Last summer, the World Health Organization (WHO) reported that Bhutan and Maldives achieved a important goal ahead of time–the elimination of measles.
However, in the WHO South-East Asia Region, some 5 million children miss their measles vaccination every year, which prompted six countries in the region–Bangladesh, India, Indonesia, Myanmar, Nepal and Thailand–to share their immunization challenges and lessons learnt for accelerating efforts to eliminate measles and control rubella by the year 2020.
“Eliminating measles would avert half a million deaths, while controlling rubella and Congenital Rubella Syndrome would promote health of pregnant woman and the infants they give life to,” said Dr Poonam Khetrapal Singh, Regional Director for WHO South-East Asia.
Nearly 500 million children in the Region are planned to be reached with measles and rubella containing vaccines through routine immunization and supplementary immunization campaigns in the next two years. Sharing challenges and lessons learnt from various recent achievements and initiatives will help member countries address their unique problems to close the immunity gap against measles, rubella and CRS, she said.
Last year India and Indonesia targeted 70 million and 35 million children respectively in supplementary measles immunization campaigns. Both have further strengthened routine immunization systems. Bangladesh has implemented an urban immunization strategy, with support of networks of volunteers to broaden immunization coverage. Myanmar has protected around 14 million children against Japanese encephalitis. Nepal has pioneered an incentive scheme to recognize and celebrate villages and districts that are fully immunized. Thailand has demonstrated to the world the impact surveillance can have via its unique ‘data for action’ model.
Further accelerated and focused efforts are needed. Nearly 38 million children are born in the Region every year. Of them approximately 87% receive the first dose of measles-containing vaccine. Though this is a marked improvement from previous years, it still means around 4.8 million children are deprived of the most basic protection against measles each year.
Further accelerated and focussed efforts are needed. Nearly 38 million children are born in the Region every year. Of them approximately 87% receive the first dose of measles-containing vaccine. Though this is a marked improvement from previous years, it still means around 4.8 million children are deprived of the most basic protection against measles each year.
With majority of the missed children being accounted for by the ‘big six’ countries, immunization programme managers of Bangladesh, India, Indonesia, Myanmar, Nepal and Thailand, along with partners WHO, UNICEF, GAVI, Bill and Melinda Gates Foundation and CDC, are deliberating challenges, experiences and lessons learnt in immunization in the Region that can be harnessed to eliminate measles and control rubella / CRS.
“This dynamism and positive exchange is at the very core of south-south and triangular cooperation,” said Dr Khetrapal Singh, who announced measles elimination and rubella / CRS control as one of her flagship programme at the start of her tenure in 2014.
Since then all member countries in South-East Asia region have introduced two doses of measles-containing vaccines in their childhood immunization programme. Five of them have achieved 95% coverage with both doses.
Measles elimination and rubella /CRS control strategies include ensuring over 95% coverage with two doses of measles and rubella containing vaccine in each district through routine and/or supplementary immunization activities, and developing and sustaining sensitive measles surveillance supported by an accredited measles laboratory network.
In recent years, WHO South-East Asia Region has made unprecedented progress against vaccine preventable diseases. The Region was certified polio-free in 2014 while maternal and neonatal tetanus was eliminated as a public health problem in 2016.