Surveillance of Measles

Surveillance of Measles - SurveillanceofMeaslesand Tetanus...

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    Surveillance of Measles and  Surveillance of Measles and  Tetanus Tetanus Dr Pushpa Raj Sharma Dr Pushpa Raj Sharma Professor of Child Health Professor of Child Health
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Overview Measles, global view and control strategies Epidemiology,clinical presentation and vaccine Measles surveillance Outbreak investigation
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In 1998 it is estimated that there were approximately one million deaths from measles MORTALITY PRE-VACCINE ERA 1998 MORBIDITY 0 1 2 3 4 5 6 7 Millions 0 20 40 60 80 100 120 M i l o n s PRE-VACCINE ERA 1998 WHO unpublished data 63% 83% In other words, the measles virus killed …. . 2,410 children each day 100 children each hour …. 150 children died during the time elapsed by the end of this presentation
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Diphtheria 0.2% Pertussis 16% Neonatal Tetanus 12% Yellow Fever 2% Measles 48% (777,000 Deaths) Hib 22% Causes of 1.6 million vaccine-preventable deaths  among children , 2000 Source: WHO/IP MEASLES: A leading caus e of childhood deaths
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There are three WHO Regions with established measles elimination goals: the Pan American region, 2000, the European region, 2007 and the Eastern Mediterranean region 2010. The other regions: Africa, South East Asia and the Western Pacific have goals to control measles transmission. 2000 2007 2010 Block-area outbreak prevention/ elimination goal
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1983 1985 1987 1989 1991 1993 1995 1997 Year 0 1 2 3 4 Number of cases (millions) 30 40 50 60 70 80 90 100 Percent Coverage Cases Coverage *Reported to WHO Headquarters, as of August 8, 1999 The number of reported global meas les cas es has reduced and meas les vaccine coverage has increas ed from 1983-1998
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Improved Routine Improved Routine Immunization Immunization Strengthen Strengthen measles surveillance measles surveillance Supplemental Supplemental measles immunization measles immunization Improved case Improved case management management Vitamin A Vitamin A supplementation supplementation Meas les Mortality Reduction Strategies
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No 2 nd opportunity (40 countries or 19%) Yes 2 nd opportunity (174 countries or 81%) Countries providing s econd opportunity s econd opportunity for meas les immunization, 2002 Since 1999, additional 12 countries
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National Immunization Program of Nepal National Policy: Immunization is - the national priority program of His Majesty’s Government of Nepal. - immunization ranks third among 20 prioritized interventions
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Goal of the Immunization Program: Reduce morbidity and mortality associated with Vaccine Preventable Diseases and thus contribute reduction of : -infant Mortality from 64.4/1000 live births, to 50/1000 and - under five mortality from 91.2/1000 live birth to 70/1000 by the year 2003.
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Surveillance of Measles - SurveillanceofMeaslesand Tetanus...

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