Next to him, 10-year-old Ana, wearing the national school uniform
of a white labcoat and clutching her schoolbooks explained: "We're
here to be vaccinated against measles. I don't know exactly what it
is but it's an illness and lots of people die from it."
Sofrimento and Ana are two of the seven million Angolan children
to be vaccinated over the next month against a fatal disease that
can be prevented by routine immunization.
The U.N. Children's Fund (UNICEF (news
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web sites)), spearheading the campaign with Angola's health
ministry, estimates 30 Angolan children die of measles every day. In
Angola the disease has a fatality rate of one in ten, compared to
one in a thousand in developed countries.
Another young pupil, Vito, proudly holds up a white card which
shows he's already had the jab. "It didn't even hurt," he said. The
atmosphere here is almost festive and the children, who have grown
up in a country long riven by civil war, seem anything but scared of
needles.
The anti-measles drive is the biggest health operation in
Angola's history and the first of its kind since the devastating war
ended in February last year. The campaign aims to eradicate measles
by ensuring that more than 90 percent of babies born will be
routinely vaccinated by 2007.
INTENSIVE CARE
The anti-measles campaign also marks the beginning of a return to
"normal" health care in Angola.
Nearly three decades of strife and a lack of government spending
have left Angola's health services in tatters. One woman described
state hospitals in the capital, Luanda, as "the place you go to
die."
Health care is even worse in the province because of a lack of
hospitals, trained staff, medicines and other essential facilities.
The few Angolans who can afford it go to South Africa or Europe for
medical treatment.
Health Minister Albertina Henrique Hamukwaya said she believed
the country could now focus on real priorities.
"We want to take the opportunity that the country is at peace to
mobilize the whole society for this fight," she said. "We believe
that this initial phase will reinforce the health system, and then
we can proceed with routine vaccinations."
The campaign got off to an upbeat start in Malange, around 250
miles east of Luanda, where one year after the end of the war the
scars of conflict are still very apparent.
The town's buildings are still pockmarked with bullet holes,
infrastructure is devastated and poverty is acute.
At the freshly renovated Esquadrao Bomboko school, however, the
future was on display.
"Good morning our visiting friends," a group of children chanted
while others sang, danced and clapped in a ceremony to welcome
UNICEF executive director Carol Bellamy and Education Minister
Antonio Burity da Silva for the local launch of the campaign.
SIGNS OF CHANGE
Bellamy was in Malange almost two years ago when UNITA rebels and
government forces were still fighting but what she sees now is very
different.
"Now children are going to school, teachers are being trained,
children are being vaccinated. These are the beginning signs of what
peace can really bring," she said as she walked through the school.
Angola remains saddled with problems that most countries would
find overwhelming -- an unknown number of land mines litter the
countryside and amputee victims beg in the streets of Luanda.
The country has about 2.4 million people still internally
displaced, while refugees are starting to return from neighboring
countries, increasing pressure on basic services.
Angola produces around 900,000 barrels of crude oil per day, but
still depends heavily on aid. With measles, the government and
UNICEF feel they have a chance to make a quick and effective change.
The measles campaign runs until May 19. Collapsed infrastructure
and land mines mean reaching children in rural areas may be tricky.
But UNICEF says it is confident of achieving its objectives with
aircraft from the U.N. World Food Program as well as helicopters and
vehicles from the defense ministry.
Thousands of people have been trained to burn and bury used
syringes so needles are used only once to avoid spreading HIV (news
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web sites).
The operation will cost $8 million in 2003 with UNICEF footing
$6.2 million of the bill. It says it needs to raise another $6
million for next year. The overall cost of the program is not yet
known.
Sixteen-year old Vula Custodio Fernando Armando, sitting on a
wall outside the school, said he had been explaining the importance
of the vaccine to other children -- helping draw street children
into their first contact with the authorities.
"They have to be vaccinated because we kids are the future of
this country and otherwise we'll get sick and we'll build a sick
country," he said.