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Advances in Global Measles Control and Elimination

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Advances in Global Measles Control and Elimination July 24, 1998 / Vol. 47 / No. RR-11 TM Recommendations and Reports Advances in Global Measles Control and Elimination: Summary of the 1997 International Meeting U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention (CDC) Atlanta, Georgia 30333 The MMWR series of publications is published by the Epidemiology Program Office, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services, Atlanta, GA 30333. SUGGESTED CITATION Centers for Disease Control and Prevention. Advances in global measles control and elimination: summary of the 1997 international meeting. MMWR 1998;47(No. RR-11):[inclusive page numbers]. Centers for Disease Control and Prevention................................ Claire V. Broome, M.D. Acting Director The material in this report was prepared for publication by: National Immunization Program ...........................................Walter A. Orenstein, M.D. Director Vaccine-Preventable Disease Eradication Division ....................................................Stephen Cochi, M.D., M.P.H. Director The production of this report as an MMWR serial publication was coordinated in: Epidemiology Program Office............................................Barbara R. Holloway, M.P.H. Acting Director John W. Ward, M.D. Editor, MMWR Series Office of Scientific and Health Communications (proposed) Recommendations and Reports................................... Suzanne M. Hewitt, M.P.A. Managing Editor Robert S. Black, M.P.H. Project Editor Morie M. Higgins Visual Information Specialist Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services. Copies can be purchased from Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402-9325. Telephone: (202) 512-1800. Vol. 47 / No. RR-11 MMWR i Contents Introduction...........................................................................................................1 Global Experience With Measles Control...........................................................2 Measles Elimination in the Western Hemisphere.......................................2 Other Global Experiences with Measles Control and Elimination ...........6 UNICEF Urban Measles Control Initiative....................................................9 Conclusions: Progress Toward Measles Elimination ...............................10 Measles Surveillance .........................................................................................11 Role of the Laboratory in Measles Surveillance .......................................12 Conclusions: Measles Surveillance ............................................................13 Vaccine Safety.....................................................................................................16 Conclusions: Vaccine Safety........................................................................17 Research..............................................................................................................18 Conclusions: Research .................................................................................18 Economic Implications of Measles Elimination ...............................................19 Conclusions: Economic Implications of Measles Elimination ................20 Next Steps...........................................................................................................20 Conclusions: Next Steps ..............................................................................22 References...........................................................................................................23 ii MMWR July 24, 1998 Meeting Participants Meeting Moderators Peter Strebel Jean-Marc Olivé National Immunization Program Expanded Programme on Immunization Centers for Disease Control World Health Organization and Prevention Geneva, Switzerland Atlanta, GA Meeting Rapporteur Alan Hinman Task Force for Child Survival and Development Atlanta, GA Akira Amano Victor Barbiero Japanese Pediatric Association Office of Health and Nutrition Tokyo, Japan United States Agency for International Development Carmen Amela Heras Washington, DC Pan American Health Organization Expanded Program on Immunization Jarbas Barbosa Guatemala City, Guatemala Centro Nacional de Epidemiologia Fundaçao Nacional da Saude Larry Anderson Brasilia, Brazil National Center for Infectious Disease Centers for Disease Control Kenneth Bart and Prevention Office of International Health Atlanta, GA Department of Health and Human Services Bruce Aylward Rockville, MD Expanded Programme on Immunization World Health Organization Ximena de la Barra Geneva, Switzerland United Nations Children’s Fund New York, NY Olusegun Babaniyi Expanded Programme on Immunization William Bellini World Health Organization National Center for Infectious Disease Lagos, Nigeria Centers for Disease Control and Prevention Thomas Baker Atlanta, GA American Red Cross Washington DC John Bennett Task Force for Child Survival and Development Decatur, GA Vol. 47 / No. RR-11 MMWR iii Meeting Participants — Continued Philippe Beutels Theresa Coleman WHO Collaborating Centre United Nations Children’s Fund Epidemiology and Community Medicine New York, NY Antwerp, Belgium Jose Cordero Robin Biellik National Immunization Program World Health Organization Centers for Disease Control Harare, Zimbabwe and Prevention Atlanta, GA Joel Breman Fogarty International Center Victor Coronado Bethesda, MD National Immunization Program Centers for Disease Control Denis Broun and Prevention United Nations Children’s Fund Atlanta, GA New York, NY Di Hongjie* Victor Cáceres Gansu Epidemic Prevention Station National Immunization Program Lanzhou, China Centers for Disease Control and Prevention Ding Zhengrong* Atlanta, GA Yunnan Epidemic Prevention Station Kunming, China Mary Ann Chaffee Office of Senator Dale Bumpers Sieghart Dittmann United States Senate Regional Office for Europe Washington, DC World Health Organization Copenhagen, Denmark Chai Feng* Chinese Academy of Angela Dominguez Garcia Preventive Medicine Directorate of Public Health Beijing, China Department of Health and Social Security Cheng Feng* Barcelona, Spain Hubei Epidemic Prevention Station Wuhan, China Dong Boqing* Guangxi Health Bureau Stephen Cochi Naning, China National Immunization Program Centers for Disease Control Walter Dowdle and Prevention Task Force for Child Survival Atlanta, GA and Development Atlanta, GA *Attended meeting as a fellow in a training course for public health and medical personnel from China: “Epidemiology: Poliomyelitis, Measles Accelerated Control/Elimination,” in Atlanta, Georgia, August 18–September 17, 1997. iv MMWR July 24, 1998 Meeting Participants — Continued Phillipe Duclos Mary Harvey Bureau of Communicable Disease United States Agency for Ottawa, Ontario, Canada International Development Washington, DC Rudi Eggers Department of Health Janet Heath Pretoria, South Africa National Center for Infectious Diseases Centers for Disease Control Hashim Ali Elzein and Prevention Federal Ministry of Health Atlanta, GA Khartoum, Sudan Rita Helfand Fang Gang* National Center for Infectious Diseases Sichuan Epidemic Prevention Station Centers for Disease Control Chengdu, China and Prevention Stanley Foster Atlanta, GA Rollins School of Anne-Reneé Heningburg Public Health Laboratory National Immunization Program Emory University Centers for Disease Control Atlanta, GA and Prevention Fu Bingnan* Atlanta, GA Henan Epidemic Prevention Station Karen Hennessey Zhengzhou, China National Immunization Program Mohamed Taky Gaafar Centers for Disease Control Eastern Mediterranean Regional Office and Prevention World Health Organization Atlanta, GA Alexandria, Egypt Bradley Hersh Nigel Gay Special Program for Vaccines Communicable Disease and Immunization Surveillance Centre Pan American Health Organization London, United Kingdom Washington, DC Raphael Harpaz Edward Hoekstra National Immunization Program National Immunization Program Centers for Disease Control Centers for Disease Control and Prevention and Prevention Atlanta, GA Atlanta, GA Donald Hopkins The Carter Center Chicago, IL *Attended meeting as a fellow in a training course for public health and medical personnel from China: “Epidemiology: Poliomyelitis, Measles Accelerated Control/Elimination,” in Atlanta, Georgia, August 18–September 17, 1997. Vol. 47 / No. RR-11 MMWR v Meeting Participants — Continued Hu Jiayu* Carla Lee Shianghai Epidemic Prevention Station National Immunization Program Shianghai, China Centers for Disease Control and Prevention Sonja Hutchins Atlanta, GA National Immunization Program Centers for Disease Control J.W. Lee and Prevention Global Programme on Vaccines Atlanta, GA World Health Organization Geneva, Switzerland Robert Keegan National Immunization Program Li Shukai* Centers for Disease Control Shanxi Health Bureau and Prevention Taiyuan, China Atlanta, GA Lin Weisheng* Olen Kew Guangdong Epidemic Prevention Station National Center for Infectious Diseases Guangzhou, China Centers for Disease Control Liu Dawei* and Prevention Beijing Epidemic Prevention Station Atlanta, GA Beijing, China Renee Kotz Liu Zhong* American Red Cross Hebei Health Bureau Washington, DC Hebei Province, China Joachim Kreysler John Livengood International Federation of Red Cross National Immunization Program and Red Crescent Societies Centers for Disease Control Geneva, Switzerland and Prevention Kazuo
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