world health organization eastern mediterranean region
TRANSCRIPT
World Health Organization Eastern Mediterranean
Region
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100
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80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 9901020304050
60708090100
Coverage (%)Incidence (Thousands)
Years (19..)
Reported Incidence of Measles and Immunization Coverage with Measles
among infants, EMR, 1980 - 1999Outbreaks /
Epidemics arestill occurring
Regional Committee Resolution
Palestine
Bahrain
Measles control acceleration / elimination targets
Measles control acceleration / elimination targets
Palestine
Bahrain
Measles control acceleration / elimination targets
Measles control acceleration / elimination targets
Control acceleration(9 countries)
Palestine
Bahrain
Measles control acceleration / elimination targets
Measles control acceleration / elimination targets
Control acceleration(9 countries)
Elimination(14 countries)
Raising RoutineImmunization
Coverage
Raising RoutineImmunization
Coverage
Establish /Strengthen
MeaslesSurveillance
Establish /Strengthen
MeaslesSurveillance
Targeted Mass campaignsTargeted Mass campaigns
Measles Acceleration ControlStrategies
Nationwide “Catch up” campaigns
Nationwide “Catch up” campaigns
“Keep up”high routine
coverage
“Keep up”high routine
coverage
Measles Elimination Strategies
Nationwide“Follow up”campaigns
Nationwide“Follow up”campaigns
Case based“Surveillance”
Palestine
Bahrain
Measles Initial Catch-up CampaignMeasles Initial Catch-up Campaign
Preschool and school age (5)
Palestine
Bahrain
Measles Initial Catch-up CampaignMeasles Initial Catch-up Campaign
Preschool and school age (5)School age (4)
Palestine
Bahrain
Measles Initial Catch-up CampaignMeasles Initial Catch-up Campaign
Preschool and school age (5)School age (4)Planned 2001(5)
Palestine
Bahrain
Measles Initial Catch-up CampaignMeasles Initial Catch-up Campaign
Preschool and school age (5)School age (4)Planned, 2001 (5)Planned 2002-2005 (8)
1. Main component of national EPI plans Routine immunization activities. Supplementary immunization activities.
2. Basic principles include:o Equipment:
Use of disposable / AD syringes. Proper collection of used syringes; “Safety Boxes” Proper disposal of used syringes; “Burning /
incineration”o Manpower:
Training of health workers.
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.
4. 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.
5. Campaign evaluation should include a quantified assessment of injection safety.
6. Revised national plans on safety of routine and supplementary immunizations will be developed based on injection safety surveys.
7. All countries will document satisfactory injection safety in routine and supplementary immunization services.