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Jamaica's measles elimination experience.

J M Hirshon¹, B Irons, P Figueroa

¹Division of Vaccines and Immunization, Pan American Health Organization, Washington, DC 20037, USA.

American Journal of Public Health

|August 5, 1999

Summary

Jamaica has successfully eliminated measles through a targeted vaccination strategy. This achievement demonstrates the feasibility of global measles eradication efforts.

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Area of Science:

Public Health
Infectious Disease Epidemiology
Vaccinology

Background:

Measles poses a significant global health threat, necessitating eradication strategies.
Jamaica has historically faced measles incidence, prompting targeted public health interventions.

Purpose of the Study:

To describe Jamaica's comprehensive strategy for measles elimination.
To evaluate the impact of these interventions on measles incidence in Jamaica.

Main Methods:

Implementation of routine measles vaccination.
Conduction of a one-time catch-up vaccination campaign in 1991.
Execution of periodic follow-up vaccination campaigns, starting in 1995.

Main Results:

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No indigenous measles cases confirmed serologically since 1991.

Sustained interruption of measles virus circulation in Jamaica.

Effective surveillance systems maintained throughout the elimination process.

Conclusions:

Jamaica has successfully interrupted measles virus circulation.
The Jamaican experience supports the achievability of global measles eradication.
Targeted vaccination campaigns are crucial for eliminating endemic measles transmission.