Measles

1
Measles Control / Elimination
World Health Organization Eastern Mediterranean
Region
2
Reported Incidence of Measles and Immunization
Coverage with Measles among infants, EMR, 1980 -
1999
Outbreaks / Epidemics are still occurring
3
Regional Committee Resolution
4
Measles control acceleration / elimination targets
Palestine
Bahrain
5
Measles control acceleration / elimination targets
Palestine
Bahrain
Control acceleration (9 countries)
6
Measles control acceleration / elimination targets
Palestine
Bahrain
Control acceleration (9 countries)
Elimination (14 countries)
7
Measles Acceleration Control Strategies
Establish / Strengthen Measles Surveillance
Raising Routine Immunization Coverage
Targeted Mass campaigns
8
Measles Elimination Strategies
Nationwide Catch up campaigns
Keep up high routine coverage
Nationwide Follow up campaigns
Case based Surveillance
9
Measles Initial Catch-up Campaign
Palestine
Bahrain
Preschool and school age (5)
10
Measles Initial Catch-up Campaign
Palestine
Bahrain
Preschool and school age (5)
School age (4)
11
Measles Initial Catch-up Campaign
Palestine
Bahrain
Preschool and school age (5)
School age (4)
Planned 2001(5)
12
Measles Initial Catch-up Campaign
Palestine
Bahrain
Preschool and school age (5)
School age (4)
Planned, 2001 (5)
Planned 2002-2005 (8)
13
Injection Safety

• Main component of national EPI plans
• Routine immunization activities.
• Supplementary immunization activities.
• Basic principles include
• Equipment
• Use of disposable / AD syringes.
• Proper collection of used syringes Safety
  Boxes
• Proper disposal of used syringes Burning /
  incineration
• Manpower
• Training of health workers.

14
Injection Safety Planned activities

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.

15
Injection Safety Planned activities

1. 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.
2. Campaign evaluation should include a quantified
   assessment of injection safety.

16
Injection Safety Planned activities

1. Revised national plans on safety of routine and
   supplementary immunizations will be developed
   based on injection safety surveys.
2. All countries will document satisfactory
   injection safety in routine and supplementary
   immunization services.