Progress Toward Measles Elimination — Bangladesh, 2000–2016

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Khanal, Sudhir ; Bohara, Rajendra ; Chacko, Stephen ; Sharifuzzaman, Mohammad ; Shamsuzzaman, Mohammad ; Goodson, James L. ; Dabbagh, Alya ; Kretsinger, Katrina ; Dhongde, Deepak ; Liyanage, Jayantha ; Bahl, Sunil ; Thapa, Arun
• Description:
  In 2013, at the 66th session of the Regional Committee of the World Health Organization (WHO) South-East Asia Region (SEAR), a regional goal was established to eliminate measles and control rubella and Congenital rubella syndrome* by 2020 (1). WHO-recommended measles elimination strategies in SEAR countries include 1) achieving and maintaining ≥95% coverage with 2 doses of measles-containing vaccine (MCV) in every district, delivered through the routine immunization program or through supplementary immunization activities (SIAs)|; 2) developing and sustaining a sensitive and timely measles case-based Surveillance system that meets targets for recommended performance indicators; and 3) developing and maintaining an accredited measles laboratory network (2). In 2014, Bangladesh, one of 11 countries in SEAR, adopted a national goal for measles elimination by 2018 (2,3). This report describes progress and challenges toward measles elimination in Bangladesh during 2000-2016. Estimated coverage with the first MCV dose (MCV1) increased from 74% in 2000 to 94% in 2016. The second MCV dose (MCV2) was introduced in 2012, and MCV2 coverage increased from 35% in 2013 to 93% in 2016. During 2000-2016, approximately 108.9 million children received MCV during three nationwide SIAs conducted in phases. During 2000-2016, reported confirmed measles incidence decreased 82%, from 34.2 to 6.1 per million population. However, in 2016, 56% of districts did not meet the Surveillance performance target of ≥2 discarded nonmeasles, nonrubella cases| per 100,000 population. Additional measures that include increasing MCV1 and MCV2 coverage to ≥95% in all districts with additional strategies for hard-to-reach populations, increasing sensitivity of measles case-based Surveillance, and ensuring timely transport of specimens to the national laboratory will help achieve measles elimination.
• Subjects:
  Adolescent Child Child, Preschool Disease Eradication Full Report Humans Immunization Programs Incidence Infant Measles Measles Vaccine Measles Virus Population Surveillance Vaccination

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 66(28):753-757.
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.mm6628a3
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  28727678
• Pubmed Central ID:
  PMC5657944
• Document Type:
  Journal Article
• Place as Subject:
  Bangladesh
• Pages in Document:
  5 pdf pages
• Volume:
  66
• Issue:
  28
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:b9f56f4b5f0ec68c0f7f6ea08f5db877d4388f657fed1ca55f2a156d09c7f17f49c2760bb201837585c81071ac5fa3414fee92c0410a7e8ac3a41d1426b3be1e
• Download URL:
  https://stacks.cdc.gov/view/cdc/54099/cdc_54099_DS1.pdf
• File Type:
  [PDF - 331.02 KB ]