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Progress Toward Measles and Rubella Elimination - India, 2005-2021
MMWR. Morbidity and Mortality Weekly Report
|December 15, 2022
Summary
India has significantly increased vaccination coverage and reduced measles and rubella incidence through a national strategic plan. Intensified efforts are crucial to meet the 2023 elimination goal for these vaccine-preventable diseases.
Area of Science:
- Public Health
- Epidemiology
- Vaccinology
Background:
- India, part of the WHO South-East Asia Region, revised its goal for measles and rubella elimination to 2023.
- A national strategic plan (2017-2021) was implemented to achieve this revised goal.
Purpose of the Study:
- To describe India's progress in measles and rubella elimination from 2005-2021, focusing on 2017-2021.
- To evaluate the impact of national strategies on vaccination coverage and disease incidence.
Main Methods:
- Introduction of rubella-containing vaccine (RCV) into routine immunization.
- Nationwide measles-rubella supplementary immunization activities (SIAs).
- Transition to case-based acute fever and rash surveillance and expansion of laboratory networks.
Main Results:
- First dose measles-containing vaccine (MCV) coverage increased from 68% to 89% (2005-2021).
- Second MCV dose coverage rose by 204% (2011-2021), and RCV1 coverage increased 14-fold (2017-2021).
- Measles incidence decreased by 62% and rubella incidence by 48% (2017-2021).
Conclusions:
- India has made substantial progress towards measles and rubella elimination.
- Sustained and intensified efforts are necessary to achieve the 2023 elimination target.
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