Implementation of the program of measles elimination in the WHO African region

The review is devoted to the analysis of the available literature on the elimination of measles. The review focuses on the current measles epidemic situation in the African Region (AFR) and the implementation of the WHO strategic plan for the elimination of measles in AFR by 2020. Measles in the AFR...

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Autores principales: J . Camara, A. Yu. Antipova, M. A. Bichurina, V. V. Zarubaev, N . Magassouba, I. N. Lavrentieva
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Publicado: Sankt-Peterburg : NIIÈM imeni Pastera 2019
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spelling oai:doaj.org-article:aa0498a6682e42eda70c452bd73581d92021-11-22T07:09:53ZImplementation of the program of measles elimination in the WHO African region2220-76192313-739810.15789/2220-7619-2019-3-4-449-456https://doaj.org/article/aa0498a6682e42eda70c452bd73581d92019-11-01T00:00:00Zhttps://www.iimmun.ru/iimm/article/view/1219https://doaj.org/toc/2220-7619https://doaj.org/toc/2313-7398The review is devoted to the analysis of the available literature on the elimination of measles. The review focuses on the current measles epidemic situation in the African Region (AFR) and the implementation of the WHO strategic plan for the elimination of measles in AFR by 2020. Measles in the AFR is characterized by a severe course with a high risk of death due to malnutrition, vitamin A deficiency, concomitant bacterial and viral infections, and malaria. In 2015, 105,256 cases of measles were reported in the WHO African Region, most of them among children under 5 years old, 79% of whom were not vaccinated or had unknown vaccine status. Initially, the strategy for implementing the measles elimination program in AFRs was based on a combination of immunization campaigns for children under 14 years of age (coverage of more than 90%) and routine vaccination of at least 90% of children aged 9–15 months. It was recommended to repeat the campaign of mass immunization of children aged 9 months up to 4 years every 3–5 years. The use of this strategy has reduced the number of measles cases by 83–97% during the first year of additional immunization programs. The recommended age of routine measles vaccination in AFRs is 9 months — a strategy to reduce infant mortality, including that due to complications of measles. In 2016, measles vaccination was introduced into the national immunization schedule in all AFR countries, and 24 countries introduced revaccination. Currently, the measles elimination program in a number of AFR countries is based on two-dose immunization (MCV1 and MCV2). The measles prevention program in a number of AFR countries was disrupted due to the Ebola epidemic. There are some common problems in the realization of the program in AFR countries. All AFR countries are committed to the measles elimination program. The review provides information on strategies and successes in overcoming challenges to achieve the goals set for the WHO African Region in the implementation of the programme of measles elimination.J . CamaraA. Yu. AntipovaM. A. BichurinaV. V. ZarubaevN . MagassoubaI. N. LavrentievaSankt-Peterburg : NIIÈM imeni Pasteraarticlemeaslesmeasles elimination programafricavaccinationrevaccinationInfectious and parasitic diseasesRC109-216RUInfekciâ i Immunitet, Vol 9, Iss 3-4, Pp 449-456 (2019)
institution DOAJ
collection DOAJ
language RU
topic measles
measles elimination program
africa
vaccination
revaccination
Infectious and parasitic diseases
RC109-216
spellingShingle measles
measles elimination program
africa
vaccination
revaccination
Infectious and parasitic diseases
RC109-216
J . Camara
A. Yu. Antipova
M. A. Bichurina
V. V. Zarubaev
N . Magassouba
I. N. Lavrentieva
Implementation of the program of measles elimination in the WHO African region
description The review is devoted to the analysis of the available literature on the elimination of measles. The review focuses on the current measles epidemic situation in the African Region (AFR) and the implementation of the WHO strategic plan for the elimination of measles in AFR by 2020. Measles in the AFR is characterized by a severe course with a high risk of death due to malnutrition, vitamin A deficiency, concomitant bacterial and viral infections, and malaria. In 2015, 105,256 cases of measles were reported in the WHO African Region, most of them among children under 5 years old, 79% of whom were not vaccinated or had unknown vaccine status. Initially, the strategy for implementing the measles elimination program in AFRs was based on a combination of immunization campaigns for children under 14 years of age (coverage of more than 90%) and routine vaccination of at least 90% of children aged 9–15 months. It was recommended to repeat the campaign of mass immunization of children aged 9 months up to 4 years every 3–5 years. The use of this strategy has reduced the number of measles cases by 83–97% during the first year of additional immunization programs. The recommended age of routine measles vaccination in AFRs is 9 months — a strategy to reduce infant mortality, including that due to complications of measles. In 2016, measles vaccination was introduced into the national immunization schedule in all AFR countries, and 24 countries introduced revaccination. Currently, the measles elimination program in a number of AFR countries is based on two-dose immunization (MCV1 and MCV2). The measles prevention program in a number of AFR countries was disrupted due to the Ebola epidemic. There are some common problems in the realization of the program in AFR countries. All AFR countries are committed to the measles elimination program. The review provides information on strategies and successes in overcoming challenges to achieve the goals set for the WHO African Region in the implementation of the programme of measles elimination.
format article
author J . Camara
A. Yu. Antipova
M. A. Bichurina
V. V. Zarubaev
N . Magassouba
I. N. Lavrentieva
author_facet J . Camara
A. Yu. Antipova
M. A. Bichurina
V. V. Zarubaev
N . Magassouba
I. N. Lavrentieva
author_sort J . Camara
title Implementation of the program of measles elimination in the WHO African region
title_short Implementation of the program of measles elimination in the WHO African region
title_full Implementation of the program of measles elimination in the WHO African region
title_fullStr Implementation of the program of measles elimination in the WHO African region
title_full_unstemmed Implementation of the program of measles elimination in the WHO African region
title_sort implementation of the program of measles elimination in the who african region
publisher Sankt-Peterburg : NIIÈM imeni Pastera
publishDate 2019
url https://doaj.org/article/aa0498a6682e42eda70c452bd73581d9
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AT vvzarubaev implementationoftheprogramofmeasleseliminationinthewhoafricanregion
AT nmagassouba implementationoftheprogramofmeasleseliminationinthewhoafricanregion
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