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Measles elimination and rubella control in the SEA Region- a brief Update

Measles elimination and rubella control in the SEA Region- a brief Update. 12 th Annual Meeting of the Measles Rubella Initiative (MRI) 10-11 September, Washington DC. Progress in immunization against Measles and rubella, SEA Region, 2000 to 2012.

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Measles elimination and rubella control in the SEA Region- a brief Update

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  1. Measles elimination and rubella control in the SEA Region- a brief Update 12th Annual Meeting of the Measles Rubella Initiative (MRI) 10-11 September, Washington DC

  2. Progress in immunization against Measles and rubella, SEA Region, 2000 to 2012 • Coverage with 1st dose measles vaccine increased from 61% to 79%; 6 countries with 1st dose coverage >95% • 10 countries introduced 2nd routine dose of measles vaccine • 10 countries have conducted wide age-range measles supplemental immunization campaigns; 8 have conducted follow-up measles immunization campaigns • 7 countries use rubella vaccination in combination with measles and or mumps vaccine • Wide age range campaigns with Measles and rubella vaccine in Nepal in 2012; Bangladesh in 2013 • India achievements in the past two years • 2nd routine dose of measles immunization in 21 States • Campaigns in 14 States – 139 million children aged 6 months to 10 years

  3. Impact on measles burdenSEA Region, 2000 to 2012 • 55% decrease in measles cases • 70% decline in measles deaths by 2011 in all Member States except India (48% overall) • 63% decline in measles incidence rate from 69.9 per million population to 25.0 per million • Bhutan, DPR Korea, Maldives and Sri Lanka may have eliminated measles (and rubella in Sri Lanka) • Improved knowledge of circulating measles and rubella genotypes

  4. MCV1 Coverage for SEAR countries, 2008-2012

  5. Setting the stage for measles elimination and rubella/CRS control in SEA Region • At the meeting of the SEA Regional Committee this week, a resolution is being considered for adoption setting 2020 as the target year for the elimination of measles and rubella/CRS control in the WHO South-East Asia Region • A detailed strategic plan with costing is already developed • A measles surveillance workshop will be held from 23-27 September to strengthen country measles/rubella/CRS surveillance in preparation towards the achievement of the goal of measles elimination and rubella/CRS control in SEAR by 2020 • A massive measles campaign, targeting more than 52 million 9 months to 15 years of age children is to start in Bangladesh from 2 November 2013 • An integrated polio/measles surveillance started statewide for UP in India, possibly the largest such surveillance activity

  6. Key challenges • Securing and maintaining political commitment • Success in polio; "Can do" spirit • Regional Committee’s engagement • Commitment to intensification of routine immunization • Solidarity with other Regions • Ensuring adequate funding (Approx. USD780 millions excluding additional cost of increasing RI coverage >95%) • National financing important • External funding necessary • Making available adequate vaccine supply • Establishing case based surveillance for measles/rubella • Applying the lessons learned from polio • Reaching the unreached • Large countries – herd immunity; scale of operations

  7. THANK YOU

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