Professional Documents
Culture Documents
Measles, Rubella and CRS Elimination Region of The Americas
Measles, Rubella and CRS Elimination Region of The Americas
1994: Resolution to eliminate measles by 2000 2012: Resolution to maintain the elimination
1th IEC*
1995 2001 2003 meeting 2009 2013
First mass Sucre
1997 campaigns Agreement 2009: LAST
against rubella in Bolivia ENDEMIC
First Ladies
RUBELLA AND
as Ambassadors for
CRS CASES
the measles elimination
Largest measles
outbreaks: Canada and
Ecuador 2011-2012
250,000
Rubella speed-up 80
campaigns
200,000
% Vaccination coverage
Confirmed cases
150,000
40
Last case of
100,000
Last case of
endemic
endemic
measles
rubella
20
50,000
0 0
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13
2014
Draft report/On- GUT
• Final and
going activities amendment VEN
reports due to PAR
December 2013. URU
Source: Country reports to PAHO/WHO
*Data as of September 9, 2013
Fourth Annual International Expert Committee (IEC)
Meeting, May 2013
Main recommendations
for Member States:
•Provide a plan for
sustainability of program and
strengthening of regular
immunization program.
•Implement the 2012
Resolution (CSP 28.R14):
To provide evidence
(critical analysis of data)
that supports that endemic
measles and rubella virus
transmission has been
interrupted, and
To maintain elimination.
6
Technical Feasibility
for Measles and Rubella Elimination
USA: English Speaking Caribbean:
•Measles •Measles (1991)
(1997) •Rubella (2001)
•Rubella
(2001)
Cuba:
•Measles (1993)
•Rubella (2004)
Costa Rica:
•Measles
(1999)
•Rubella
Served as strong evidence for the
(2001)
operational feasibility of
measles elimination and
rubella/CRS control among the
Member States of the Region
104
116 Costa Rica, 2001
•Persons aged 15--39 years
101
100 95
80
% cobertura
60 Post partum
40
MR coverage
20
(March 2002)
= 98%
0
15 a 19 20 a 24 25 a 29 30 a 34 35 a 39
Edad
Strong Political Decision
12
High Level Advocacy with Government and
Civil Society
With key
decision makers Multisectorial and
and opinion participatory
leaders
Lobby Advocacy
Church/
Lobby Advocacy Elimination
Media Religious
campaign
inst.
NGOs Donors
Education
System
State Dignitaries as Vaccination Leaders
• Political priority
• Financial resources
(budgetary and extra-
budgetary)
• Active participation in
public events
National and Sub-National Level
Financial Contributions
PAHO/WHO
57%
Ministry of Health and
Social Services
1%
Example, Paraguay, 2007
Famous Created
Vaccination people and demand for
Audience
segmentation
safety
workshops opinion vaccination
leaders services
Example of Communications and Social
Mobilization: Brazilian National Vaccination
Campaign to Eliminate Rubella and CRS
22
The Sucre Agreement (2002):
Strategy to Prevent the Regionalization of the
Measles Outbreak
Decision to
coordinate a
simultaneous
vaccination week
initiatives
in the Andean sub-
region.
Project of Technical Cooperation among Countries (TCC):
Vaccination against Measles and Rubella in Border Areas
of Argentina and Brazil
Participating Countries:
(~ 20,000 vaccinated)
Argentina Guyana
Bolivia Paraguay
Brazil Peru
Chile Suriname
Colombia Uruguay
French Guiana Venezuela
Post-elimination Era
25
Interruption of Measles & Rubella/CRS
Endemic Transmission in the Americas
ACCELERATED DOCUMENTATION
CONTROL ELIMINATION AND
CONTROL VERIFICATION