World Health Organization

Eastern Mediterranean
Region

Reported Incidence of Measles and

Immunization Coverage with Measles
among infants, EMR, 1980 - 1999

Outbreaks /
Epidemics are
still occurring

Incidence (Thousands)

500
400

Coverage (%)

300
200
100
0
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99
Years (19..)

100
90
80
70
60
50
40
30
20
10
0

Regional Committee Resolution

Measles
Measles control
control acceleration
acceleration //
elimination
elimination targets
targets
Palestine

Bahrain

Measles
Measles control
control acceleration
acceleration //
elimination
elimination targets
targets
Palestine

Bahrain

Control acceleration
(9 countries)

Measles
Measles control
control acceleration
acceleration //
elimination
elimination targets
targets
Palestine

Bahrain

Control acceleration
(9 countries)
Elimination
(14 countries)

Measles Acceleration Control

Strategies
Raising
Raising Routine
Routine
Immunization
Immunization
Coverage
Coverage

Establish
Establish //
Strengthen
Strengthen
Measles
Measles
Surveillance
Surveillance

Targeted
Targeted Mass
Mass campaigns
campaigns

Measles Elimination Strategies

Nationwide
Nationwide
Catch
Catch up
up
campaigns
campaigns

Keep
Keep up
up
high
high routine
routine
coverage
coverage

Nationwide
Nationwide
Follow
Follow up
up
campaigns
campaigns

Case based
Surveillance

Measles
Measles Initial
Initial Catch-up
Catch-up Campaign
Campaign
Palestine

Bahrain

Preschool and school age (5)

Measles
Measles Initial
Initial Catch-up
Catch-up Campaign
Campaign
Palestine

Bahrain

Preschool and school age (5)

School age (4)

Measles
Measles Initial
Initial Catch-up
Catch-up Campaign
Campaign
Palestine

Bahrain

Preschool and school age (5)

School age (4)
Planned 2001(5)

Measles
Measles Initial
Initial Catch-up
Catch-up Campaign
Campaign
Palestine

Bahrain

Preschool and school age (5)

School age (4)
Planned, 2001 (5)
Planned 2002-2005 (8)

1. Main component of national EPI plans

Routine immunization activities.
Supplementary immunization activities.

2. Basic principles include:

o Equipment:

Use of disposable / AD syringes.

Proper collection of used syringes; Safety Boxes
Proper disposal of used syringes; Burning / incineration

o Manpower:

Training of health workers.

1. Development of a regional toolbox

including a curriculum and IEC material
for training of health workers on
injection safety.
2. Training of trainers in all Member States.
3. Training of peripheral health workers in
all Member States.

4. Countries planning to conduct mass

campaigns will conduct a survey of the
safety of injection and prepare a special
plan for insuring safety of injection.
5. Campaign evaluation should include a
quantified assessment of injection
safety.

6. Revised national plans on safety of

routine and supplementary
immunizations will be developed based
on injection safety surveys.
7. All countries will document satisfactory
injection safety in routine and
supplementary immunization services.