Measles Case Study: Afghanistan

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Measles Case Study Afghanistan
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Afghanistan Case Study
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Question 1Are you concerned?

• Is vaccination coverage really high?
• What was vaccine effectiveness
• Every year susceptible accumulating
• Case fatality rates may be high because of
  malnutrition
• Diarrhea may contribute to malnutrition
• Access to good case management?
• One micronutrient deficiency may mean more

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Question 2What activities?

• Order supplies
• Microplanning
• Inform and mobilize community leaders
• Training
• Social mobilization
• Pre-positioning of supplies
• Vaccine delivery
• Campaign
• Supervision
• Collection of results
• Return of equipment

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Supply Table Part 1
Camp Target pop Teams Super Doses AD Syr Cold
(vials) syr Dilution boxes
Mukjar 27,225 13 5 1,911 38,224 1,911 3
Omar 18,900 9 3 1,327 26,536 1,327 2
Logar 6,750 7 3 474 9,477 474 2
Kapisa 4,500 5 2 316 6,318 316 1
Total 57,375 34 13 4,028 80,555 4,028 8
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Supply Table Part 2
Vaccine Ice packs Vit A Vit A Cars Ice pack
carriers 100,000 IU 200,000 IU freezers
26 254 1,210 10,890 1 1
18 172 840 7,560 1 1
14 156 300 2,700 1 1
10 90 200 1,800 1 1
68 672 2,550 22,950 4 4
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Question 4Vulnerable Groups?

• Malnourished
• Sick
• Child headed households
• Female headed households
• Minority populations
• Mobile populations

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Question 9Calculate number of susceptibles

• 127,500 X .18 22,860
• Vaccinated 22,860 X .90 20,574
• Protected 20,574 X .90 18,517
• Unprotected 22,860 18,517 4,344
• Deaths 4,344 X .05 218