Indonesia Measles Rubella

Immunization Campaign- 2017

Dr. Vinod Bura

Epidemiologist, WHO Indonesia
High Level Advocacy Meeting, Surabaya
21st July 2017
 Measles Disease
 An acute viral infection
 Airborne transmission via respiratory
secretions or aerosols
 Classic manifestations:
 Maculopapular rash
 Fever
 The “3Cs”: Cough, Coryza (runny nose),
Conjunctivitis (red eyes)
 Complications and mortality highest in
children < 5 yrs and in adults
Measles complications (1)
Corneal scarring
causing blindness
Vitamin A deficiency

Encephalitis
Older children, adults
≈ 0.1% of cases
Chronic disability

Pneumonia &
diarrhea
Diarrhea common in developing countries
Pneumonia ~ 5-10% of cases, usually bacterial
What is congenital rubella syndrome
(CRS)?

Rubella infection in pregnant women may have serious

consequences causing miscarriages, stillbirths or
severe birth defects known as congenital rubella
syndrome (CRS).
Children with CRS can suffer
Hearing impairments,
Cataracts,
Heart defects,
Developmental delay and
many other lifelong disabilities
 Rubella
Congenital
Cataract

Deafness

Microcephaly
Negara dengan Jumlah Kasus Campak
Terbesar tahun 2015
Distribution of Measles & Rubella cases in Indonesia, 2016

Total: 5286 cases

: Measles
: Rubella
: Measles & Rubella
: Negative
Data as received on 31 Dec 2016
: 1 case
Dots are randomly placed within districts
Measles Rubella
 Facts of Measles Rubella Campaign.

 It’s a very important national activity, health department

needs support and coordination from every department,
agency including Media
 The target is to reach more than > 95% children in all
townships in Indonesia, vaccinated 70 million children in age
group of 9moths to 15 years
 East Jawa has 7.8 million children to be vaccinated
 Aim is to eliminate measles/ control rubella/CRS by 2020
 Needs support and cooperation by one and all to reach
every child.
Why is a Measles Rubella vaccination
campaign being conducted?

 The purpose of the Measles-Rubella campaign is to protect

your child and eliminate transmission of Measles and Rubella
virus from the community by vaccinating >95 % target children
with MR vaccine.
 MR campaign is a special ( Rubella is new vaccine) to
vaccinate all children of 9 months to <15 years of age group
irrespective of previous immunization status
 This additional campaign dose will boost the immunity of child
and protect the entire community by eliminating transmission of
measles and rubella.
 How can I protect my child from
measles and rubella?

Measles-rubella (MR) vaccine is given

for preventing both measles and rubella
diseases in the child
No specific treatment is available for
measles and rubella but these diseases
can easily be prevented by vaccination
Reaching the Unreached Through
Partnership and Coordination

Media
Education Religious
al leaders
Sectors

Leadership
Reaching
the Private
lLocal
Unreached Hospital, Lions
club,, INGO
community/
Kapala Desa

Professional
Organization
(IDAI,IBI,PMI)
High risk area/ families
 Children of migratory families
 Children not going to school
 Working children
 Children in high rise buildings
 Slum areas, new settlements
 Families not fully aware of benefits of
vaccination ( refusals)
Kota Surabaya
Children are here
And here ! How to reach them
Quite challenging, no child should be missed
 Success by
reaching >95 %
children

Terima kasih