Revising the goal for measles elimination and rubella/congenital rubella syndrome control
AbstractThe Sixty-sixth session of the WHO Regional Committee for South-East Asia in 2013 adopted resolution SEA/RC66/R5, in which the Region committed itself to the goal of measles elimination and rubella/congenital rubella syndrome (CRS) control by 2020. This became a Flagship Priority of the Regional Director in 2014. The Strategic Plan for Measles Elimination and Rubella/CRS Control 2014–2022 was developed for providing technical guidance. The SEA Regional Verification Commission (RVC) for measles elimination and rubella/CRS control was established in 2016 and set norms and standards to verify measles elimination and rubella/CRS control. Measles elimination and rubella/CRS control has also been incorporated in the SEA Regional Vaccine Action Plan 2016–2020 as one of its eight goals. Five countries in the Region have eliminated measles and six have controlled rubella and CRS. There has been an estimated 75% reduction in mortality due to measles in 2017, compared with 2000. In 2018, coverage with measles containing vaccines (MCV) was 89% for first dose (MCV1) and 80% for second dose (MCV2), compared with 63% and 3% respectively in 2000. An estimated 366 million children were reached through mass vaccination campaigns with a measles-rubella (MR) vaccine in the Region since 2017. All Member States are administering two doses of MCV and 10 Member States have introduced rubella-containing vaccine (RCV). DPR Korea has plans to introduce RCV by the end of 2019. All Member States have initiated laboratory supported case-based surveillance and have at least one proficient national laboratory for measles and rubella. The main challenges are suboptimal implementation of strategies advocated in the Strategic Plan leading to immunity gaps for measles in various areas and population groups, low surveillance sensitivity in some Member States, financial insufficiency and dependence on WHO for procurement of laboratory diagnostic kits.
World Health Organization. Regional Office for South-East Asia. (2019). Revising the goal for measles elimination and rubella/congenital rubella syndrome control. World Health Organization. Regional Office for South-East Asia. https://apps.who.int/iris/handle/10665/327907
Gov't Doc #SEA/RC72/7
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Control of rubella and congenital rubella syndrome (CRS) in developing countries, Part 2: Vaccination against rubella. Robertson, S. E.; Cutts, F. T.; Samuel, R.; Diaz-Ortega, J. L. (World Health Organization, 1997)