1. World Health Organization Eastern Mediterranean Region

2. Coverage (%)Incidence (Thousands) Years (19..) Reported Incidence of Measles and Immunization Coverage with Measles among infants, EMR, 1980 - 1999 Outbreaks / Epidemics are still occurring

3. Regional Committee Resolution

4. Palestine Bahrain Measles control acceleration / elimination targets

5. Palestine Bahrain Measles control acceleration / elimination targets Control acceleration (9 countries)

6. Palestine Bahrain Measles control acceleration / elimination targets Control acceleration (9 countries) Elimination (14 countries)

7. Raising Routine Immunization Coverage Raising Routine Immunization Coverage Establish / Strengthen Measles Surveillance Establish / Strengthen Measles Surveillance Targeted Mass campaigns Measles Acceleration Control Strategies

8. 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”

9. Palestine Bahrain Measles Initial Catch-up Campaign Preschool and school age (5)

10. Palestine Bahrain Measles Initial Catch-up Campaign Preschool and school age (5) School age (4)

11. Palestine Bahrain Measles Initial Catch-up Campaign Preschool and school age (5) School age (4) Planned 2001(5)

12. Palestine Bahrain Measles Initial Catch-up Campaign Preschool and school age (5) School age (4) Planned, 2001 (5) Planned 2002-2005 (8)

13. 1. Main component of national EPI plans  Routine immunization activities.  Supplementary immunization activities. 2.Basic principles include: oEquipment:  Use of disposable / AD syringes.  Proper collection of used syringes; “Safety Boxes”  Proper disposal of used syringes; “Burning / incineration” oManpower:  Training of health workers.

14. 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.

15. 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.

16. 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.