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10 Key Actions Taken in Eliminating Rubella and Measles
1
Transcript
2002
Measles elimination was achieved
2003
Ministers of health made a commitment to eliminate Rubella/CRS by 2010
Eliminating
10 KEY ACTIONS TAKEN
BY THE AMERICAS & PAHO/WHO
RUBELLA
is a disease that can cause Congenital Rubella Syndrome in babies, who can suffer multiple
birth defects
deafness
How did we do it?
2002
Measles is eliminated
2009
Rubella and CRS eliminated!
2003
Ministers of health from the Americas committed to eliminate rubella and CRS by 2010
5
REACHING EVERY CORNER OF THE HEMISPHERE
The Americas are at risk of virus importations from other regions
USING MEGAPHONES AT THE LOCAL LEVEL TO GENERATE DEMAND
FOR VACCINATION
Health workers were committed to reaching the most neglected of populations
First Outbreak in Post-Elimination Era 2013-2015, Brazil
USE OF SPORTS PERSONALITIES
AS THE FACE OF THE CAMPAIGN
with scientific societies, academic institutions, churches, and news media
Last reported case:
July 6, 2015 – Ceará
The countries now have greater ability to
carry out more specific diagnostic tests
Genotyping
Virus Isolation
95%
Recommended vaccination in all municipalities of the Americas to be measles/rubella free
- Regional mechanism that facilitates access to high-quality vaccines at lower costs
- Procures 46 vaccine presentations and 29 immunization supplies on behalf of 41 countries
1990s
Measles-mumps-rubella vaccine was introduced, free of charge, in routine programs
MID-1998
Integration of rubella and
measles surveillance
1. Conducting case investigation
2. Implement response measures
3. Improving clinical monitoring and management of affected children
Between 1998-2008
250 million
adolescents and adults in
32 countries
were vaccinated for measles and rubella
Health workers took the vaccines
to non-traditional places
Roadmap for declaring measles elimination in the Americas
To be presented at Directing Council - 2017
PAHO + IEC
To be presented
at PAHO Sanitary Conference (2017)
Standardized Template
2012-2015 Period
Signed by National Verification Commission
Countries should remain vigilant and not let their guard down to sustain the elimination gains.
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INTEGRATED RUBELLA AND MEASLES SURVEILLANCE AND CRS SURVEILLANCE SYSTEMS WERE SET UP
“Any measles vaccination campaign that does not include the rubella vaccine is a missed opportunity.”
- Ciro de Quadros
cardiac
defects
1998
13% of countries reported CRS cases
2003
100% of countries reported CRS cases
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MASS VACCINATION
CAMPAIGNS
WERE CONDUCTED
2
STRATEGIC
PARTNERSHIPS
blindness
3
RUBELLA VACCINE
WAS INTRODUCED
9
STRENGTHENED LABORATORY CAPACITIES
miscarriage and stillbirth
10
HIGH-ALERT LEVEL
MAINTAINED CASE
BY CASE
8
PAHO'S REVOLVING FUND FACILITATED MEASLES-RUBELLA VACCINE FOR 41 COUNTRIES
Health workers should maintain a positive attitude and a permanent commitment to maintaining the achievements in elimination.
confirmed the elimination of
rubella and CRS in the Americas.
PAHO
convened by
International Expert
Committee
On April 23, 2015, the
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HIGH LEVEL OF COMMITMENT FROM MEMBER-STATES
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BOLD SOCIAL COMMUNICATION STRATEGIES CONTRIBUTED TO ELIMINATION
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