Epidemiology of Measles in Southern Africa and the progress with measles vaccination

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Epidemiology of Measles in Southern Africa and
the progress with measles vaccination in the
African Region Meeting on the introduction of
new vaccines into EPI in Southern Africa (Public
Health, Educational and Economic Aspects) Cape
Town 13th 15th October, 2004 R. Kezaala VPD
Unit, WHO-AFRO
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Reported Measles Cases Zambia 1997 2002
Source UCI HMIS Routine Reporting
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Measles cases notified to MoH routine
immunization coverage Madagascar. 1999-2002
Source Service of Epid. Surveillance
Sanitary Info - MoH
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Measles control WHO-UNICEF recommended approach
to immunisation
2nd Opportunity Large Scale SIAs
Follow-Up SIAs
Intensified Measles Surveillance
Year 1
Year 2
Year 3
Year 4
Year 5
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Malawi trend in EPI performance 1980 - 2002
lt15yr Catch-up SIAs
lt5yr Follow-up SIAs
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Final classification, suspected measles
cases,Gauteng Province, RSA, January-October
2003 (n976)
as of 27 October
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S/Africa
Malawi
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Malawi Measles OutbreakCases by district and
vaccination status Nov 2003 May 2004
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Total measles case reports from 1991- 2003 10
African countries that implemented Accelerated
measles control before 2001
7 Southern Afr. countries Malawi, South Africa,
Namibia,
Botswana, Zimbabwe, Lesotho, Swaziland
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24 Countries in AFR have undertaken accelerated
Measles Control with over 35 reduction in
measles mortality by end 2003 To
consolidate and maintain these gains, need to
work on routine EPI and have periodic SIAs
every 3-4yrs