Worldwide, pneumonia is the biggest ...

Jeffrey BROWN: And, finally, tomorrow the World Day of pneumonia, noting that the disease continues to destroy the lives of people around the world. Ray Suarez has recently traveled to Nicaragua to look at efforts to combat the problem is. RAY SUAREZ: This is hardly the place to see the results of multi-million dollar deal, one-room church in rural Nicaragua. Here the children in the small village is usually used (pH) are saving a new vaccine, has introduced a revolutionary business model. The vaccine prevents bacterial pneumonia. It is imperative to Nicaragua, where pneumonia is the number one killer of children under five years. DR. Brian Chavez

Nicaragua (through translator): The main symptoms are shortness of breath, chills, loss of appetite, which leads to exhaustion. But these cities are located in remote and families have a difficult trip to the hospital, so that the disease is often death is the end result. RAY SUAREZ: Even children who do make it to the hospital face difficult odds. DR. Felix Sanchez, the hospital

children, Managua (through translator): Twenty percent of children in the hospital, admitted for pneumonia, and more than half of them die. RAY SUAREZ: Children who are not mature cough reflex, are most at risk. Worldwide, pneumonia is the biggest killer of children, which is about one in five deaths among young children, an estimated 1. 8000000 deaths annually. Ninety percent of pneumonia deaths each year occur in developing countries. Nicaragua is the poorest, second poorest country in the Western Hemisphere. Like other developing countries, Nicaragua can not afford the new vaccine, as well as for pneumococcal pneumonia for children without the steep price declines. And that's just what he got this shot of pneumonia, a whopping 95 percent discount. How do you get cost of the vaccine, compared with about $ 100 at a dose of less than $ 5? Providing pharmaceutical companies a steady stream of income, ensuring that all children in the country, will be vaccinated. Pharmaceutical companies, in this case, Pfizer and GlaxoSmithKline, have promised a huge market of consumers, if they all cost. Dr. Orin Levine runs the International Centre for Vaccine Access and teaches at Johns Hopkins University. DR. ORIN Levin

Johns Hopkins University: Thus, market commitment is basically saying, we will ensure that there is a market, then there is money on the table, if you make a vaccine that meets the needs of developing countries and that developing countries require it. RAY SUAREZ: Pharmaceutical unusual deal brokered by the Global Alliance for Vaccines and Immunization, now known as GAVI. The GAVI Alliance, which includes the Bill & Melinda Gates Foundation, and The NewsHour sponsor, donated $ 1. $ 5 billion. Without this money, the new vaccine will eventually make it to the poorest countries, but only after several years of delay. Dr. Seth Berkley is the CEO of the GAVI. DR. Seth Berkley,

GAVI: It takes 15, sometimes 20 years, and it is usually a time lag between the time when these products come and they go to the people living in the poorest countries. With GAVI trying to do is to cut it. And the pneumococcus, is one of the first examples of the best examples of the product, or that a few years after it was released in the West, is currently deployed in developing countries. And it's very interesting intervention. RAY SUAREZ: Nicaragua was the first developing country to roll out of pneumococcal vaccine in the past year. It was a tragic case of bad timing, Diana Del Socorro Blanco Guevara (pH), whose 17-month-old daughter, Angie (pH), sick and seriously ill the same vaccine was introduced here. Diana del Socorro BLANCO,

mother (through translator): My daughter has suddenly deteriorated. She was tired. She could not get enough oxygen. They took her into the room and told me that he had put a tube in his throat. They put the IV from everywhere. RAY SUAREZ: Angie died in early February, after weeks of trying to breathe. Diana del Socorro BLANCO (through translator): I suffered when I saw my daughter in the hospital. People said we should leave the hospital, but we stayed. We slept on top of the board, under the trees. I strattera 10mg do not want other mothers to go through what I went through. I never lost what I loved in my life. DR. ORIN Levin:

Pneumonia is an illness, and Streptococcus pneumoniae is a bacterium that infects all around the world, but the impact will be uneven. Thus, in countries such as Nicaragua, where people live in poverty, the consequences of infection are more severe malnourished because they can, they can live a much more dangerous housing and the environment. And they often do not have access to lifesaving antibiotics and oxygen therapy. RAY SUAREZ: for every child who dies from pneumonia in developed countries, 2000, dying in developing countries. Diana del Socorro BLANCO (through translator): It makes me feel good to know that there is a solution now for the children so that mothers do not have to suffer what I suffered my terrible loss. I think about it every day. You can not see it, but I think about it. Memories, they're there every day. RAY SUAREZ: Karl Maria Fonseca Cuadra (p) is a neighbor of Blanco. Fonseca saw how devastating the loss of Angie was the mother of the child, and made sure to vaccinate her three children. One suffers from asthma. KARLA Maria Fonseca (through translator): He is very sensitive to the sick. His asthma had left him weak, but I think now that a vaccine is much safer. DR. ORIN Levin:

beauty of science, when we make a big breakthrough when it leads to social justice, when he essentially eliminates the differences in the kind of risk that children in poverty, face, and in virtue of the fact that we are now can get the pneumococcal vaccine rescue children in Nicaragua at the same time to get their children in Newark. RAY SUAREZ: But the delivery of medical care, causing it to where people can get it when the government can spend a few dollars a year per patient is not easy, sometimes it becomes even more difficult for government corruption. Since GAVI also requires that countries such as Nicaragua before the show, they can reach at least 70 percent of its citizens. DR. ORIN Levin:

In a sense, this kind of carrot. It encourages countries to strengthen their systems and to reach every child, to make yourself eligible to apply for these new vaccines. RAY SUAREZ: Nancy Vasconez is immunization advisor to the Pan American Health Organization, PAHO, part of the United Nations. She says that the promise of wide distribution is a huge achievement for a developing country such as Nicaragua. Nancy VASCONEZ,

Pan American Health Organization (through translator): It is the obligation of the Government is doing. And the commitment is not the last day or one year. The contract for 20 years. The government should pay the staff and managers to ensure that the vaccine is used correctly, and where people live. RAY SUAREZ: Nicaraguan health workers fan, armed for battle with coolers filled with vaccine. Nancy VASCONEZ (through translator): I know we can not measure the cost of death, but if we measure the number of years that we prolong life and prevent serious illnesses, we can estimate the cost of living, and I believe the Government of Nicaragua made the best investment. RAY SUAREZ: The GAVI Alliance is planning to continue the deployment of more than 40 countries, and hopes to prevent 700,000 deaths in 2015, and seven million people by 2030. Yes, it hurts all right, but the man with the needle can only save his life. .