Immunization Today

The trainer should request the participants to identify and list local influencers in the areas [such as] village pradhans, councilors, religious leaders, medical practitioners, moneylenders, anganwadi workers, grocery store owners, traditional birth attendants, local dias, prominent youth, popular teachers, etc.
Vaccinator Training Manual section on how to get support for National Immunization Days, India, 2001

Nearly all of the vaccine used in the global campaign is the oral live virus form associated with Albert Sabin. The advantages of oral polio vaccine are that the drops are much cheaper than injected vaccine and do not require highly trained medical personnel to administer every dose. One doctor or nurse can supervise many volunteers, making it possible to carry out massive vaccinations. These countrywide campaigns are called National Immunization Days and occur on two days about six weeks apart. On a single day, January 21, 2001, 150 million children under five years of age in India were immunized.

 

Vaccinator marking door with chalk
Courtesy of Jean-Marc Giboux, photographer

Nurse’s bag used in Tunisia, 1969–70
Courtesy of Roberta Poulton, RN

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Children with fingers marked with ink, Ethiopia
Courtesy of Jean-Marc Giboux, photographer

Children with fingers marked with ink, Ethiopia
Courtesy of Jean-Marc Giboux, photographer

During a National Immunization Day, vaccinators mark the left pinky finger of every child with indelible ink, to keep track of who has received the vaccine drops. In Brazil, an imaginary character, “Little Drop,” is used to ease children’s fears about vaccination.

Children wearing vaccinators’ caps and T-shirts
Courtesy of Jean-Marc Giboux, photographer

“Little Drop” characters used in Brazil to appeal to children on vaccination days
Courtesy of Programa Nacional de Imunizacoes do Ministerio da Saude

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National Immunization Day parade, Nepal
Courtesy of Jean-Marc Giboux, photographer

Medical Diplomacy

At times, National Immunization Days have occurred during civil wars, making the vaccinators’ work dangerous. This happened in Peru, El Salvador, and Angola. In each case, cease-fires, called Days of Tranquility, were negotiated to allow the vaccinators safe passage.

On one occasion, one of our epidemiologists who was leading a team of vaccinators was returning from the field at the end of the day and was caught by a group of guerilla fighters. Initially, he was terrified, but then he realized that they wanted the team to return to a village that was left without vaccination.
Dr. Ciro de Quadros, on El Salvador’s Days of Tranquility, 1997
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