LIONS CLUBS INTERNATIONAL FOUNDATION Measles Training for LCIF Coordinators 2012 Today’s Agenda I. Introduction: One Shot, One Life II. Problem: Why Target Measles III. Current Activity: Global Measles Strategies IV. Success to Date V. Lions Growing Commitment VI. One Shot, One Life – Lions Measles Initiative VII. Review Quiz VIII. Coordinator Role and Tools IX. Questions 2 One Shot, One Life: Lions Measles Initiative LCIF Coordinators Measles Training 3 One Shot, One Life Goal: Vaccinate 157 million children in 2012 together with our Measles Initiative partners. How will this be achieved? Raise and provide US$10 Million for the Measles Initiative Combine with US$5 Million matching challenge grant from Gates Foundation Mobilize and educate community members in measles priority countries about the importance of vaccinations Advocate for investment in routine immunization programs at the highest levels 4 Why Target Measles 5 VIDEO What is Measles? Dr. Samuel Katz, the developer of the measles vaccine, talks about measles. 6 Why Target Measles? Agent Virus Symptoms Fever, rash, cough, runny nose, conjunctivitis Transmission Potential complications: Sneezing, coughing Encephalitis, corneal scarring and blindness, diarrhea, pneumonia 7 Why Target Measles? 1. In 2000, about 45.5% of vaccine preventable deaths among children were caused by measles 2. 450 children still die each day from measles complications We Care. We Serve. We Accomplish. 8 Why Target Measles? 3. The measles vaccine is safe, effective and provides immunity for a lifetime 4. Serious side effects potentially cause life-long adverse health conditions for children We Care. We Serve. We Accomplish. 9 Why Target Measles? 5. Measles infection has a significant impact on families, e.g. childcare, hospitalization, loss of work, etc. 6. Measles is extremely infectious – 90% of those without immunity will quickly contract measles when exposed to the virus We Care. We Serve. We Accomplish. 10 Why Target Measles? 7. Primary health care and routine immunization strengthened by investment in measles vaccination campaigns. 8. Eradication is within reach 9. High quality of life improvement for families International organizations have been working to eradicate measles since early 1980s because it affects populations in every region of the world. 11 VIDEO Measles Initiative Promotional video made by the Measles Initiative in 2009. 12 Why Target Measles? Leading experts predict that if support for mass vaccination campaigns decreases, a resurgence of measles is likely. * *SIA – supplemental immunization activities 13 Why Target Measles? Measles is still the most contagious vaccine preventable disease: www.cfr.org/vaccinemap 2011 Outbreaks 14 Why Target Measles? Recent headlines illustrate how measles can be imported and spread even in areas where indigenous measles has been eliminated. In addition, infection can spread from unvaccinated people in developed countries who travel to areas where the impact of an outbreak creates dire consequences for the neediest in those communities. Unvaccinated behind largest U.S. measles outbreak in years (USA Today, Oct. 21, 2011) Quebec battling major measles outbreak (CBC News, Oct. 27, 2011) 15 VIDEO CBS news clip Measles Outbreaks Increase August 21, 2008 16 Global Measles Strategies 17 Global Measles Strategies Measles Initiative Since 2001, a partnership of international organizations committed to reducing measles deaths worldwide through mass vaccination campaigns and by strengthening routine immunization. US$750 million has been invested to date. We Care. We Serve. We Accomplish. 18 Global Measles Strategies Anne Ray Charitable Trust * 19 * LCIF is the only service club organization among the partners Global Measles Strategies Measles elimination: Pan American Health Organization (PAHO) model Catch Up Keep Up Follow-up Case-based surveillance Mass vaccination campaigns of 9 month + Invest in and maintain routine coverage Mass campaigns every 3 – 5 years Investigate each case of infection 20 Global Measles Strategies Mass Vaccination Campaigns The process of vaccinating all children in a defined age range in a short period of time, often just a few days or weeks: • • • • Usually countrywide Successful campaigns reach 90% of the children targeted Local Ministries of Health must plan and conduct campaigns with technical and financial support from Measles Initiative partners Campaigns are excellent for achieving mass immunity in places where routine immunization systems are not yet in place 21 Global Measles Strategies Common challenges in marginalized communities: Low literacy rates (25 – 50%) Rural areas lack electricity (no TV, radio) No access to healthcare services Limited government resources No transportation 22 Global Measles Strategies Anatomy of a measles vaccination campaign Starting at least 6 months before the campaign, a committee is formed to map resources and fill gaps: Distances for transporting vaccine Numbers of children and current vaccination rates Buildings e.g. clinics, schools, churches for storage and administration of vaccines Health professionals already in the area vs. training needs “Cold chain” storage resources, e.g. refrigerators Waste disposal, e.g. waste collection and transport or 23 incinerators Global Measles Strategies Anatomy of a measles vaccination campaign Training plans: Community health and outreach workers Transport, storage, and administration of vaccine Safe disposal of waste 24 Global Measles Strategies Anatomy of a measles vaccination campaign Social mobilization: Outreach and PR plans TV and radio ads Fliers and mobile PA announcements Outreach through schools, churches and civil society groups Campaign launch event 25 Global Measles Strategies • Integrated campaigns-providing children with other necessary health interventions that improve overall health: o Vitamin A distribution, de-worming tablets, bednets, etc. • Integrated measles/rubella surveillance • Use of MR vaccine (measles + rubella) e.g. Nepal 26 Global Measles Strategies Average Cost of a Vaccination Campaign for every US$1: 0.35 = Vaccines and devices 0.08 = Micro-planning and training 0.06 = Cold chain and waste management 0.10 = Social mobilization 0.30 = Personnel 0.08 = Fuel and transportation 0.03 = Monitoring and evaluation 27 Success to Date 28 VIDEO The Last Measle A short, animated video explaining the measles from a child’s perspective. 29 Success to Date Since 2001 and the establishment of the Measles Initiative: Measles related deaths have decreased by 78%! More than 1 billion children have been vaccinated! More than 5 million deaths have been prevented! Global routine measles immunization has increased from 71% to 82%! 30 Success to Date 100 4,500,000 90 4,000,000 80 3,500,000 70 3,000,000 60 2,500,000 50 2,000,000 40 1,500,000 30 1,000,000 20 500,000 10 0 immunization coverage (%) 5,000,000 0 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 number of cases Measles global annual reported cases and measles vaccine coverage, 1980 to 2010 Number of cases WHO/UNICEF estimates 31 Success to Date 32 Success to Date 2015 Target 100 80 68 60 73 73 73 71 71 71 72 73 73 69 69 70 71 74 76 78 81 82 83 84 85 62 53 47 47 40 37 20 16 19 41 20 0 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 MCV coverage (%) 120 Global EUR AFR SEAR AMR WPR EMR Source: WHO/UNICEF coverage estimates, 2011 33 revision. Date of slide: 29 July 2011 Success to Date Reported measles cases down by two-thirds Number of reported cases 900000 800000 700000 600000 500000 400000 300000 200000 100000 0 2000 2001 2002 AFR 2003 AMR 2004 2005 EMR 2006 EUR 2007 SEAR 2008 2009 2010 WPR Reported number of measles cases by WHO Region, 2000-2010 Source: Cases from annual Joint Reporting Form 34 193 WHO Member States, Data as of August 2011 Success to Date • The Measles Initiative is one of the greatest success stories in public health – a child’s life can be saved for less than US$1! • Among most cost-effective public health interventions o Measles immunization carries the highest health return for the money spent, saving more lives per unit cost • Vaccination provides lifelong immunity 35 Success to Date Additional benefits of Measles campaigns: • an improved health infrastructure • Health services delivery a major goal of Lions • Supporting the basic immunization delivery system ensures: o sustainability o eventual measles eradication 36 Success to Date Sustaining the gains in months and years ahead: Maintain and augment routine immunization programs Follow-up campaigns Maintain funding levels from both local governments and international funders Improve care of infected children to reduce morbidity Integrate other child health care measures Keep coverage rates high to avoid importing new cases 37 Lions Growing Commitment 38 Lions Growing Commitment Lions in Madagascar, Ethiopia, Nigeria and Mali supported measles immunization campaigns in Lions year 2010-2011. 39 Lions Growing Commitment • 2010-2011 Gates Foundation grant of US$400,000 + Lions matched with US$300,000 = US$700,000 • A portion of these funds were awarded to Lions in four pilot countries: Ethiopia, Madagascar, Mali and Nigeria This funding was used for several key areas of activity in each country: o Advocacy o Planning o Promotion and social mobilization 40 Lions Growing Commitment Lions in each country participated in local, regional and national level planning and implementation Formed a committee and opened an office dedicated to Measles Initiative activities Met with WHO and local public health representatives to determine gaps in campaign plan Strategized solutions to fill gaps and ensure that the most vulnerable areas were reached 41 Lions Growing Commitment One critical component of any mass vaccination campaign is ensuring that families participate and have their children vaccinated. Lions played a key role in getting the word out and bringing families in during the days of the campaigns through: TV and radio ads Posting and distribution of fliers Mobile PA messages in targeted neighborhoods Creating and distributing promotional items (e.g. T-shirts) 42 Lions Growing Commitment As a result, more than 41 million children were vaccinated in the four pilot countries! Also, healthcare infrastructure improvements included: • Health workers trained • Vaccine storage improved • Safe injection practices promoted • Surveillance systems implemented 43 Lions Growing Commitment Madagascar Hired 15,000 community health workers Paid for radio and TV ads to announce the vaccination campaigns Announced campaigns via rented truck with speakers that drove through communities Printed and disseminated posters and brochures Involved Leos in outreach Created and publicized a song Government- WHO liaison Extended campaign 44 VIDEO Lions Measles Initiative Celebrating our Pilot Year: 45 Lions Growing Commitment Measles Initiative Feasibility Study Nearly 150 Personal Interviews with Lions Leaders, as well as 1,500 survey respondents • 88% approved of expanding Lions’ involvement with the Measles Initiative • 82% were confident that Lions could mobilize $10 - $15 million in support of measles control • 90% said that they would support a measles campaign with a personal gift 46 Lions Growing Commitment LCIF Board of Trustees Meeting in October 2011 in Hong Kong: After careful consideration of the Feasibility Study, success of pilot projects, and goals of Measles Initiative, LCIF Board of Trustees accepts Gates Challenge and approves plan seeking to raise US$ 10 million by June 2012. 47 One Shot, One Life - Lions Measles Initiative 48 One Shot, One Life US$5 million Challenge Grant awarded to LCIF in October 2011 -for every US$2 raised by Lions, Gates will match with US$1 Deepening the relationship with Gates started last year (more on Measles pilot projects above) Lions chosen because of: •global reach •commitment to improving health in their communities •serving the underserved •proven track record to change lives for those in greatest need 49 One Shot, One Life 1 • dedicated to the belief that all lives have equal value 2 • funds projects that enable all people to lead healthy and productive lives 3 • targets global HEALTH, especially infrastructure to deliver health care 4 • since 1994 has awarded US$26 billion in 100 countries 50 One Shot, One Life “The Gates Foundation is very proud to have been a partner in your early measles projects, and we’re excited to continue working together. … If you want to go fast, go alone. If you want to go far, go together. With Lions in the lead, there is no telling how far we will go together.” Bill Gates, Sr., Co-chair of the Bill & Melinda Gates Foundation 51 VIDEO Bill Gates, Sr., Co-chair of the Bill & Melinda Gates Foundation, speaks to Lions at LCI International Convention in Seattle, WA, July 2011. 52 One Shot, One Life 2011-2012 Activities • Nepal: International President Tam advocated at the highest levels with National President Dr. Yadav. A measles/rubella campaign is scheduled for early 2012 • Lions are also supporting campaigns in Kenya, Uganda, Democratic Republic of Congo, and Haiti • Lions will participate in planning activities in all 25 measles priority countries • Continue advocating for routine immunization programs in 2010-2011 pilot countries: Madagascar, Ethiopia, Mali, Nigeria 53 Review Quiz 54 Why target Measles? If an person infected with measles is exposed to a group of people who have not been vaccinated, what percentage of that group will become infected? A. B. C. D. 90% 75% 45% 25% We Care. We Serve. We Accomplish. 55 Why target Measles? Which of these serious side effects can result from a measles infection and lead to lifelong health complications or death in children? A. B. C. D. E. Blindness from corneal scarring Encephalitis Pneumonia Severe Diarrhea All of the above We Care. We Serve. We Accomplish. 56 Why target Measles? True or False? Historically, measles was responsible for a high proportion of all deaths among children. Vaccinating children for measles, and halting the spread of the disease, reduces childhood mortality. We Care. We Serve. We Accomplish. 57 Why target Measles? True! Successfully controlling the spread of measles leads to automatic reduction in child mortality. The 4th Millennium Development Goal established by the United Nations is to reduce deaths among children under 5 years of age by two-thirds by 2015. We Care. We Serve. We Accomplish. 58 Why target Measles? How much does it cost to vaccinate a child against measles, on average? A. B. C. D. US$1 US$3 US$5 US$7 We Care. We Serve. We Accomplish. 59 The Measles Initiative How many children have been vaccinated by Measles Initiative partners to date? A. B. C. D. 100 Million 750 Million 1 Billion 3 Billion We Care. We Serve. We Accomplish. 60 The Measles Initiative How many deaths have been prevented by measles vaccination efforts since 2001? A. B. C. D. 2 Million 3 Million 4 Million 5 Million We Care. We Serve. We Accomplish. 61 The Gates Challenge Why was LCIF awarded a US$5 million Challenge Grant by the Bill and Melinda Gates Foundation in October 2011? A) This is a show of support for Lions reach and positive global impact B) Lions’ capacity to raise significant funding for important global projects, e.g. after large-scale emergencies and during CSFII C) Lions’ proven track record of improving community health and serving the underserved D) The success of last year’s pilot projects for which we were awarded $400,000 E) All of the above 62 Measles Pilot Year: Results Which of these benefits resulted from Lions Measles Pilot Projects in 2010-2011? A) Health workers trained B) Vaccine storage improved C) Safe injection practices promoted D) Surveillance systems implemented E) 41 Million children vaccinated F) All of the above 63 Coordinator Role and Tools 64 Success To Date: Thank You! As of January 15, 2012 65 Promotion and Fundraising Tell Lions about: Our global leadership role in the Measles Initiative Our deepening relationship with the Gates Foundation The importance of supporting measles control globally How many lives are saved and how health care is improved, especially for children How important each Lion’s contribution to One Shot, One Life is today. 66 Targeted Outreach Strategies District Governor Team Leading Fundraising Clubs Generous Donors District and Multiple District Conventions Local Lion Newsletter and E-newsletter Contacting Club Presidents via Phone and E-mail 67 Step 1 – Educate Yourself In order to share the Measles Initiative message with others, you must first educate yourself. Materials Include: • One Shot, One Life Brochure and LCIF Website • The Lions Measles Initiative Video • Measles Initiative Website • PowerPoint and Speaking Notes 68 Step 2 – Prioritize Your Time “Fish Where the Fish Are” Work with your District Governor to prioritize visits to areas with the greatest potential • CSFII Model Clubs • Clubs and Individuals that Regularly Support LCIF • Clubs with Successful Fundraisers • Clubs with Current and Past Lion Leaders 69 Step 3 – Promote, Publicize and Present “Fundraising is a verb – It requires ACTION” Nothing will be fully realized until the measles message reaches the club level. Work to: Schedule and Conduct presentations at top donating clubs Promote the Measles Initiative at zone and district events, including District and Multiple District Conventions Publicize the Lions efforts through the district newsletter and website E-mail all club officers regularly, providing measles updates and information 70 Step 4 – Make the Request Nothing may be accomplished unless you verbally ask for the gift Do Ask for each club and member to consider a gift Remind them each donation is MJF eligible Follow up on any unanswered questions Thank the club Do Not Pass the information along via e-mail and newsletters ONLY Present at clubs and NOT ask for their participation 71 One Shot, One Life Elevator Speech Breakout Activity 72 Tell Lions How to Give Recognition Programs: Melvin Jones Fellowships Club Banner Patches Major Gifts (pledges accepted) Methods of Payment: Credit card online Check (US dollars only) Bank transfer Local Lions Account Deposits Include MJF form Check “Measles” under 1. Purpose of Donation” 73 Recognition Programs LCIF Steering Committee is meeting on January 28 to determine recognition programs for clubs and major gifts. This information will be forwarded to LCIF Coordinators as soon as it is approved. 74 Sample Club Fundraising Ideas • Share the ideas from homework • Challenge each club member to make a personal gift • Special event dedicated to One Shot, One Life • Personal letter to club presidents • Collection box at local pharmacies, Lion-friendly stores, doctor’s offices 75 Club Analysis Activity Breakout Activity 76 Promotional Tools • Power Points – (Coordinator Center @ www.LCIF.org) • DVD and Video online • One Shot, One Life Brochure • Sample Ads • The Lion article • Pocket Guide • Measles Pins 77 Plan Set a One Shot, One Life Fundraising Goal Will these funds be in addition to your original district goal? Do you plan to direct some clubs or donors to make their regular annual gift to One Shot, One Life? Or is the goal some combination of the above? What you decide will determine your One Shot, One Life outreach strategy. 78 One Shot, One Life Promotion To Date LCIF Chairperson enewsletter announcing the Gates Challenge: October 21, 2011 Full page ad in The Lion magazine: December issue The December LCIF Coordinator message focused on Measles Short one page article in The Lion magazine: November issue The Gates Challenge Direct Mail Appeal letters (US only): First week of December, 2011 Completion (and translation) of Measles Initiative brochure: January 2012 LCIF website updated with Measles video and sample ads: November 2011 LCIF Coordinator WEBINARS - Gates Challenge and Measles Initiative: November 8, 9, 15, 16, 2011 Cover and 4-page article in The Lion magazine: January issue 79 One Shot, One Life Promotion: Looking Ahead Arrival of One Shot, One Life promotional packets, January and February 2012 One Shot, One Life Webinars for LCIF Coordinators, several dates in February, March 2012 One Shot, One Life: LCIF District Coordinator Trainings by Multiple District Coordinators, March 2012 One Shot, One Life: Targeted Club visits/outreach, through June 2012 Presentations and outreach during Spring District and Multiple District Conventions, through June 2012 80 Measles Panel Activity 81 Questions? LCIF Coordinators Measles Training 82