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Progress Toward Measles Elimination — Bangladesh, 2000–2016
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Jul 21 2017
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Source: MMWR Morbidity Mortal Weekly Rep. 66(28):753-757.
[PDF-331.02 KB]
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Journal Article:Morbidity and Mortality Weekly Report (MMWR)
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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.
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ISSN:0149-2195 (print);1545-861X (digital);
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Pubmed ID:28727678
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Pubmed Central ID:PMC5657944
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Pages in Document:5 pdf pages
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Volume:66
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Issue:28
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