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Millions of routine vaccinations missed because of covid disruptions. COVID-19 pandemic and global childhood vaccinations https://www.who.int/news/item/15-07-2022-covid-19-pandemic-fuels-largest-continued-backslide-in-vaccinations-in-three-decades COVID-19 pandemic fuels largest continued backslide in vaccinations in three decades Global vaccination coverage continued to decline in 2021, Data WHO and UNICEF Diphtheria, tetanus and pertussis (whooping cough) (DTP3) 5% down between 2019 and 2021 25 million children missed out on one or more doses of DTP in 2021 18 million, zero doses India, Nigeria, Indonesia, Ethiopia, Philippines, Myanmar, Mozambique devastating but preventable diseases Factors Children living in conflict and fragile settings Increased misinformation COVID-19 related issues Service and supply chain disruptions Resource diversion Containment measures, limited service access Catherine Russell, UNICEF Executive Director This is a red alert for child health. We are witnessing the largest sustained drop in childhood immunization in a generation. The consequences will be measured in lives We need immunization catch-ups for the missing millions or we will inevitably witness more outbreaks, more sick children and greater pressure on already strained health systems Human papillomavirus (HPV) vaccine Global coverage of first dose of HPV vaccine, 15% A backdrop of rapidly rising rates of severe acute malnutrition Weakened immunity and missed vaccinations a child survival crisis First dose measles coverage Dropped to 81% in 2021 24.7 million children missed first measles dose 5.3 million more than in 2019 https://www.who.int/news/item/27-04-2022-unicef-and-who-warn-of--perfect-storm--of-conditions-for-measles-outbreaks--affecting-children January and February 2022 17,338 measles cases January and February 2021 9,665 measles cases 2018 140,000 measles deaths mostly among children under the age of five https://www.who.int/news-room/fact-sheets/detail/measles NZ https://www.nzno.org.nz/resources/nursing_reports/pid/4779/ev/1/categoryid/25/categoryname/nursing-shortages Ninety-nine percent of responding members said the system was either in crisis (70%) or already beyond crisis (29%) End of Life Choice Act 2019 https://www.health.govt.nz/our-work/life-stages/assisted-dying-service/information-health-professionals/roles-delivery-service 7 November 2021, terminal illness, meet specific criteria, ask for help to end life. https://www.legislation.govt.nz/act/public/2019/0067/latest/DLM7285905.html NFRs The administration of assisted dying medication can only be done by a medical practitioner, or a nurse practitioner Euthanasia and assisted suicide

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