SEA/RC63/18 - Follow-up action on pending issues and selected Regional Committee resolutions/decisions of the last three years: South-East Asia regional efforts on measles elimination (SEA/RC62/R3)
AbstractThe regional consultation on measles held in WHO-SEARO in August 2009 agreed that measles elimination was technically, biologically and programmatically feasible. The consultation proposed setting a regional goal to eliminate measles by 2020 to the Sixtysecond session of the Regional Committee in Kathmandu in September 2009. The Regional Committee decided that setting a regional measles elimination goal would be considered at its Sixty-third Session in 2010. It adopted a resolution requesting several actions including the “Report to the Sixty-third Session of the Regional Committee on the status of global measles elimination goals and outcome of activities in the South-East Asia Region”. The current global goal is 90% reduction of mortality due to measles by 2010 or earlier compared to mortality in 2000. Following implementation of various strategies, measles mortality has been reduced globally by 78% from an estimated 733 000 in 2000 to 164 000 in 2008. WHO has estimated that between 2000 and 2008 the annual number of measles deaths in the SEA Region decreased by 46% (from 234 000 to 126 000). However, all countries in the Region except India have reached or exceeded the 2010 goal of 90% reduction in measles mortality. The WHO Region of the Americas achieved measles elimination in 2002. The Eastern Mediterranean, European, Western Pacific and African regions have set measles elimination goals. Measles eradication is defined as the worldwide interruption of measles transmission; the simultaneous elimination of measles in all WHO regions would equate to global eradication. The 126th session of the Executive Board in January 2010 and the Sixty-third World Health Assembly in May 2010 reviewed the report on “Global Eradication of Measles” prepared by the Secretariat. This paper summarizes requirements to be met before setting a goal for measles eradication, interim milestones towards global eradication of measles, situation analysis of measles control and progress towards measles elimination in Member States of the Region and potential challenges in achieving measles elimination in the Region. The High-Level Preparatory (HLP) Meeting held in the Regional Office in New Delhi from 28 June to 1 July 2010 reviewed the working paper and made the following recommendations: Actions by Member States (1) Member States should consider adopting the interim goals approved by the Sixtythird World Health Assembly by incorporating them into their national immunization policies and strategies with the focus on strengthening routine immunization services. (2) Resources should be mobilized to support laboratory-based surveillance. Actions by WHO-SEARO (1) Resources should be mobilized to strengthen capacity of Member States to improve immunization systems including laboratory-based measles surveillance. (2) Technical support should be provided to Member States in the analysis of surveillance and immunization coverage data in support of national immunization policies and strategies. The working paper and the HLP meeting recommendations based on it are submitted to the Sixty-third Session of the Regional Committee for its consideration.
World Health Organization. Regional Office for South-East Asia. (2010). SEA/RC63/18 - Follow-up action on pending issues and selected Regional Committee resolutions/decisions of the last three years: South-East Asia regional efforts on measles elimination (SEA/RC62/R3). WHO Regional Office for South-East Asia. https://apps.who.int/iris/handle/10665/128382
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