1. Measles Case Study: Afghanistan

2. Afghanistan Case Study

3. Question 1 Are you concerned? Is vaccination coverage really high? What was vaccine effectiveness Every year susceptible accumulating Case fatality rates may be high because of malnutrition Diarrhea may contribute to malnutrition Access to good case management? One micronutrient deficiency may mean more

4. Question 2 What activities? Order supplies Microplanning Inform and mobilize community leaders Training Social mobilization Pre-positioning of supplies Vaccine delivery Campaign Supervision Collection of results Return of equipment

5. Camp Target pop Team s Supe rDosesADSyrCold (vials)syrDilutionboxes Mukjar27,2251351,91138,2241,9113 Omar18,900931,32726,5361,3272 Logar6,750734749,4774742 Kapisa4,500523166,3183161 Total57,37534134,02880,5554,0288 Supply Table – Part 1

6. Vaccine Ice packsVit A CarsIce pack carriers100,000 IU200,000 IUfreezers 262541,21010,89011 181728407,56011 141563002,70011 10902001,80011 686722,55022,95044 Supply Table – Part 2

7. Question 4 Vulnerable Groups? Malnourished Sick Child headed households Female headed households Minority populations Mobile populations

8. Question 9 Calculate number of susceptibles 127,500 X.18 = 22,860 Vaccinated: 22,860 X.90 = 20,574 Protected: 20,574 X.90 = 18,517 Unprotected: = 22,860 – 18,517 = 4,344 Deaths 4,344 X.05 = 218