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Measles and rubella elimination in the Eastern Mediterranean Region: successes and challenges
Nadia Teleb1, Hoda Atta2, Rana Hajjeh3
1Regional Adviser, Vaccine Preventable Diseases and Immunization Programme, Department of Communicable Diseases.
Abstract:
In 2019, upon reviewing countries' reports, the regional verification commission for measles and rubella elimination declared elimination of measles and rubella in Bahrain, Islamic Republic of Iran and Oman. This achievement in the Eastern Mediterranean Region (EMR) constitutes a major success, since it occurs at a time when there remain highly challenging situations in several countries of the Region. In addition, there are unprecedented high transmission rates of measles throughout the world, with other World Health Organization (WHO) regions either not progressing (status quo) or regressing. Indeed, the WHO Region of the Americas and several other countries have in fact lost the status of measles elimination.
Insights
Measles and rubella have been eliminated in Bahrain, Iran, and Oman, marking a significant public health success. This achievement is notable given global challenges and setbacks in measles control in other regions.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
Background:
- The Regional Verification Commission declared measles and rubella elimination in Bahrain, Iran, and Oman in 2019.
- This success occurred amidst challenging health situations and rising global measles transmission rates.
Discussion:
- The achievement highlights successful disease control strategies in the Eastern Mediterranean Region (EMR).
- It contrasts with global trends where other WHO regions are experiencing measles resurgence or stagnation.
Key Insights:
- Successful elimination of measles and rubella in three EMR countries.
- Demonstrates feasibility of achieving elimination goals despite regional and global challenges.
Outlook:
- Sustaining elimination requires continued surveillance and robust vaccination programs.
- Potential for knowledge transfer from EMR to other regions facing measles control difficulties.
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