Has the 2005 measles mortality reduction goal been achieved? A natural history modelling study

Has the 2005 measles mortality reduction goal been achieved? A natural history modelling study

Immunisation campaign reduces measles deaths by 60 per cent

This article, published in the Lancet, describes efforts and progress towards the UN General Assembly Special Session on Children goal to reduce deaths owing to measles by half by the end of 2005, compared with 1999 estimates. It assesses trends in immunisation against measles and the provision of a second opportunity for measles immunisation. The paper finds that between 1999 and 2005, mortality owing to measles was reduced by 60 per cent. The largest percentage reduction in estimated measles mortality was in the western Pacific region (81 per cent), followed by Africa (75 per cent). Africa achieved the largest total reduction, contributing to 72 per cent of the global reduction in measles mortality.

The paper concludes that intensified large-scale vaccination efforts, particularly in priority countries with the highest burden of measles, have substantially decreased reported incidence of measles and the estimated number of deaths from measles worldwide. The achievement of the 2005 global measles mortality reduction goal is evidence of what can be accomplished for child survival in countries with high childhood mortality when safe, cost-effective, and affordable interventions are backed by country-level political commitment and an effective international partnership. [adapted from authors]

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