Measles and Rubella Global Strategic Plan 2012–2020 midterm review

Abstract

1. Measles eradication is the ultimate goal but it is premature to set a date for its accomplishment. Existing regional elimination goals should be vigorously pursued to enable setting a global target by 2020. 2. The basic strategic approaches articulated in the Global Measles and Rubella Strategic Plan 2012-2020 are valid to achieve the goals but have not been fully implemented (or not appropriately adapted to local situations). 3. The report recommends a shift from primary reliance on supplementary immunization activities (SIAs) to assure two doses of measles-containing vaccine (MCV) are delivered to the target population to primary reliance on ongoing services to assure administration of two doses of MCV. Regular high quality SIAs will still be necessary while ongoing services are being strengthened. 4. The report recommends a shift from primary reliance on coverage to measure progress to incorporating disease incidence as a major indicator. 5. The report recommends that the measles/rubella vaccination program be considered an indicator for the quality of the overall immunization program and that measles/rubella incidence and measles and rubella vaccination coverage be considered as primary indicators of immunization program performance. 6. Polio transition presents both risks and opportunities: risks should be minimized and opportunities maximized. 7. A school entry immunization check could contribute significantly to strengthening overall immunization services with assurance that recommended doses of measles and rubella vaccines as well as other vaccines have been delivered and providing those vaccines at that time if the child is un- or under-vaccinated. 8. Program decisions should increasingly be based on good quality data and appropriate analysis. 9. The incorporation of rubella vaccination into the immunization program needs to be accelerated - it should be accorded equivalent emphasis as measles. 10. Outbreak investigation and response are critical but the most important thing is to prevent outbreaks.

High BMI: A New Determinant of Impaired Rubella Immunity During Pregnancy?

“…Universal immunization programs have been implemented in many countries worldwide and have significantly lowered the incidence and spread of infectious disease. The effective measles, mumps, and rubella (MMR) vaccine is widely administered globally (); however, recent studies have demonstrated a decline in protective antirubella antibodies in countries with universal vaccination program, including among women of reproductive age—thus increasing the risk of rubella infection and severe birth defects due to congenital rubella syndrome ().…”

Епідемічні Показники Щодо Кору В Одеській Області

“…За оцінками експертів Всесвітньої організації охорони здоров'я (ВООЗ), саме вакцинація проти кору упродовж 2000-2016 років призвела до зниження захворюваності на 75 %, а рівня смертності від кору - на 79 %, запобігши 20,4 млн смертей [2,3], тоді як у 20-х роках ХХ сторіччя рівень смертності сягав 30 % серед усіх інфікованих осіб [4]. Завдяки вакцинопрофілактиці та розвитку системи охорони здоров'я показник смертності зменшився до 0,5 % у розвинених країнах, а в країнах із низькими соціальним рівнем розвиненості медичної допомоги цей показник може коливатись від 10 до 20-30 % [5]. Розробка й застосування безпечних й ефективних живих атенуйованих противірусних вакцин, а також поширення імунізації призвели до зни-ження показників смертності від кору на 60-75 %, особливо серед дітей до 5 років (на 25 %) [6,7].…”

Customs officers in relation to viral infections, tuberculosis, psittacosis and environmental health risk (Review)

“…Epidemiological investigations by local and state health departments identified 31 total cases of measles in 22 detainees and nine staff members. Without any doubt, this finding highlights the necessity for primary reliance on supplementary immunization activities (SIAs) to assure two doses of measles-containing vaccine (MCV) administration in customs officers, which constitute a 'high-risk' occupational group for measles transmission (22).…”