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Mass Measles Vaccinations Are Effective At Early Signs of Outbreak In research presented at the 55th Annual Meeting of the American Society of Tropical Medicine and Hygiene (ASTMH), Médecins Sans Frontières (MSF) and its research affiliate, Epicentre, showed how rapid, mass vaccinations can reduce the toll inflicted by measles epidemics in Africa. In light of these and other findings, MSF feels there is enough evidence for the WHO to revise its current policy recommendations, which doubts the effectiveness of mass immunization once an epidemic has started, stating that such campaigns would be undertaken too late to have any meaningful impact. Following MSF emergency interventions in Niger, Chad, Nigeria, and the Democratic Republic of Congo (DRC), Epicentre found that early intervention can lead to a high proportion of averted cases. Retrospective mortality surveys also showed that measles epidemics last longer than previously thought, allowing enough time to intervene and carry out emergency immunization programs. One outbreak in Kinshasa, DRC, lasted more than 40 weeks during 2002 and 2003. “We know we have time to respond during measles epidemics, and
the vaccine is effective just a few days after vaccination,” said
Rebecca Grais, an epidemiologist who helped lead the study. “Sadly,
the fact that the WHO does not promote vaccination campaigns during an
epidemic only hinders an effective emergency response.” In recent years, measles deaths have declined substantially in Africa but recurrent, cyclical outbreaks occur in many countries – often after 1-3 years of low incidence – and measles remains a major cause of death for children in Africa. “While laudable progress has been made in reducing measles deaths, the toll from measles is still unacceptably high,” said Philippe Guerin, deputy director of Epicentre. “We are talking about a vaccine that costs 30 cents a dose for a completely preventable disease. Improvements should not overshadow the intensive efforts and funding mechanisms needed, especially during outbreaks.” For more information, please contact James Nichols 0407 525 700 or 02 8570 2610
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