries are making progress towards improving vaccine coverage, they are experiencing serious delays in coping with childhood illnesses – especially among people who are remote, poor, or otherwise staying behind.