Progress Toward Measles Elimination - Nepal, 2007-2014
| Autor: | Umid M. Sharapov, Mukunda Gautam, Nihal Abeysinghe, Arun Thapa, Alya Dabbagh, Rajendra Pant, Ganga Ram Choudary, Tika Ram Sedai, Peter M. Strebel, Sunil Bah, Jagat Narain Giri, Sudhir Khanal, James L. Goodson, Rajendra Bohara, James P. Alexander, Robert T. Perry |
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| Rok vydání: | 2016 |
| Předmět: |
Health (social science)
Epidemiology Health Toxicology and Mutagenesis 030231 tropical medicine Population Measles Vaccine Vital signs Developing country Rubella Measles 03 medical and health sciences 0302 clinical medicine Health Information Management Nepal Environmental health medicine Humans 030212 general & internal medicine Disease Eradication education Immunization Schedule education.field_of_study Congenital rubella syndrome business.industry Immunization Programs Incidence (epidemiology) Incidence Vaccination Infant General Medicine medicine.disease Immunization Measles virus Population Surveillance business |
| Zdroj: | MMWR. Morbidity and mortality weekly report. 65(8) |
| ISSN: | 1545-861X |
| Popis: | In 2013, the 66th session of the Regional Committee of the World Health Organization (WHO) South-East Asia Region (SEAR) established a goal to eliminate measles and to control rubella and congenital rubella syndrome (CRS) in SEAR by 2020. Current recommended measles elimination strategies in the region include 1) achieving and maintaining ≥95% coverage with 2 doses of measles-containing vaccine (MCV) in every district, delivered through the routine immunization program or through supplementary immunization activities (SIAs); 2) developing and sustaining a sensitive and timely measles case-based surveillance system that meets minimum recommended performance indicators; 3) developing and maintaining an accredited measles laboratory network; and 4) achieving timely identification, investigation, and response to measles outbreaks. In 2013, Nepal, one of the 11 SEAR member states, adopted a goal for national measles elimination by 2019. This report updates a previous report and summarizes progress toward measles elimination in Nepal during 2007-2014. During 2007-2014, estimated coverage with the first MCV dose (MCV1) increased from 81% to 88%. Approximately 3.9 and 9.7 million children were vaccinated in SIAs conducted in 2008 and 2014, respectively. Reported suspected measles incidence declined by 13% during 2007-2014, from 54 to 47 cases per 1 million population. However, in 2014, 81% of districts did not meet the measles case-based surveillance performance indicator target of ≥2 discarded non-measles cases per 100,000 population per year. To achieve and maintain measles elimination, additional measures are needed to strengthen routine immunization services to increase coverage with MCV1 and a recently introduced second dose of MCV (MCV2) to ≥95% in all districts, and to enhance sensitivity of measles case-based surveillance by adopting a more sensitive case definition, expanding case-based surveillance sites nationwide, and ensuring timely transport of specimens to the accredited national laboratory. |
| Databáze: | OpenAIRE |
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