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Recent outbreaks in the Americas underscore need to urgently address immunization gaps, PAHO Director says    

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Over 66 million vaccine doses to be administered during Vaccination Week in the Americas, including 2.7 million doses of measles-containing vaccine

 

Washington, DC, 24 April 2025 (PAHO) – As countries in the Americas confront outbreaks of vaccine-preventable diseases such as measles and yellow fever, Pan American Health Organization (PAHO) Director, Dr. Jarbas Barbosa, called for urgent action to address gaps in immunization coverage.

“Over the past five decades, vaccines have saved 154 million lives worldwide, reducing child mortality by 41% in the Americas alone”, the PAHO Director said during a press briefing held today ahead of Vaccination Week in the Americas— a flagship initiative led by PAHO, taking place from April 26 to May 3. However, “our progress against vaccine-preventable diseases needs a strong and lasting commitment to implement the appropriate public health measures.”

Worldwide, confirmed measles cases exceeded 359,000 in 2024. This, combined with gaps in vaccination coverage, have led to localized outbreaks across six countries in the Americas, with 2,313 reported cases so far this year —up from just 215 during the same period in 2024. Three deaths have been confirmed, and another is under investigation.

“Measles is one of the most contagious diseases in the world,” Dr. Barbosa said. “Yet countries have struggled to sustain the recommended 95% coverage of MMR (measles, mumps, and rubella) vaccine, which leaves us susceptible to imported cases.”

Progress has been made in recent years. For the first time since 2019, MMR1 coverage increased in 2023, reaching 87% across the Americas. Despite this improvement, there remains a significant gap: 1.4 million children in the Region did not receive any dose of the MMR vaccine that year. Outbreaks have been observed in communities where just 3% to 7% of individuals were susceptible, highlighting the risk posed by even small pockets of low coverage.

During this year’s Vaccination Week in the Americas countries across the Region plan to administer an estimated 66.5 million doses of vaccines, including 2.7 million targeting measles. Now in its 23rd year, the initiative has so far enabled over 1.2 billion people to be vaccinated since its launch in 2003. Under the slogan “Your decision makes the difference. Immunization for all,” countries are mobilizing to reach those at highest risk of missing vaccines, especially children.

In 2025, the Region has also seen an uptick in yellow fever, with four countries reporting 189 cases so far, including 74 deaths, compared to 61 cases and 30 deaths reported during 2024.

To address these outbreaks, PAHO is working with countries to tackle vaccine hesitancy, strengthen routine immunization programs, and expand access to vaccination through the use of microplanning and digital tools such as electronic immunization registries and geographic information systems. These tools help monitor coverage, identify gaps, and “stop the virus in its tracks,” Dr. Barbosa said.

Dr. Barbosa also highlighted the importance of the PAHO Revolving Fund, a pooled procurement mechanism that allows countries in the Americas to access high-quality vaccines at affordable prices. “Without the Fund, countries would pay at least 75% more for the Region’s 13 most common vaccines,” he said.

While Vaccination Week in the Americas “remains a cornerstone of public health in the Region,” Dr. Barbosa emphasized that “immunization does not end with Vaccination Week.”

The Americas has a legacy of leadership in vaccination and disease elimination. The Region was the first to eliminate smallpox in 1974 and polio in 1994, and has also eliminated measles, rubella, congenital rubella syndrome, maternal and neonatal tetanus, and outbreaks of urban yellow fever.

Now, PAHO is supporting countries through its Disease Elimination Initiative, a bold effort to eliminate more than 30 diseases and related conditions by 2030, 11 of which are vaccine preventable.

In 2024, the Region successfully regained its status as free of endemic measles. While this status remains intact, recent outbreaks serve as a reminder of the ongoing risk and the importance of maintaining high vaccination coverage to prevent the reestablishment of endemic transmission.

“The Region of the Americas is ours to protect,” Dr. Barbosa said. “By working together, throughout vaccination week and beyond, we can build a stronger, safer, and healthier Americas,” the PAHO Director concluded.

Vaccination Week in the Americas

Vaccination Week in the Americas is a regional initiative that aims to promote equity and access to vaccination in all countries of the Region of the Americas. The theme this year, “Your decision makes a difference. Immunization for all,” highlights the urgent need to prevent the spread of life-threatening diseases and keep each one of us, our families, and our communities, safe.

The Regional launch of the week will take place on Monday, 28 April, in Panama. National launches and initiatives will also be held throughout the Region.

Bahamas News

More Bahamians Accessing HIV, STI Care Through NHI

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NASSAU, Bahamas — More Bahamians are accessing HIV and sexually transmitted infection-related healthcare through National Health Insurance, a trend the NHI Authority says should be viewed positively.

NHIA stressed in an August 6 statement that its 2025 figures measure healthcare utilisation, not newly diagnosed infections. They include beneficiaries screened, treated, monitored or receiving follow-up care, including people diagnosed previously.

“Increased utilisation of these services should be viewed as a positive development,” NHIA said.

The Authority pointed to “greater enrolment and use of NHI, improved access to screening and testing, continued treatment and monitoring of existing conditions, and increased willingness to seek medical care.”

The development comes amid a mixed three-year HIV picture. New diagnoses rose from 130 in 2023 to 156 in 2024, before declining to 142 in 2025.

NHIA said increased utilisation demonstrates that more beneficiaries are accessing needed healthcare and actively managing their health, reinforcing the importance of screening, early diagnosis and continued treatment.

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Health

47,459 MEASLES CASES, 44 DEATHS ACROSS AMERICAS  

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WASHINGTON, D.C. — The Americas has recorded 47,459 confirmed measles cases and 44 deaths in 2026, the region’s highest case count in 22 years, prompting the Pan American Health Organization (PAHO) to urge stronger vaccination, surveillance and rapid outbreak response.

As of July 18, cases were already more than triple the 15,011 recorded during all of 2025. Guatemala, Mexico, the United States and Peru account for 95% of confirmed cases. Guatemala leads with 30,371 cases and 26 deaths, followed by Mexico with 12,255 cases and 17 deaths.

PAHO classifies the regional public health risk as very high, citing active outbreaks, immunity gaps, international travel and populations with inadequate vaccination coverage.

The organization says prevention starts with vaccination. Countries are being urged to achieve and maintain at least 95% coverage with two doses of measles-containing vaccine, particularly protecting children and under-vaccinated communities.

Measles spreads through the air when an infected person breathes, coughs or sneezes. Symptoms can include fever, cough, runny nose, red eyes and a rash.

PAHO is urging health authorities to detect suspected cases early and respond rapidly to stop transmission. Unvaccinated and under-vaccinated people, young children and communities with limited healthcare access face increased risk of severe illness and death.

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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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