world health organization eastern mediterranean region

World Health Organization Eastern Mediterranean

Region

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100

200

300

400

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80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 9901020304050

60708090100

Coverage (%)Incidence (Thousands)

Years (19..)

Reported Incidence of Measles and Immunization Coverage with Measles

among infants, EMR, 1980 - 1999Outbreaks /

Epidemics arestill occurring

Regional Committee Resolution

Palestine

Bahrain

Measles control acceleration / elimination targets

Measles control acceleration / elimination targets

Palestine

Bahrain

Measles control acceleration / elimination targets

Measles control acceleration / elimination targets

Control acceleration(9 countries)

Palestine

Bahrain

Measles control acceleration / elimination targets

Measles control acceleration / elimination targets

Control acceleration(9 countries)

Elimination(14 countries)

Raising RoutineImmunization

Coverage

Raising RoutineImmunization

Coverage

Establish /Strengthen

MeaslesSurveillance

Establish /Strengthen

MeaslesSurveillance

Targeted Mass campaignsTargeted Mass campaigns

Measles Acceleration ControlStrategies

Nationwide “Catch up” campaigns

Nationwide “Catch up” campaigns

“Keep up”high routine

coverage

“Keep up”high routine

coverage

Measles Elimination Strategies

Nationwide“Follow up”campaigns

Nationwide“Follow up”campaigns

Case based“Surveillance”

Palestine

Bahrain

Measles Initial Catch-up CampaignMeasles Initial Catch-up Campaign

Preschool and school age (5)

Palestine

Bahrain

Measles Initial Catch-up CampaignMeasles Initial Catch-up Campaign

Preschool and school age (5)School age (4)

Palestine

Bahrain

Measles Initial Catch-up CampaignMeasles Initial Catch-up Campaign

Preschool and school age (5)School age (4)Planned 2001(5)

Palestine

Bahrain

Measles Initial Catch-up CampaignMeasles Initial Catch-up Campaign

Preschool and school age (5)School age (4)Planned, 2001 (5)Planned 2002-2005 (8)

1. Main component of national EPI plans Routine immunization activities. Supplementary immunization activities.

2. Basic principles include:o Equipment:

Use of disposable / AD syringes. Proper collection of used syringes; “Safety Boxes” Proper disposal of used syringes; “Burning /

incineration”o Manpower:

Training of health workers.

1. Development of a regional toolbox including a curriculum and IEC material for training of health workers on injection safety.

2. Training of trainers in all Member States.

3. Training of peripheral health workers in all Member States.

4. Countries planning to conduct mass campaigns will conduct a survey of the safety of injection and prepare a special plan for insuring safety of injection.

5. Campaign evaluation should include a quantified assessment of injection safety.

6. Revised national plans on safety of routine and supplementary immunizations will be developed based on injection safety surveys.

7. All countries will document satisfactory injection safety in routine and supplementary immunization services.