04 May 2023

Cholera is endangering children globally

Cholera doesn't know borders. Despite being preventable and easily treatable, children continue to suffer from the potentially fatal disease. After years of steady decline, cholera has made a devastating comeback. More than 1.1 billion people are at risk, with children under 5 especially vulnerable. The intestinal infection often spreads because…, What is cholera?  , Cholera is an intestinal infection. It’s caused by ingestion of food or water that’s contaminated with the bacterium Vibrio cholerae.  Researchers conservatively estimate that every year, there are as many as 4 million cholera cases globally and as many as 143,000 deaths. Young children, especially those under the age of 5, bear the brunt of the…, What makes a country cholera-endemic? , A cholera-endemic area is where cases have been detected during the past 3 years, and there’s evidence that it was caused by local transmission, rather than being imported from elsewhere. Meanwhile, a cholera outbreak (epidemic) can occur in countries where cholera does not regularly occur or in endemic countries.  Children in the village of Hatla…, How does cholera spread? , Cholera disproportionately affects the world’s poorest and most vulnerable communities. A lack of access to clean water and sanitation facilities is closely linked to an increased likelihood of cholera transmission. That means that children who are living in urban slums and camps for internally displaced people or refugees are particularly…, If a child is infected with cholera, what are the symptoms?  , Most children infected with cholera will have no or mild symptoms, and through the use of oral rehydration solution, they can be successfully treated. But if left untreated, the disease can kill within hours. Severe cases of cholera require rapid treatment with intravenous fluids and antibiotics.   After ingesting contaminated food or water, it…, How is cholera treated?  , If infected with cholera, most children can be treated successfully through the quick administration of oral rehydration solution (ORS), which is a mixture of salt and sugar. UNICEF and the World Health Organization distribute sachets of this solution that need to be dissolved in clean water.   From 2000 to 2019, the total annual number of deaths…, What can be done to prevent the spread of cholera?  , A multifaceted approach is key to controlling cholera and reducing deaths. First and foremost, ensuring that every child has access to safe drinking water and adequate sanitation is essential. It’s also important that children in communities at risk have access to the WHO pre-qualified oral cholera vaccines.  Furthermore, community engagement…, Are there vaccines available to prevent cholera?  , There are currently three World Health Organization pre-qualified oral cholera vaccines: Dukoral, Shanchol and Euvichol-Plus. In order to be fully protected, all of these vaccines require two doses. The International Coordinating Group (ICG), which UNICEF is a member of, manages the global stockpile of oral cholera vaccines. The group has…, Where in the world are we seeing cholera outbreaks?  , In recent years, we’ve seen a surge in the number of cholera outbreaks globally. 30 countries faced cholera outbreaks in 2022 – an alarming 145 per cent average increase from the previous five-year average. Countries like Lebanon and Syria reported cholera for the first time in decades. Meanwhile, an outbreak in Haiti in 2022 had a significant…, How is UNICEF responding to these cholera outbeaks?  , UNICEF has stepped up efforts to respond to cholera outbreaks in coordination with national authorities and partners. That includes widely distributing millions of water treatment tablets to ensure families in impacted communities have access to safe water.   We also supply local health departments with oral rehydration salt sachets and zinc, in…, Are we close to eliminating cholera? , Through the successful adoption of prevention measures and increased access to cholera treatment methods, including oral rehydration salt and zinc, we’re closer than ever to ensuring that no child dies from this preventable disease.   In 2021, UNICEF distributed over 93 million zinc tablets and more than 30 million oral rehydration salt sachets…
01 August 2019

Adolescent health and well-being

The world is now home to the largest cohort of adolescents in history – 1.2 billion people between the ages of 10 and 19. How they develop and grow has implications that reverberate across generations. When adolescents, including the most disadvantaged, are supported by caring families and adults, as well as policies and services attentive to…, UNICEF's response, UNICEF is committed to supporting adolescent girls and boys in developing and reaching their full potential. Around the world, UNICEF partners with adolescents to improve the policies, programmes and services that affect their health and well-being. We work with governments in health and other areas – like education; nutrition; gender; child…, Fighting communicable diseases, UNICEF is focused on strengthening the capacity of primary health care at community level to detect and treat communicable and childhood diseases that impact adolescent girls and boys. Those diseases include tuberculosis, malaria, pneumonia, meningitis and diarrhoea. Additionally, UNICEF works to provide routine vaccinations including HPV…, Supporting HIV and AIDS prevention programmes, UNICEF is committed to supporting prevention programmes that are tailored to local needs, with a mix of services focused on adolescent girls, young women and their partners. We also work to increase access to HIV testing, in addition to supporting adolescents living with HIV to access the treatment they need. Learn more, Strengthen gender-responsive health services, UNICEF supports programmes that promote gender equality, reduce stigma and discrimination, and provide adolescents with the information they need to make decisions that affect their own health, including their sexual and reproductive health., Meet the menstrual health and hygiene needs of adolescent girls, Girls without support through puberty and during menstruation, particularly in low-resource and emergency contexts, often experience stigma and social exclusion while forgoing important educational, social and economic opportunities. UNICEF works to end stigma and discrimination during menstruation through evidence-based advocacy efforts, as well…, Promote mental well-being and address mental health conditions, Many mental health disorders have their onset in adolescence. UNICEF works to promote mental well-being during these pivotal years through global advocacy, awareness-raising, and evidence-building to support the implementation and scale-up of effective interventions. We support early prevention, screening and referral through strengthened health…, Prevent and respond to non-communicable diseases, UNICEF's work is commited to promoting healthy behaviours, the prevention of substance use, increased physical activity, and youth-led policy action. We also help reduce the risk of cervical cancer through Human Papillomavirus (HPV) vaccines. Learn more, Prevent and respond to violence, UNICEF works to protect adolescents from injuries and violence at home, in school and throughout communities. UNICEF supports programmes to reinforce positive parent-adolescent interactions and non-violent discipline. We’re also committed to strengthening the capacity of social welfare systems and investing in the child protection workforce., Resources, Publisher Title UNICEF Adolescent Health: The Missing Population in Universal Health Coverage UNICEF Adolescent Mental Health Knowledge Summary: Time for Action WHO Global Accelerated Action for the Health of Adolescents UNICEF UNICEF Programme Guide for the Second Decade UNICEF UNICEF Programme Guidance for Early-Life Prevention of Non-…, More from UNICEF