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Progress Toward Regional Measles Elimination - Worldwide, 2000-2017
MMWR. Morbidity and Mortality Weekly Report
|November 30, 2018
Summary
Global measles vaccination efforts have significantly reduced incidence and mortality, preventing millions of deaths. However, measles elimination goals were not met, necessitating improved surveillance and increased vaccine coverage.
Area of Science:
- Public Health
- Epidemiology
- Vaccinology
Background:
- The World Health Assembly established 2015 milestones for measles prevention, including increased vaccination coverage and reduced incidence and mortality.
- The Global Vaccine Action Plan (GVAP) aimed for measles elimination in multiple WHO regions by 2015 and 2020.
Purpose of the Study:
- To report on progress toward global measles control milestones and regional elimination goals from 2000 to 2017.
- To assess the impact of measles vaccination on disease incidence and mortality.
Main Methods:
- Analysis of global data on measles-containing vaccine coverage (MCV1 and MCV2).
- Evaluation of reported measles incidence and estimated measles mortality rates.
- Assessment of progress against established measles control and elimination targets.
Main Results:
- Global MCV1 coverage increased from 72% to 85% between 2000 and 2017.
- Annual reported measles incidence decreased by 83%, and estimated measles deaths decreased by 80%.
- Measles vaccination prevented an estimated 21.1 million deaths during this period, but elimination goals were not achieved, with resurgence in three regions.
Conclusions:
- Significant progress has been made in global measles control, with substantial reductions in incidence and mortality.
- Achieving measles elimination requires strengthened surveillance, increased MCV1 and MCV2 coverage, sustained political commitment, and investment.
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