Tuesday, December 3, 2019
HIV Testing, Treatment, Prevention Not Reaching Enough Americans
MMWR News Synopsis for Friday, December 6, 2019
Progress Toward Regional Measles Elimination — Worldwide, 2000–2018
Despite global improvements during 2000-2018, including a 66% decrease in reported measles incidence and an estimated 23.2 million lives saved because of measles vaccination, reported measles incidence has increased in five of the six World Health Organization (WHO) regions since 2016, and estimated global measles mortality has increased since 2017. During 2000–2018, increased coverage with measles vaccines, supplemental immunization activities, and other elimination efforts contributed to a 66% decrease in reported measles incidence, a 73% reduction in estimated measles mortality, and a reduction in the number of circulating wild measles genotypes worldwide. Measles vaccination prevented an estimated 23.2 million deaths during this period. Despite this progress, global measles control milestones have not been achieved, reported measles incidence has increased in five of the six World Health Organization regions since 2016, and estimated global measles deaths have increased since 2017. Large measles outbreaks in countries with weak immunization systems accounted for most reported measles cases. Outbreaks should serve as opportunities to investigate underlying causes for under-vaccination and to design and implement specific routine immunization strengthening activities to prevent future outbreaks.
Progress Toward Measles Elimination — China, January 2013–June 2019
China made considerable progress towards measles elimination during January 2013-June 2019. Measles cases, incidence, and outbreaks were all at historic low levels in 2017 and 2018, and they have continued to decrease through June 2019. China’s measles incidence per million population decreased from 20.4 in 2013 to 2.8 in 2018. Measles cases, incidence, and outbreaks were all at historic low levels in 2017 and 2018. Reported measles-related deaths decreased from 32 in 2015 to one in 2018, and to zero through June, 2019. Measles elimination in China can be achieved through strengthening the immunization program’s existing strategies: Ensuring sufficient vaccine supply, continuing to improve laboratory-supported surveillance and outbreak investigation and response, strengthening school entry vaccination checks, and vaccinating students without documentation of two doses of measles-rubella vaccine.