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CSU 43/2009: DE QUADROS ON MEASLES ERADICATION
CSU 43/2009: DE QUADROS ON MEASLES ERADICATION
| Friday, 12th of June 2009 |
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With four of the six WHO regions committed to regional measles elimination, it seems but a matter of time before the world follows the example set by the Region of the Americas (for the third time : smallpox and polio were the first two examples). Whether measles will be a single disease target, or paired with rubella, as in the Americas, remains to be seen.
The eradication arguments and proposed 2015 target date appear in this article by Ciro de Quadros; full text is at
Good reading.
BD
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1: Bull World Health Organ. 2004 Feb;82(2):134-8. Epub 2004 Mar 16.
Can measles be eradicated globally?
de Quadros CA.
Sabin Vaccine Institute, Washington, DC, USA. ciro.dequadros@sabin.org
Measles is one of the most infectious diseases. Before measles vaccine was introduced, nearly everyone contracted the disease at some point in childhood. By the late 1980s, most countries had incorporated measles vaccine into their routine immunization programmes. Globally, about 800 000 children nevertheless still die from measles annually, half of them in Africa. Eradicating measles would therefore play an important role in improving children's survival. The 24th Pan American Sanitary Conference in 1994 established a goal of eradicating measles from the Americas. Progress to date has been remarkable and the disease is no longer endemic in the Americas, with most countries having documented interruption of transmission. As of November 2003, 12 months had elapsed since the last indigenous case was detected in Venezuela. This experience shows that measles transmission can be interrupted, and that this can be sustained over a long period of time. Global eradication is feasible if an appropriate strategy is implemented. Even under a new paradigm in which immunization is not discontinued after measles is eradicated, eradication will be a good investment to avoid expensive epidemics and save the lives of almost one million children annually. A world free of measles by 2015 is not a dream.
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