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Global Measles deaths drop by 78 pct but resurgence feared

Shiloh

Editor, Senior Moderator
Source: http://www.reuters.com/article/homepageCrisis/idUSGEE5B20OE._CH_.2400

Measles deaths drop by 78 pct but resurgence feared
Thu Dec 3, 2009 12:00pm EST

* Deaths drop by 78 percent globally but southeast Asia lags

* 400 children still die every day from preventable disease

* Experts say vaccination campaigns must be kept up

By Kate Kelland

LONDON, Dec 3 (Reuters) - Global deaths from measles fell by 78 percent between 2000 and 2008 thanks largely to mass childhood vaccination campaigns, but experts say death rates may rise again if complacency allows immunisation efforts to lag.

About 164,000 died from measles in 2008 down from 733,000 in 2000, according to the U.S.-based Measles Initiative, which groups several organisations including the United Nations children's fund (UNICEF) and the World Health Organisation.

Vaccinating nearly 700 million children against measles with large-scale immunisation programmes and increased routine vaccination coverage, has prevented an estimated 4.3 million measles deaths in less than a decade, the group said.

But it said southeast Asia, which it said includes India, Indonesia and Bangladesh, lagged behind the global trend, with measles deaths falling only 46 percent between 2000 and 2008.

"Three out of four children who died from measles in 2008 were in India," UNICEF's executive director Ann Veneman said in a statement. She added India's plan to scale up its measles vaccination campaign was "encouraging".

The Measles Initiative warned it faced a funding gap of $59 million for 2010 which could allow a resurgence in measles deaths. "The combined effect of decreased political and financial commitment could result in an estimated 1.7 million measles-related deaths between 2010-13," it said.

Thomas Frieden, director of U.S. Centers for Disease Control and Prevention (CDC) said that while global progress had been impressive, more than 400 children, mainly in poor nations, were dying every day from "completely preventable infection".

He warned measles could make a rapid comeback: "We saw this in the United States between 1989 and 1991, when an estimated 55 000 measles cases and more than 130 deaths occurred."

Parents' refusal to have their children vaccinated because of fears of links to autism caused a rise in measles cases in the United States and parts of Europe in recent years.

Many studies have debunked the notion vaccines can cause autism but data released in February for England and Wales showed a rise in measles cases of more than 70 percent in 2008 from the previous year, mostly due to unvaccinated children. [ID:nL5739347]

The Measles Initiative said all regions of the world except southeast Asia had hit the United Nations goal of reducing measles deaths by 90 percent from 2000 to 2010 two years ahead of target, but warned against complacency.

"This is a highly contagious disease that can quickly take advantage of any lapse in effort," said WHO director general Margaret Chan. (Editing by Matthew Jones) ((kate.kelland@thomsonreuters.com; +44 (0)207 542 0823))
 
Re: Global Measles deaths drop by 78 pct but resurgence feared

Measles deaths plummet this decade, but resurgence looms: UN

By Steven Edwards, Canwest News ServiceDecember 3, 2009
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A child is vaccinated against measles in a file photo. All regions except Southeast Asia achieved the UN goal of a 90 per cent drop in measles deaths in the first decade of the 21st century, according to UNICEF and the World Health Organization.

Photograph by: JOEL SAGET, AFP/Getty Images


UNITED NATIONS ? Once a disease that afflicted almost every child, even in developed countries, measles deaths have dropped dramatically this decade, United Nations agencies said Thursday.

All regions except Southeast Asia achieved the UN goal of a 90 per cent drop in measles deaths in the first decade of the 21st century, according to UNICEF and the World Health Organization.

Globally, there were 78 per cent fewer deaths over that period.
The agencies credit huge vaccination programs for nearly 700 million children, and increased routine vaccination coverage.

"We are poised to vaccinate more children than ever in 2010," said Kathy Calvin, chief executive officer for the United Nations Foundation, a charity that supports the world body's initiatives.

"Next year, some of the most populous countries ? China, Indonesia, Pakistan, Bangladesh, Vietnam, Nigeria, and Ethiopia ? are planning national immunization campaigns."

Measles is a viral infection of the respiratory system. It cannot be cured, but well-nourished people with uncomplicated cases recover with rest and supportive treatment. Measles can become deadly for what the UN terms "vulnerable" populations in mainly developing countries, where health and nourishment standards are far below those of the West.

Calvin and others involved in immunization programs also cautioned countries against complacency over the success.

"With only two years until the target date, there are signs of stalling momentum," said Dr. Margaret Chan, director general of WHO.

"This is a highly contagious disease that can quickly take advantage of any lapse in effort."

The Measles Initiative, an international partnership that helps governments with immunization programs, faces a funding gap of $59 million U.S. for 2010.

Without the cash, the UN agencies fear that measles-related deaths could rise to 1.7 million between 2010 and 2013. For comparison, there were 164,000 such deaths in 2008 ? or about 450 a day.

Three-quarters of children who died from measles in 2008 lived in India, where delayed implementation of large-scale vaccination campaigns was the main reason for only a 46 per cent drop in measles deaths in
Southeast Asia (for its calculations, the UN considers India, Indonesia, as well as Bangladesh to be part of Southeast Asia) between 2000 and 2008.

Licensed measles vaccines became available in 1963, but most people born in earlier decades caught the disease, whose symptoms include fever, cough and a rash.

Measles made a short-lived but significant comeback in the United States between 1989 and 1991, with an estimated 55,000 cases and more than 130 deaths.

In Britain in the late 1990s, concern of a link between autism and the "MMR" vaccination for mumps, measles and rubella led to a re-emergence of the "measles party," where parents deliberately exposed their children to the disease in a bid to build up natural immunity in the youngsters.

http://www.edmontonjournal.com/heal...is+decade+resurgence+looms/2299612/story.html
 
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