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Friday, June 27, 2025

PAHO Director urges countries to prioritize pregnant and lactating women for COVID-19 vaccinations

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1387 days ago
20210909

More than 270,000 preg­nant women have been in­fect­ed with COVID-19 in the Amer­i­c­as, and more than 2,600 have died from the virus. In Mex­i­co and Colom­bia, COVID-19 be­came the lead­ing cause of ma­ter­nal deaths in 2021.

 

Wash­ing­ton, DC, Sep­tem­ber 8, 2021 (PA­HO)—Warn­ing that COVID-19 rep­re­sents a se­ri­ous risk for preg­nant women in Latin Amer­i­ca and the Caribbean, Pan Amer­i­can Health Or­ga­ni­za­tion (PA­HO) Di­rec­tor Caris­sa F. Eti­enne urged coun­tries to pri­or­i­tize ex­pec­tant and lac­tat­ing moth­ers for vac­ci­na­tions.

“We know that if preg­nant women get sick, they have a high­er risk of de­vel­op­ing se­ri­ous COVID symp­toms, and more fre­quent­ly re­quire ven­ti­la­tion and in­ten­sive care, when com­pared to women who aren’t preg­nant,” she said dur­ing her week­ly press brief­ing. “They al­so have a high­er chance of de­liv­er­ing their ba­by ear­ly or pre-ma­ture­ly.”

“So, let me be clear,” she con­tin­ued, “PA­HO rec­om­mends that all preg­nant women, af­ter their first trimester as well as women who are breast­feed­ing, re­ceive the COVID-19 vac­cine.” 

She added that COVID vac­cines ap­proved by WHO are safe to ad­min­is­ter dur­ing preg­nan­cy and are a crit­i­cal tool to pro­tect ex­pec­tant moth­ers dur­ing the pan­dem­ic.

More than 270,000 preg­nant women have be­come sick with COVID in the Amer­i­c­as so far, and more than 2,600 have died from the virus. The prob­lem is par­tic­u­lar­ly acute in Mex­i­co and Colom­bia, where COVID-19 has be­come the lead­ing cause of ma­ter­nal deaths in 2021.

At the same time, Mex­i­co, Ar­genti­na, and Brazil ac­count for half of all COVID deaths among preg­nant women in the re­gion.

“For the past three decades, Latin Amer­i­ca and the Caribbean strug­gled to re­duce ma­ter­nal mor­tal­i­ty,” Dr. Eti­enne said. “Now the pan­dem­ic threat­ens to wipe away 20 years of hard-fought gains.”

The pan­dem­ic al­so threat­ens health care for preg­nant women. At least 40 per­cent of coun­tries in the re­gion have re­port­ed dis­rup­tions to ma­ter­nal and new­born care amid the pan­dem­ic.

“These dis­rup­tions have be­come more wide­spread dur­ing this sec­ond year of the pan­dem­ic,” Dr. Eti­enne said.

Some coun­tries, in­clud­ing Be­lize and Guatemala, re­port that preg­nan­cy-re­lat­ed care has been dis­rupt­ed in over half of health sites.

In ad­di­tion to pri­or­i­tiz­ing preg­nant and lac­tat­ing women for COVID-19 vac­cines, the Di­rec­tor al­so urged coun­tries to en­sure their ac­cess to health ser­vices.

“And fi­nal­ly, it is crit­i­cal that preg­nant women main­tain the pub­lic health mea­sures proven ef­fec­tive against this virus,” she said, rec­om­mend­ing that they wear masks, keep so­cial dis­tance, lim­it con­tact with peo­ple out­side of their house­holds and avoid in­door gath­er­ings.

Turn­ing to the toll that the pan­dem­ic is tak­ing on the Amer­i­c­as, Dr. Eti­enne said, “To­day we are see­ing near­ly dou­ble the num­ber of in­fec­tions re­port­ed this time last year.”

She re­port­ed near­ly 1.5 mil­lion cas­es and more than 22,000 COVID-re­lat­ed deaths in the Amer­i­c­as in the past week.

While new in­fec­tions are de­clin­ing in the Caribbean, COVID-19-re­lat­ed deaths are in­creas­ing on many is­lands, in­clud­ing Sint Mar­teen, Ja­maica, and Puer­to Ri­co.

COVID-19 in­fec­tions are ris­ing in Cos­ta Ri­ca, Guatemala, and Be­lize. At the same time, in­fec­tions con­tin­ue to drop across South Amer­i­ca, al­though there is a slight in­crease in cas­es in Venezuela.

Vac­ci­na­tion cam­paigns are pro­gress­ing de­spite lim­it­ed sup­plies, Dr. Eti­enne re­port­ed. So far, 28 per­cent of peo­ple in Latin Amer­i­ca and the Caribbean have been ful­ly vac­ci­nat­ed, with sig­nif­i­cant dif­fer­ences from coun­try to coun­try.

“While we should cel­e­brate that Cana­da, Chile and Uruguay have ful­ly vac­ci­nat­ed over two thirds of their pop­u­la­tions, we can­not for­get that one fourth of coun­tries in our re­gion have yet to vac­ci­nate 20% of their peo­ple,” Dr. Eti­enne said. “And in some places, cov­er­age is much low­er.”

She point­ed out that Guatemala and Nicaragua are be­low 10% cov­er­age, and in Venezuela, just over 11% of peo­ple have been ful­ly vac­ci­nat­ed. In Haiti, less than one per­cent of the pop­u­la­tion has been pro­tect­ed.

“PA­HO is help­ing to chan­nel do­na­tions from coun­tries with ex­cess dos­es, but we need more vac­cines to save lives in the hard­est-hit cor­ners of Latin Amer­i­ca and the Caribbean,” Dr. Eti­enne said. 

She added PA­HO is work­ing to ex­pand vac­cine ac­cess by us­ing its Re­volv­ing Fund to pro­cure dos­es for mem­ber states and through a longer-term ini­tia­tive to pro­duce mR­NA vac­cines in the re­gion.

“These ac­tions, com­bined with in­creased glob­al sup­plies of vac­cines that are ex­pect­ed lat­er this year and in 2022, will help us re­duce in­equal­i­ties," she said.

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