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Policy for measles elimination in Canada and program implications.

F M White

    Reviews of Infectious Diseases
    |May 1, 1983
    PubMed
    Summary

    Canadian provinces are reviewing measles elimination strategies, focusing on program feasibility and provincial needs. A flexible approach is key to achieving North American measles eradication within the decade.

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    Area of Science:

    • Public Health
    • Immunization Programs
    • Epidemiology

    Background:

    • National Advisory Committee on Immunization and Canadian Paediatric Society recommend measles elimination in Canada.
    • Provincial governments are responsible for immunization services, leading to province-specific advisory bodies.
    • Provincial responses to national measles elimination goals require tailored approaches.

    Purpose of the Study:

    • To review provincial responses to the measles elimination proposal in Canada.
    • To assess the feasibility of measles elimination programs across different Canadian provinces.
    • To advocate for a flexible strategy considering diverse provincial contexts.

    Main Methods:

    • Review of provincial legislation and program components related to measles elimination.
    • Analysis of factors influencing program feasibility: funding, staffing, vaccine efficacy, surveillance, record management, vaccine handling, supply chain, delivery systems, and federal financial commitment.
    • Examination of progress in provincial immunization programs.

    Main Results:

    • Provincial responses vary, necessitating a review of program feasibility factors.
    • Clarification is needed on national recommendations, particularly regarding revaccination protocols for individuals who received inactivated measles vaccine.
    • Progress in provincial programs indicates potential feasibility if a flexible, adaptable approach is adopted.

    Conclusions:

    • Measles elimination is a feasible goal for North America within the current decade if adopted by all Canadian provinces.
    • A flexible, tailored approach is essential to accommodate the varying epidemiologic circumstances and delivery systems across provinces.
    • Continued progress and adaptation of provincial programs are critical for achieving widespread measles elimination.

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