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Successes and failures in measles control

F T Cutts1, L E Markowitz

  • 1Communicable Disease Epidemiology Unit, London School of Hygiene and Tropical Medicine, United Kingdom.

The Journal of Infectious Diseases
|November 1, 1994
PubMed
Summary

The Expanded Programme on Immunization (EPI) aimed to significantly cut measles cases and deaths. Effective strategy implementation is crucial for measles control, especially in low-income nations.

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Area of Science:

  • Public Health
  • Epidemiology
  • Vaccinology

Background:

  • The World Health Organization's Expanded Programme on Immunization (EPI) set ambitious targets for measles reduction by 1995.
  • Measles control efforts have shown success in reducing morbidity and mortality globally.
  • Diverse vaccination strategies have been employed, influenced by country-specific resources and health infrastructures.

Purpose of the Study:

  • To evaluate the global progress and challenges in achieving measles reduction targets set by the EPI.
  • To identify factors contributing to the success or failure of measles control strategies worldwide.
  • To emphasize the critical need for effective vaccination program implementation, particularly in resource-limited settings.

Main Methods:

  • Analysis of global measles incidence and mortality data in relation to EPI targets.
  • Review of various vaccination schedules and control strategies implemented by different countries.
  • Assessment of factors influencing the adequacy of strategy implementation in measles control programs.

Main Results:

  • Significant reductions in measles morbidity and mortality have been observed in countries prioritizing measles control.
  • Some nations have approached measles elimination through dedicated control efforts.
  • Inadequate implementation of planned strategies is a primary reason for failure to control measles in many regions.

Conclusions:

  • Effective measles control is achievable with prioritized efforts and successful strategy implementation.
  • Assisting low-income countries in enhancing their vaccination programs is paramount for global measles control.
  • Continued focus on robust program execution is essential to meet and surpass measles reduction goals.

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