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SEAR Measles & Rubella Fact Sheet • World Health Organization • IVD Page 1 of 6 #Updated & Published 7-Sep-2009
Measles and Rubella Fact Sheet SEAR 2008-2009 #
Table 1: South-East Asia Regional (SEAR) Strategic Plan 2007-2011 Goal: To reduce the number of measles deaths by 90% in 2010 relative to 2000 estimates. Objectives: • Achieve at least 90% national Measles Containing Vaccine (MCV1) coverage and at least 80% MCV1 coverage in all
districts in member countries by 2010; • Conduct case-based measles surveillance within an integrated vaccine preventable disease surveillance system in countries
that have conducted measles catch-up campaigns; • Achieve full investigation and appropriate clinical case management of all measles outbreaks by all member countries by
2009; and • Provide a second opportunity for measles immunization to eligible children in all member States by 2010 while ensuring
more than 90% coverage.
Figure 1: Accelerated Measles Control in SEAR, 2000-2008
Figure 2: Implementation of Measles Control Activities in SEAR Countries, 2009
Table 2: Measles Incidence per 100,000 population, SEAR, 1999-2008 Table 3: MCV Immunization Schedule and Percentage Coverage, 1990-2008
0
50000
100000
150000
200000
250000
2000 2001 2002 2003 2004 2005 2006 2007 2008
Est
imat
ed d
eath
s
50
55
60
65
70
75
80
85
90
95
100
MC
V1 C
over
age
(%)
Estimated Measles Deaths MCV1 coverage
6.3 40.71.5 5.2 10 10.4 42.4
SIA achievement in millionsSIA achievement in millions
42 % reduction of mortality, 2000 - 2007
Over 120 million vaccinated through SIA
3.6
Source: IVD/ WHO-SEAR
Advanced stage of mortality reduction
Implementing elimination strategies
Bhutan, DPR Korea, Maldives and Sri Lanka
Bangladesh, Indonesia, Myanmar, Nepal and Timor-Leste
Partial Implementation of mortality reduction strategies
India and Thailand Sources: Mortality estimate: WHO/HQ, MCV1 coverage: WHO/UNICEF best estimates, SIA coverage: WHO/UNICEF JRF
SEAR 5.12 7.98 6.19 5.22 5.90 6.89 6.64 5.68 4.35 4.74Source: Population: 1999-2001-United Nations Population Division, Department of Economic and Social Affairs, W orld Population Prospects the 2002 revision; 2002 onwards - W HO/SEARO Annual EPI Reporting Form (AERF); Measles Cases: W HO/UNICEF JRF
SEAR Measles & Rubella Fact Sheet • World Health Organization • IVD Page 5 of 6 #Updated & Published 7-Sep-2009
Measles and Rubella Fact Sheet SEAR 2008-2009 #
Figure 18: Second Dose for Measles Immunization, SEAR, 2009
Table 6: Measles SIA Target and Achievement, 2000-2009* Table 7: Measles SIA Schedule, 2008-2010
Through Routine Immunization
Through SIA
Provide MR/MMR vaccine
Provide Measles Vaccine
Source: IVD / WHO, SEAR
Catch-up campaign
Catch-up & Follow-up campaigns
J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S OBangladeshBhutanDPR KoreaIndiaIndonesiaMaldives MyanmarNepalSri LankaThailandTimor-LesteSource: IVD/WHO-SEAR Updated on 19 Aug 2009 Roll-over follow-up measles campaigns National follow-up measles campaigns
Planned 20102009Country
2008
Vaccinated % Vaccinated %
2005 2 districts 9m -10 Y 1,374,390 93 Indonesia 2007 Aug Measles Ynder 5 y campaign in 5 Provinces 6M-5 Y 3,413,010 93
2006 All remaining districts 9m -10 Y 34,637,764 101 Maldives 2005/06 National 6-25 Y & 25-34Y( F) 123,642 85
Bhutan 2006 National 9M-15 Y & 15-44Y( F) 332,041 98 2002 6 of 17 states/divisions 9 M – 5 Y 1,577,169 88
DPR Korea 2007 National 6 M-45 Y 16,109,432 100 2003 5 of 17 states/divisions 9 M – 5 Y 2,248,422 90
2000 School based campaign in 3 provinces 6-12 Y 6,341,407 95 2004 6 of 17 states/divisions 9 M – 5 Y 1,085,359 79
2003 School based campaign in 4 provinces 6-12 Y 980,754 95 2007 National 9 M – 5 Y 5,706,351 94
2004 School based campaign in 7 provinces 6-12 Y 2,062,556 94 2004 2 of 5 Regions 9M – 15 Y 5,490,931 102
2005 Measles catch-up campaign in 2 provinces 6 M – 15 Y 4,642,650 96 2005 3 of 5 Regions 9 M –15 Y 4,348,792 107
2006 Measles catch-up campaign in 2 province 6 M – 15 Y 615,577 91 2008 Sep 29 of 75 districts 9 M- 5 Yrs 909,421 94
2006 Measles Under 5 y campaign in 2 Provinces 6M-5 Y 220,777 94 2008 Dec 46 of 75 districts 9 M- 5 Yrs 2,724,856 93
2006 School based campaign in 5 provinces 6 Y -12 Y 3,049,844 96 Sri Lanka 2003 National 10-14 Y 1,897,173 95
2006 Measles Under 5 y campaign in 9 Provinces 6M-5 Y 3,440,698 92 2004 National 16-20 Y 1,362,108 72
2007 Feb School based campaign in 3 provinces 6 Y -12 Y 2,863,068 106 2003 National 9 M-5 Y 127,453 99
2007 Feb Measles Ynder 5 y campaign in 5 Provinces 6M-5 Y 10,075,758 90 2006 National 6M-15Y 157,673 40
2007 Aug School based campaign in 6 provinces 6 Y -12 Y 2,609,990 102 2009 National 9-59 M 126,823 76
120,655,889 97Souce: IVD/WHO-SEAR *Updated on 2 Sep 2009 Follow-up campaigns are highlighted
Age groupCoverage
Total
Year
Nepal
Myanmar
Timor-Leste
Indonesia
Type Type
Bangladesh
CountryAge groupCoverage
Country Year
SEAR Measles & Rubella Fact Sheet • World Health Organization • IVD Page 6 of 6 #Updated & Published 7-Sep-2009
Measles and Rubella Fact Sheet SEAR 2008-2009 #
Figure 19: SEAR Measles and Rubella Laboratory Network, 2009
Figure 20: Distribution of Measles/Rubella Genotypes in SEAR
Primary Data Sources: WHO/UNICEF Joint Reporting Form (JRF); SEAR Annual EPI Reporting Form (AERF); Government and Ministries of Health, and EPI Program Managers; Monthly VPD and EPI Reporting System
Prepared by: Immunization and Vaccine Development (IVD) Department of Family Health and Research (FHR) World Health Organization, South East-Asia Regional Office IP Estate, Mahatma Gandhi Road, New Delhi 110002, India. Tel: +91 11 23370804, Direct Fax: +91 11 23370251, 23370106
4397 4271 1234 28.9 913 21.4 4288 3874 734 18.9 1681 43.4Source: Reported by SEAR Measles Laboratory Network *Data as of 30 Jun 20091 Percentages may not add to 100%; Equivocal results not included and some samples are in process with results pending. Some countries test samples for both Measles and Rubella.2 210 and 131 samples were received for Rubella testing from the hospital (routine Antenatal cases) in 2008 and 2009 respectively. NR=No Report