Use of a Diagonal Approach to Health System Strengthening and Measles Elimination after a Large Nationwide Outbreak in Mongolia

Hagan, José E.; Greiner, Ashley; Luvsansharav, Ulzii-Orshikh; Lake, Jason; Lee, Christopher; Pastore, Roberta; Takashima, Yoshihiro; Sarankhuu, Amarzaya; Demberelsuren, Sodbayar; Smith, Rachel; Park, Benjamin; Goodson, James L.

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Use of a Diagonal Approach to Health System Strengthening and Measles Elimination after a Large Nationwide Outbreak in Mongolia

Supporting Files Public Domain

Dec 2017
By Hagan, José E. ; Greiner, Ashley ; Luvsansharav, Ulzii-Orshikh ; ...

File Language:

English

Details

Alternative Title:

Emerg Infect Dis
Personal Author:

Hagan, José E. ; Greiner, Ashley ; Luvsansharav, Ulzii-Orshikh ; Lake, Jason ; Lee, Christopher ; Pastore, Roberta ; Takashima, Yoshihiro ; Sarankhuu, Amarzaya ; Demberelsuren, Sodbayar ; Smith, Rachel ; Park, Benjamin ; Goodson, James L.
Description:

Measles is a highly transmissible infectious disease that causes serious illness and death worldwide. Efforts to eliminate measles through achieving high immunization coverage, well-performing surveillance systems, and rapid and effective outbreak response mechanisms while strategically engaging and strengthening health systems have been termed a diagonal approach. In March 2015, a large nationwide measles epidemic occurred in Mongolia, 1 year after verification of measles elimination in this country. A multidisciplinary team conducted an outbreak investigation that included a broad health system assessment, organized around the Global Health Security Agenda framework of Prevent-Detect-Respond, to provide recommendations for evidence-based interventions to interrupt the epidemic and strengthen the overall health system to prevent future outbreaks of measles and other epidemic-prone infectious threats. This investigation demonstrated the value of evaluating elements of the broader health system in investigating measles outbreaks and the need for using a diagonal approach to achieving sustainable measles elimination.
Subjects:

Disease Eradication Disease Outbreaks Emergencies History, 21St Century Humans Immunization Programs Measles/Diagnosis Measles/Epidemiology Measles/History Measles/Prevention & Control Measles Vaccine Outcome Assessment, Health Care Public Health Surveillance Research Seasons Vaccination
Source:

Emerg Infect Dis. 23(Suppl 1):S77-S84.
Pubmed ID:

29155667
Pubmed Central ID:

PMC5711310
Document Type:

Journal Article
Place as Subject:

Mongolia
Volume:

23
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:c2dfeb0b5a1a5fe88190427607cd3928afae540f72655d6362aa0fdf52a614c3
Download URL:

https://stacks.cdc.gov/view/cdc/50099/cdc_50099_DS1.pdf
File Type:

[PDF - 690.11 KB ]

File Language:

English

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