Cholera vaccine shortage to last until 2025 as cases surge: Gavi

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A medic gives the cholera vaccination to a child during a vaccination campaign in the town of Maaret Misrin in the rebel-held northern part of the northwestern Idlib province on March 7, 2023. - Syrian medics launched the first cholera vaccination campaign in the rebel-held northwest since a deadly outbreak began last year, amid increased fears of contagion after last month's devastating earthquake. Health workers were going door to door to inoculate people in homes and displacement camps in the Idlib region, the war-torn country's last main rebel bastion, an AFP correspondent said. (Photo by OMAR HAJ KADOUR / AFP)

A medic giving the cholera vaccine to a child in Maaret Misrin, in Syria's Idlib province, on March 7.

PHOTO: AFP

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LONDON - A shortage of cholera vaccines is likely to last until 2025 as outbreaks flare worldwide, a global vaccine alliance said on Monday, days after the World Health Organisation (WHO) warned that the short-term outlook for controlling the disease was bleak.

Cholera cases and deaths jumped in 2022 as the deadly disease spread to new regions, particularly conflict zones and areas with high levels of poverty.

In response, the WHO and partners temporarily switched to using one dose of a vaccine that is normally given as two doses. But they still ran out of the vaccine in December 2022.

The Gavi alliance, an international body focused on childhood vaccination, said in a report that there were currently enough doses to meet emergency demand, but not for preventative use.

Cholera is spread by ingesting contaminated food or water and while it often causes mild symptoms or none at all, serious cases cause acute diarrhoea and kill within hours if untreated.

Access to safe water and sanitation are important to stop the disease, as well as vaccination and speedy treatment.

Balancing preventative vaccination campaigns with responding to urgent outbreaks has been challenging as case numbers have risen, said global health organisations.

Gavi said 48 million vaccine doses had been used in the last two years, 10 million more than in the entire previous decade.

It said supply should improve by 2026, as existing manufacturers ramp up and a new company enters the market, and called for better planning to ensure vaccines were used where they were most needed, including for preventative campaigns.

At a briefing on Friday, the WHO

said 24 countries have reported outbreaks so far in 2023,

compared with 15 in 2022. Case fatality rates are also higher than expected, the United Nations agency said.

“The outlook is bleak. We’re not able to provide enough vaccines,” said Mr Henry Gray, WHO’s incident manager for the global cholera response, who said only eight million of a requested 18 million doses had been made available in 2023. REUTERS

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