RésuméThe global goal for measles control is reducing measles mortality by 90% in 2010 in comparison to 2000. Nevertheless, the Americas (2002), Eastern Mediterranean (2010), Europe (2012) and Western Pacific regions (2012) have set a measles elimination goal. The African Region has set a pre-elimination goal of reducing measles mortality by 98% in 2012 compared to 2000 estimates. In the South-East Asia Region which has a measles morality reduction goal, four Member States are implementing the strategies for measles elimination and all Member States except India have reached an advanced stage of measles mortality reduction. With the success in the Americas and progress in three regions with an elimination goal, there is interest in exploring the feasibility of setting a global measles elimination goal. Accordingly, the 125th Session of the WHO Executive Board directed the WHO Secretariat to submit a report on the “feasibility of global elimination of measles” to the 126th Executive Board in January 2010. In line with this, SEARO will organize a regional consultation from 25-27 August 2009 to consider the feasibility of a regional measles elimination goal. This paper presents an update on the progress in achieving the goal of measles mortality reduction in the Region and important considerations in establishing a measles elimination goal. The considerations for setting the elimination goal include achieving high and sustainable routine immunization coverage, developing a highly sensitive surveillance system, availability of funding, ensuring vaccine supply of assured quality, considering lessons from polio eradication and competing priorities, and developing political will and support from society. This paper is submitted to the High-Level Preparatory (HLP) meeting for its consideration and to seek advice regarding the next steps on the “feasibility of measles elimination goal”.
World Health Organization, Regional Office for South-East Asia. (2009). Measles.. New Delhi: WHO Regional Office for South-East Asia.. http://www.who.int/iris/handle/10665/127759