Substantial decline in global measles deaths, but disease still kills 90,000 per year
A health worker marks a boy’s finger with ink, to show that he has been vaccinated against measles in India's Gujarat State.
GENEVA/NEW YORK /ATLANTA, 26 October 2017 – In 2016, an estimated 90, 000 people died from measles – an 84 per cent drop from more than 550, 000 deaths in 2000 – according to a new report published today by leading health organizations. This marks the first time global measles deaths have fallen below 100, 000 per year.
“Saving an average of 1.3 million lives per year through measles vaccine is an incredible achievement and makes a world free of measles seem possible, even probable, in our lifetime,” says Dr Robert Linkins, of the Measles and Rubella Initiative (MR&I) and Branch Chief of Accelerated Disease Control and Vaccine Preventable Diseases at the Centers for Disease Control and Prevention. M&RI is a partnership formed in 2001 of the American Red Cross, the US Centers for Disease Control and Prevention, the United Nations Foundation, UNICEF, and WHO.
Since 2000, an estimated 5.5 billion doses of measles-containing vaccines have been provided to children through routine immunization services and mass vaccination campaigns, saving an estimated 20.4 million lives.
“We have seen a substantial drop in measles deaths for more than two decades, but now we must strive to reach zero measles cases,” says Dr Jean-Marie Okwo-Bele, Director of WHO’s Department of Immunization, Vaccines and Biologicals. “Measles elimination will only be reached if measles vaccines reach every child, everywhere.”
The world is still far from reaching regional measles elimination goals. Coverage with the first of two required doses of measles vaccine has stalled at approximately 85 per cent since 2009, far short of the 95 per cent coverage needed to stop measles infections, and coverage with the second dose, despite recent increases, was only 64 per cent in 2016.
Far too many children - 20.8 million - are still missing their first measles vaccine dose. More than half of these unvaccinated children live in six countries: Nigeria (3.3 million), India (2.9 million), Pakistan (2.0 million), Indonesia (1.2 million), Ethiopia (0.9 million), and Democratic Republic of the Congo (0.7 million). Since measles is a highly contagious viral disease, large outbreaks continue to occur in these and other countries in Europe and North America, putting children at risk of severe health complications such as pneumonia, diarrhoea, encephalitis, blindness, and death.
Agencies noted that progress in reaching measles elimination could be reversed when polio-funded resources supporting routine immunization services, measles and rubella vaccination campaigns, and surveillance, diminish and disappear following polio eradication. Countries with the greatest number of measles deaths rely most heavily on polio-funded resources and are at highest risk of reversing progress after polio eradication is achieved.
“This remarkable drop in measles deaths is the culmination of years of hard work by health workers, governments and development agencies to vaccinate millions of children in the world’s poorest countries,” said Dr Seth Berkley, CEO of Gavi, the Vaccine Alliance, one of the world’s largest supporters of measles immunization programmes. “However we cannot afford to be complacent. Too many children are still missing out on lifesaving vaccines. To reach these children and set ourselves on a realistic road to measles elimination we need to dramatically improve routine immunization backed by strong health systems.”
Note to editors:
“Every day, measles kills more than 300 children, making it a major cause of death among children,” says Dr Robert Kezaala, UNICEF's Senior Advisor on Health. “But our progress in tackling measles to date is proof that if we redouble our efforts, we can save every life.”
Measles elimination is defined as the absence of endemic measles virus transmission in a region or other defined geographical area for ≥12 months, in the presence of a well-performing surveillance system.
Launched in 2001, the Measles & Rubella Initiative (M&RI) is led by the American Red Cross, the United Nations Foundation, the U.S. Centers for Disease Control and Prevention, UNICEF and the World Health Organization. M&RI is committed to ensuring that no child dies from measles or is born with congenital rubella syndrome, reducing measles deaths by 95 per cent by 2015, and achieving measles and rubella elimination in at least five WHO regions by 2020. The WHO Region of the Americas has sustained measles elimination since 2002, and the European and Western Pacific Regions have made significant elimination progress. All six WHO Regions have established measles elimination goals. The latest data is published in this week’s WHO’s Weekly Epidemiological Report and in CDC’s Morbidity and Mortality Weekly Report.
CDC’s Morbidity and Mortality Weekly Report: https://www.cdc.gov/mmwr/index.html
WHO’s Weekly Epidemiological Report: http://www.who.int/wer/en/
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