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Measles elimination in AFR. Highlights and priorities

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Measles elimination in AFR. Highlights and priorities

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    1. Measles elimination in AFR. Highlights and priorities Dr Balcha Masresha March 2012 GMMM. Geneva

    2. Regional Committee resolution on Measles Elimination. Sept 2011

    3. 98% mortality reduction by 2012 compared to estimates for 2000 Measles incidence <5 cases/106 per year in all countries; >90% MCV1 national level coverage in all countries, and >80% in all districts; >95% SIAs coverage in all districts; All countries meeting the targets for the 2 main surveillance performance indicators 80% districts reporting > 1 suspected measles case with a specimen/ year Non measles febrile rash illness rate of > 2:100,000 per year

    4. Routine immunisation

    5. Measles case reports & MCV1 coverage (WHO-UNICEF estimates). AFR. 1980 - 2010

    6. Proportion of countries according to MCV1 coverage category. (WHO UNICEF estimates). 2000 - 2010

    7. “The unvaccinated”. WHO UNICEF Estimates for MCV1. 2010. AFR

    8. MCV1 coverage* > 80% for > 3 years, and eligibility for MCV2 introduction. AFR.

    9. Second opportunity measles vaccination through SIAs

    10. Funds raised locally for measles SIAs (in USD per child targeted). AFR. 2011

    11. Proportion of districts attaining > 95% coverage in SIAs. AFR. 2010 – Nov 2011.

    12. Measles SIAs. AFR. 2012 and 2013 Estimated target pop’n: 2012 ( 17 countries) ~ 51 million Including target populations beyond 5 yrs of age in ZAM, NAM, RWA 2013 (~ 16 countries) > 80 million expected

    13. Measles surveillance

    14. Key Measles Surveillance Performance Indicators, African Region 2007 - 2011

    15. Measles surveillance performance. 2011

    16. AFP vs measles surveillance performance. 2011

    17. Incidence of confirmed measles per 100,000 population. AFR. 2010 – 2011 2011 Regional incidence: 4.2 per 100,000 23 countries have Incidence < 0.5 cases per 100,000

    18. Proportion of confirmed measles cases by country. 2010. AFR

    19. Trends of measles reports. DR Congo. 2011

    20. Age-specific measles attack rates (per 100,000 population) by province. DRC. 2011

    21. Sample analysis of confirmed measles cases. 2011. AFR

    22. Status vis-a-vis 2012 pre-elimination targets (as of end 2011)

    23. Status vis a vis 2012 pre-elimination targets (as of end 2011) 7 / 46 on track Botswana, Burkina Faso, Ghana, Malawi, Mauritius, Seychelles and Swaziland 25/46 missing one target 14/46 miss two or more targets

    24. Main Challenges Shifting epidemiological susceptibility and outbreaks affecting older subjects Surveillance and SIAs quality Local and partner resource mobilisation

    25. Upcoming events Regional and country strategic plans for measles elimination TFI: May 31-June 1, 2012 Rubella paper Regional measles TAG: August/ Oct 2012 Assess progress towards pre-elimination and elimination of measles Rubella way forward

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