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Published on: April 6, 2019
Community-Oriented Epidemic Preparedness and Response to the Jerusalem 2018-2019 Measles Epidemic
Chen Stein-Zamir1, Nitza Abramson1, Naomi Edelstein1
1Chen Stein-Zamir, Nitza Abramson, Naomi Edelstein, Hanna Shoob, Gary Zentner, and Deena R. Zimmerman are with the Jerusalem District Health Office, Jerusalem, Israel.
Abstract:
Measles epidemics are still a public health challenge worldwide, necessitating a rapid response. The Jerusalem District Health Office applied a community-oriented intervention during the 2018-2019 epidemic (2150 notified cases). Program development targeted the socioeconomic and cultural characteristics of high-incidence Jewish ultraorthodox communities. Health care and community collaboration led to coverage rates of measles vaccination increasing from 80% to 95% within three months and a significant decline in incidence. Epidemic preparedness calls for maintaining the infrastructure of countermeasures combined with sustaining immunization coverage.
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