Measles eradication-retreating is not an option

Area of Science:

• Public Health
• Epidemiology
• Immunization Programs

Background:

• Measles eradication is biologically and technically feasible.
• Suboptimal immunization program performance, insufficient political commitment, and inadequate donor prioritization hinder progress.
• Global measles resurgence and preventable deaths are occurring, with re-established transmission in previously eliminated regions.

Purpose of the Study:

• To highlight the constraints hindering measles eradication efforts.
• To emphasize the ethical, economic, and epidemiological imperatives for accelerating eradication.
• To underscore measles as a critical indicator of universal health coverage.

Main Methods:

• This study is a review of current global measles control strategies and challenges.
• Analysis of factors contributing to the resurgence of measles cases and deaths.
• Assessment of the role of measles as a proxy for health system reach.

Main Results:

• Progress towards measles eradication is impeded by several key constraints.
• Measles resurgence is evident globally, with increased cases and deaths.
• Measles outbreaks expose failures in reaching all susceptible populations with health services.

Conclusions:

• Measles eradication remains a critical public health goal with irrefutable justifications.
• Addressing suboptimal immunization programs and strengthening political commitment are essential.
• Urgent intensification of global efforts is required to achieve measles eradication and improve universal health coverage.