A prolonged, nationwide measles outbreak despite very high vaccination coverage in Israel, 2018-19
Historical background of measles in Israel. After the introduction of universal measles vaccination for infants in Israel in 1967, the incidence rate of the disease in Israel dropped dramatically. Relatively moderate-sized outbreaks occurred in cycles of two- to five-year intervals, and by the early 1990s the mean annual incidence rate had decreased more than 90% compared to the pre-vaccination era. (The history of measles incidence and immunization strategies in Israel have been reported elsewhere .) Since the mid-1990s, MCV has been given in two doses at 12 months and six years, as part of Israel's routine immunization program.
We present the incidence and vaccination status of pediatric cases (age
Health officials fear that the drop in vaccinations will spark global outbreaks and deaths from the highly contagious disease.
A drop in surveillance and missed vaccine schedules due to the pandemic means potential new outbreaks of measles and other infectious diseases.Medscape Medical News
Transmission and outbreaks are both at an “immediate elevated risk,” according to a joint report from the WHO and the CDC.
This report describes progress toward World Health Assembly milestones and measles elimination objectives during 2000-2020 and updates a previous report (2). During 2000-2010, estimated MCV first dose (MCV1) coverage increased globally from 72% to 84%, peaked at 86% in 2019, but declined to 84% in 2020 during the COVID-19 pandemic. All countries conducted measles surveillance, although fewer than one third achieved the sensitivity indicator target of ≥2 discarded†† cases per 100,000 population in 2020. Annual reported measles incidence decreased 88% during 2000-2016, from 145 to 18 cases per 1 million popu...
CONCLUSION: The application of behavioural frameworks and systems thinking revealed vaccine hesitancy mechanisms in Rwandan communities that demonstrate the interrelationship between immunization services and caregivers' vaccination behaviour. Confidence-building social structures and context-dependent challenges that affect vaccine uptake were also identified.PMID:34737471 | PMC:PMC8542260 | DOI:10.2471/BLT.20.285258