The challenge of achieving measles elimination in the eastern Mediterranean region by 2010.
In 1997, the Eastern Mediterranean Region (EMR) of the World Health Organization adopted a resolution to eliminate measles by 2010. Of the 23 EMR member countries, 18 are polio-free and are building on this success to eliminate measles. The 5 countries where polio remains endemic are prioritizing polio eradication and working to improve measles control. Measles incidence has been reduced from 193/100,000 in 1981 to 6.8/100,000 in 2001. Supplemental vaccination campaigns for measles have been conducted since 1994 in 14 of the 18 polio-free countries. More than 50 million children have been immunized in these supplemental activities. However, in Afghanistan, Sudan, Somalia, Djibouti, and Pakistan, where 34% of the EMR population live, routine vaccination coverage for measles remains below 60% and measles deaths are estimated at 81,000 annually among children <5 years old. Significant resources must be allocated to these last 5 countries to achieve regional measles elimination by 2010.
Gaafar
T
T
World Health Organization, Eastern Mediterranean Region, Vaccine Preventable Disease and Immunization, Cairo, Egypt.
Moshni
E
E
Lievano
F
F
D002648:Child; D002675:Child, Preschool; D006801:Humans; D017589:Immunization Programs / Q000379:methods* / Q000592:standards; D015994:Incidence; D007223:Infant; D008457:Measles / Q000453:epidemiology / Q000517:prevention & control*; D008458:Measles Vaccine / Q000008:administration & dosage*; D022542:Measles-Mumps-Rubella Vaccine / Q000008:administration & dosage*; D019083:Mediterranean Region / Q000453:epidemiology; D011159:Population Surveillance; D014944:World Health Organization
D008458:Measles Vaccine; D022542:Measles-Mumps-Rubella Vaccine