Measles elimination: progress, challenges and implications for rubella control

Felicity T Cutts London School of Hygiene and Tropical Medicine. Keppel St, London WC1E 7HT, UK. [email protected]; London School of Hygiene and Tropical Medicine. Keppel St, London WC1E 7HT, UK. [email protected]

Justin Lessler Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA

Charlotte JE Metcalf Department of Zoology, Oxford University, Oxford, UK; Department of Zoology, Oxford University, Oxford, UK

Figures & data

Figure 1. Reported measles incidence rates per million population by WHO region per year, 1980–2011.

AFR: African; AMR: Americas; EMR: Eastern Mediterranean; EUR: European; SEAR: South east Asia region; WPR: Western Pacific.

Figure 2. Country examples of the difficulty in assessing campaign impact through trends in reported measles cases per year.

Percentage vaccinated = WUENIC MCV1. Grey shaded areas indicate period before campaigns included in WHO database. Catch-up campaigns covered 9 months–14 years and follow-up campaigns covered 9–59 months except:

*catch-up covered 9 months–10 years; **follow-up covered 7–14 years; ***catch-up covered 7–15 years; ****catch-up covered 9 months–13 years.

Figure 2. Country examples of the difficulty in assessing campaign impact through trends in reported measles cases per year.Percentage vaccinated = WUENIC MCV1. Grey shaded areas indicate period before campaigns included in WHO database. Catch-up campaigns covered 9 months–14 years and follow-up campaigns covered 9–59 months except:*catch-up covered 9 months–10 years; **follow-up covered 7–14 years; ***catch-up covered 7–15 years; ****catch-up covered 9 months–13 years.

Figure 3. Average birth rates per 1000 population 2006–2010 and WUENIC measles vaccine coverage 2007–2011 by country.

AFR: African; AMR: Americas; EMR: Eastern Mediterranean; EUR: European; SEAR: South east Asia region; WPR: Western Pacific.

Figure 4. Number of countries with and without rubella vaccine in their national vaccination schedule in 2011, by region and birth rate.

AFR: African; AMR: Americas; EMR: Eastern Mediterranean; EUR: European; SEAR: South east Asia region; WPR: Western Pacific.

Table 1. Ratio of estimated measles deaths to reported measles cases by region, 2010 and 2000.

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Measles elimination: progress, challenges and implications for rubella control

Table 1. Ratio of estimated measles deaths to reported measles cases by region, 2010 and 2000.

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Measles elimination: progress, challenges and implications for rubella control

Figures & data

Table 1. Ratio of estimated measles deaths to reported measles cases by region, 2010 and 2000.

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