Massive measles outbreak threatens India’s goal to eliminate disease by 2023

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Massive measles outbreak threatens India’s goal to eliminate disease by 2023
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Many children missed routine vaccinations during the COVID-19 pandemic and pockets of the country are still struggling to boost immunization rates.

A health worker in India administers a measles vaccine to a child as part of a campaign to catch up missed immunizations.As health officials rush to control an outbreak of measles in India, scientists say the nation is set to miss its deadline of eliminating the disease by 2023. As of November, India had recorded 12,773 cases of measles this year, according to the World Health Organization, making it the largest outbreak in 2022.

Children in India receive their first dose of the measles vaccine when they are 9 to 12 months old and a second dose at 15 to 18 months. Ninety-five percent of children need to have received both doses of the vaccine to achieve herd immunity, when enough people have antibodies against the virus to prevent the illness from spreading.

Again, officials hailed the campaign a success, with most states reporting high rates of coverage. But it was not enough to stave off the current outbreak. In Mumbai, which has had more than 400 reported cases and 8 fatalities this year, fewer than 65% of kids got their routine immunizations in 2022, Murhekar says. Official data suggests that 93% of unvaccinated children in Mumbai received supplementary vaccinations in 2021. But the coverage was probably lower, Murhekar says.

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