CDC/ACIP [to 8 Jun 2019]

CDC/ACIP [to 8 Jun 2019]

MMWR News Synopsis for Friday, June 7, 2019
Progress Toward Measles Elimination — Pakistan, 2000–2018
Pakistan, with a population of over 200 million people, remains endemic for measles and needs to increase the number of people with two doses of measles vaccine coverage to 95%. This will require continued strengthening of the immunization program with a particular focus on reaching children in rural areas and poor communities. A new report describes progress toward measles elimination in Pakistan during 2000-2018. Before 2000, fewer than 57% of children had received the first dose of measles-containing vaccine (MCV), and there were on average 3,500 to 28,000 measles cases per year. Estimated first-dose MCV coverage increased from 57% to 76% during 2000–2017, and second-dose MCV coverage increased from 30% to 45% during 2009–2017. Over 232.5 million children received MCV through vaccination campaigns during 2005–2018. Despite these efforts, confirmed measles cases increased during 2010–2018, with 33,007 cases in 2018. To achieve measles elimination, efforts are needed to increase MCV1 and MCV2 coverage; reach communities not accessing immunization services; and improve case detection, reporting and investigation.