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Coordination of Operation MECACAR Plus

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Coordination of Operation MECACAR Plus EUR/ICP/CMDS 03 02 04 ENGLISH ONLY UNEDITED E69229 REGIONAL OFFICE FOR EUROPE ____________________________ COORDINATION OF OPERATION MECACAR PLUS Report on the Sixth Meeting Ankara, Turkey 20–22 October 1999 SCHERFIGSVEJ 8 DK-2100 COPENHAGEN Ø DENMARK TEL.: +45 39 17 17 17 TELEFAX: +45 39 17 18 18 TELEX: 12000 E-MAIL: [email protected] WEB SITE: HTTP://WWW.WHO.DK 2000 EUROPEAN HEALTH21 TARGET 7 EUROPEAN HEALTH21 TARGET 7 REDUCING COMMUNICABLE DISEASES By the year 2020, the adverse health effects of communicable diseases should be substantially diminished through systematically applied programmes to eradicate, eliminate or control infectious diseases of public health importance (Adopted by the WHO Regional Committee for Europe at its forty-eighth session, Copenhagen, September 1998) ABSTRACT The sixth meeting on the coordination of Operation MECACAR Plus was attended by representatives of 16 participating countries from the WHO European (EUR) and Eastern Mediterranean (EMR) Regions and of the major partner organizations. Operation MECACAR/MECACAR Plus has led to unprecedented collaboration among 18 countries of EUR and EMR to coordinate implementation of polio eradication strategies. The last case of polio in EUR to date has been reported from Turkey with onset on 26 November 1998. Extraordinary progress toward polio eradication has also been achieved in EMR and reported polio is now at record low levels. Nevertheless, wild poliovirus transmission is still occurring in some MECACAR Plus countries of EMR, including Afghanistan, Iraq and Pakistan. Discussions focused on the results of Operation MECACAR Plus in 1999 and plans of action for 2000, improving surveillance in participating countries, and enriching the polio eradication partnership. Accelerated activities may be necessary in several MECACAR Plus countries to interrupt or prevent poliovirus transmission. Regional plans of action for the containment of wild poliovirus must be prepared as soon as possible to facilitate the certification process. Keywords POLIOMYELITIS PREVENTION AND CONTROL IMMUNIZATION PROGRAMS PROGRAM EVALUATION EPIDEMIOLOGIC SURVEILLANCE EUROPE MIDDLE EAST TURKEY COMMONWEALTH OF INDEPENDENT STATES © World Health Organization – 2000 All rights in this document are reserved by the WHO Regional Office for Europe. The document may nevertheless be freely reviewed, abstracted, reproduced or translated into any other language (but not for sale or for use in conjunction with commercial purposes) provided that full acknowledgement is given to the source. For the use of the WHO emblem, permission must be sought from the WHO Regional Office. Any translation should include the words: The translator of this document is responsible for the accuracy of the translation. The Regional Office would appreciate receiving three copies of any translation. Any views expressed by named authors are solely the responsibility of those authors. This document was text processed in Health Documentation Services WHO Regional Office for Europe, Copenhagen CONTENTS Page Introduction...................................................................................................................................................1 Scope and purpose ........................................................................................................................................1 Situation analysis and progress toward poliomyelitis eradication................................................................1 Global overview .......................................................................................................................................1 European Region ......................................................................................................................................3 Eastern Mediterranean Region .................................................................................................................3 Country reports, European Region ...............................................................................................................4 Armenia (not presented at the meeting)....................................................................................................4 Azerbaijan (not presented at the meeting)................................................................................................5 Georgia (not presented at the meeting).....................................................................................................5 Federal Republic of Yugoslavia (not presented at the meeting)...............................................................5 Kazakhstan (not presented at the meeting)...............................................................................................5 Kyrgyzstan (not presented at the meeting) ...............................................................................................6 Russian Federation ...................................................................................................................................6 Tajikistan..................................................................................................................................................6 Turkey ......................................................................................................................................................7 Turkmenistan (not presented at the meeting) ...........................................................................................7 Ukraine (not presented at the meeting).....................................................................................................8 Uzbekistan (not presented at the meeting) ...............................................................................................8 Country reports, Eastern Mediterrranean Region .........................................................................................8 Afghanistan...............................................................................................................................................8 Iran (not presented at the meeting)...........................................................................................................9 Iraq............................................................................................................................................................9 Jordan (not presented at the meeting).....................................................................................................10 Lebanon (not presented at the meeting) .................................................................................................10 Palestine (not presented at the meeting) .................................................................................................10 Pakistan ..................................................................................................................................................11 Syria (not presented at the meeting) .......................................................................................................11 Partnership ..................................................................................................................................................12 Summary of discussion and suggestions for improvement ....................................................................12 Conclusions and recommendations.............................................................................................................13 Recommendations ..................................................................................................................................14 Annex 1 Results of partnership questionnaire......................................................................................... 17 Annex 2 Programme................................................................................................................................ 19 Annex 3 Participants................................................................................................................................ 21 EUR/ICP/CMDS 03 02 04 page 1 Introduction The sixth meeting on the coordination of Operation MECACAR Plus took place in Ankara, Turkey from 20 to 22 October 1999. All the ten countries from the World Health Organization (WHO) European Region (EURO) and six out of the eight countries from the Eastern Mediterranean Region (EMRO) that are participating in Operation MECACAR Plus were represented, as well as WHO, the United Nations Children’s Fund (UNICEF), the Centers for Disease Control and Prevention (CDC), Japan International Cooperation Agency (JICA), Rotary International and the United States Agency for International Development (USAID). In addition, Ukraine and the Federal Republic of Yugoslavia were represented. The meeting was opened by Dr Osman Durmus, Minister of Health, Turkey, Dr Serguei Litvinov who brought greetings and a message from Dr Asvall, the then WHO Regional Director for Europe, and Dr Rafi Aslenian who brought greetings and a message from Dr Hussein A. Gezairy, WHO Regional Director for the Eastern Mediterranean. Dr Tarantola brought greetings and a message from Dr Gro Brundtland, Director-General of WHO. The meeting was chaired by Dr Norman Begg, Drs Serguei Deshevoi, Hamid Jafari and Roland Sutter served as co-rapporteurs and Drs George Oblapenko and Rafi Aslanian served as secretaries. The programme of the meeting and the list of participants are attached as Annex 2 and Annex 3, respectively. Scope
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