Measles Elimination Strategies Sample Clauses

Measles Elimination Strategies. 2. 4.1. (Xxxxxxx et al., 2002) First 5 years of measles elimination in southern Africa: 1996 – 2000: This article was published in Lancet in the year 2002. The authors discuss the implementation of WHO strategies for measles elimination in seven countries of Southern Africa (Malawi, Namibia, Zimbabwe, Botswana, Swaziland, Lesotho and South Africa). After implementation of WHO measles elimination strategies, the morbidity and mortality from measles reduced drastically in these countries over the period 1996 to 2000. The World Health Assembly in 1989 set specific goals for the reduction in measles morbidity by 90% and measles mortality by 95% by 1995. The reported measles immunization coverage from 1996 to 2000 was 85% in all seven countries at 9 months of age. A total of 24 million children from 9 months to 14 years of age were vaccinated in seven countries of southern Africa with a coverage rate at 91%. Clinical measles cases declined from 60,000 in 1996 to 117 laboratory confirmed measles cases in 2000. Xxxxxxx deaths declined from 166 in 1996 to zero in 2000. The article recommended that all seven south African countries conduct follow up measles vaccination campaigns during the period 2000 to 2002 to interrupt measles transmission. This is due to the fact that coverage is not equal to immunity. In measles only 85% of children develop immunity even with 100 % coverage. In this context, 91% of reported coverage protected only 77% of children in Southern Africa. Thus possible outbreaks are likely after 2001 if there is no follow-up campaign.
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