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Progress toward measles elimination--Eastern Mediterranean Region, 2008-2012.
MMWR. Morbidity and Mortality Weekly Report
|June 12, 2014
Summary
Measles elimination efforts in the Eastern Mediterranean Region (EMR) faced setbacks, with cases increasing from 2008-2012. Achieving the goal requires improved two-dose vaccination coverage and innovative strategies for high-risk populations.
Area of Science:
- Public Health
- Epidemiology
- Vaccinology
Background:
- The World Health Organization (WHO) Eastern Mediterranean Region (EMR) aimed for measles elimination by 2010, later revised to 2015.
- A four-pronged strategy was implemented, focusing on high vaccination coverage (MCV1 and MCV2), surveillance, and case management.
Purpose of the Study:
- To update progress on measles elimination in the EMR from 2008 to 2012.
- To identify challenges and recommend strategies for achieving measles elimination.
Main Methods:
- Analysis of reported measles cases and vaccination coverage data within the EMR.
- Review of implemented measles elimination strategies and their outcomes.
Main Results:
- Despite progress, measles elimination was not achieved by 2010; the target was extended to 2015.
- Reported annual measles cases in the EMR significantly increased from 12,186 in 2008 to 36,456 in 2012.
- Large outbreaks occurred in high-incidence countries during this period.
Conclusions:
- Increased two-dose vaccination coverage is crucial for measles elimination in the EMR.
- Innovative strategies are needed to reach high-risk populations in underserved or conflict-affected areas.
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