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The reasons are multiple. The EPI Expanded Vaccination Program is effective but rigid the time limit is very short for immunizing a child, from nine months and before their first birthday. We regularly see in our lacoxa that many children aged over one year are not vaccinated and we cannot administer the vaccine to them, even though they are at high risk. They no longer fall within the framework of the EPI. Added to this are numerous technical, operational and access to care constraints. More flexibility is essential to better adapt and increase vaccination in certain contexts. David, 30, is originally from Nigeria. He is one of the survivors welcomed aboard the Aquarius.

He says he was forced to board the packed boat under threat from armed men. He explains how the boat cracked under the weight of its occupants вThe bottom of the boat broke and water began to enter.