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12 th Annual Meeting of The Measles & Rubella Initiative American Red Cross, Washington, DC -10-11 September, 2013.

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Presentation on theme: "12 th Annual Meeting of The Measles & Rubella Initiative American Red Cross, Washington, DC -10-11 September, 2013."— Presentation transcript:

1 http://www.emro.who.int/entity/vpi/ 12 th Annual Meeting of The Measles & Rubella Initiative American Red Cross, Washington, DC -10-11 September, 2013 Dr Nadia Teleb, Regional Adviser, Vaccine Preventable Diseases and Immunization WHO/EMRO

2 http://www.emro.who.int/entity/vpi/ Regional Measles and Rubella Goals Measles elimination from all countries by 2015 – Resolution EM/RC44/R.6 – 1997 (elimination by 2010), revised by Resolution EM/RC58/R.5 – 2011 (elimination by 2015) No regional target for rubella/CRS elimination 2

3 http://www.emro.who.int/entity/vpi/ 90% Reduction in Reported Measles Cases Reported measles cases and MCV1 coverage, Eastern Mediterranean Region, 1980-2012 3

4 http://www.emro.who.int/entity/vpi/ Palestine Bahrain MCV2 introduction into routine EPI in Countries of the EMR 2012 Routine MCV2 introduced No plan for routine MCV2 introduction

5 http://www.emro.who.int/entity/vpi/ Source: MCV1: WHO UNICEF estimates MCV2: reported JRF 5 Routine measles vaccination, 2012

6 http://www.emro.who.int/entity/vpi/ Palestine Bahrain Nation-wide Measles-rubella Case-based surveillance (20) Moving to Nation-wide measles surveillance (1) Measles Case-Based Surveillance in EMR, 2012 Sentinel site measles surveillance (2)

7 http://www.emro.who.int/entity/vpi/ 11,183 6,459 6,079 3,081 4,983 13,348 12,347 23,451

8 http://www.emro.who.int/entity/vpi/ Situation of Rubella

9 http://www.emro.who.int/entity/vpi/ Palestine Bahrain Rubella vaccine planned 2015-2016 (Djibouti) Rubella vaccine use in countries of the EMR, 2013 9 Rubella vaccine planned 2014 (Yemen) Rubella vaccine in use (16 country) Rubella vaccine introduction not decided (5 countries)

10 http://www.emro.who.int/entity/vpi/ 10

11 http://www.emro.who.int/entity/vpi/ Measles in Syria and the surrounding countries Syrian camp in Lebanon

12 http://www.emro.who.int/entity/vpi/

13 http://www.emro.who.int/entity/vpi/ Efforts are ongoing to coordinate synchronized MCV SIAs in Syria and surrounding countries

14 http://www.emro.who.int/entity/vpi/ Syria Activities Completed Activities Planned March 2013 – MMR SIAs for IDP shelters (6 m - 15 y) – MMR SIAs for school children 1 st - 4 th grade April 2013 – MMR SIAs during the regional vaccination week (1-5 y) 10-21 November 2013 – MMR SIAs – 1-5y not reached in previous SIAs MMR SIAs – School students – 6 th – 9 th grade Negotiation to implement SIAs for higher age group

15 http://www.emro.who.int/entity/vpi/ Jordan Activities Completed Activities Planned April 2013 – M SIAs in Syrian refugee camps – 6 m-30y – Coverage was not very high. On going M vaccination of new Syrian refugees – 6 m-30y July 2013 – M SIAs in Irbid and Mafrak, including the camps – almost 100% coverage 2-21 November 2013 – Nationwide MR SIAs – 6m-20y

16 http://www.emro.who.int/entity/vpi/ Lebanon Activities Completed Activities Planned March 2013: – National M SIAs – including Syrian refugees – 9m-18y MMR vaccination of Syrian new comers Outbreak is still ongoing EMRO recommendation for elimination: – MR SIAs (9m-30y) – synchronized with Jordan Under negotiation with MOH

17 http://www.emro.who.int/entity/vpi/ Iraq Activities Completed Activities Planned Refugee camps: – Vaccination with MMR for age 6m-18y for refugee camps and surrounding community – Vaccination of all new comers (6m-18y) Nation-wide preferable – or at least in most affected provinces EMRO recommended – MR/MMR SIAs (6m-30y) Under discussion with MOH

18 http://www.emro.who.int/entity/vpi/ Challenges and barriers to achieving the target Security situation, refugees and displaced populations Susceptible hard to reach populations groups – Gypsy, resistant population, expatriate work forces Measles among older age group in almost all countries Human Resources - Inadequate technical and managerial capacity of national EPI programme -Rapid turn over of staff Inadequate data quality -High incidence of measles despite reported high coverage of routine and/or SIAs coverage Funding: specially for the follow-up campaigns – FU campaigns needed in 7 countries – Measles surveillance

19 http://www.emro.who.int/entity/vpi/ Facing the challenges: 1. Routine strengthening and improving data quality Conduct EPI/measles programme reviews: – Afghanistan, Bahrain, Egypt, Jordan, Oman, Qatar, Kuwait, Pakistan, Saudi Arabia, Sudan, Yemen, UAE Strengthening implementation of RED approach – Afghanistan, Iraq, Pakistan, Somalia, South Sudan, Sudan and Yemen Training workshop on measles surveillance and monitoring and evaluation of EPI with emphasis on data quality to improve routine immunization, January 2013 Annual measles/rubella elimination meeting: reviewing performance and developing annual plans EPI-PEI collaboration in Pakistan: Using PEI assets to strengthen routine immunization WHO-CDC collaboration for strengthening routine immunization and data quality in Afghanistan, started August 2013

20 http://www.emro.who.int/entity/vpi/ Facing the challenges: 2. Advocacy and Communication Regional Director highlighting progress towards measles elimination at the Regional Committee Regional vaccination week 2013: Theme “Stop Measles Now” celebrated by all countries NITAG chairpersons attend annual measles/ rubella meeting Advocacy for allocation of national resources and targeting older age group – Pakistan, Morocco, Jordan, Lebanon SIAs in 2013

21 http://www.emro.who.int/entity/vpi/ SIAs and Fund requirement for SIAs 2013-2014 21 CountrySIAs Surveillance Funding gap VaccineTarget ageTarget numberTotal cost in US$ Afghanistan 2014 M9-59M high risk dist. 1,500,000 1,275,000$154,375 $1,429,375 Somalia 2013 M9-59M CHDs 1,287,935 (accessible areas) 2,610,000 $91,000 None (if committed money is provided Somalia 2014M9-59M1,779,0954,600,000 $148,000$4,748,000 Pakistan 2013M 6M to 9Y14,000,00014,760,601$100,000$2,200,000 Pakistan 2014M 6M to 9Y48,500,00050,833,067$100,000$17,122,067 Sudan 2013M9M-15Y15,203,66416,700,000 $150,000$1,660,000 Sudan 2014M000 $150,000 Yemen 2013M 6M-10Y 304,527 (Sa'adah) 120,023$260,000$105,000 Yemen 2014MR 6M-20Y14,379,55611,503,645$368,000$3,902,434 Total 93,224,710103,323,5901,521,37531,316,876

22 http://www.emro.who.int/entity/vpi/ Technical assistance needs in 2013- 2014 22 For all countries planning SIAs: strong consultants are needed to support planning, implementation and evaluation of the SIAs

23 http://www.emro.who.int/entity/vpi/ Thank You 23

24 http://www.emro.who.int/entity/vpi/ 21y 23y 29y 13y

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