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conferenceseries
.com
Volume 7, Issue 5 (Suppl)
Epidemiology (Sunnyvale), an open access journal
ISSN: 2161-1165
Epidemiology 2017
October 23-25, 2017
EPIDEMIOLOGY & PUBLIC HEALTH
October 23-25, 2017 | Paris, France
6
th
International Conference on
ELIMINATION OFMEASLES IN MALAYSIA BY 2018: HOWCLOSE ARE WE?
Thilaka Chinnayah
a
a
Ministry of Health, Malaysia
Introduction
: Measles Elimination Programme (MEP) in Malaysia was started in 2004 and targeted elimination by 2010.
However, this target has not achieved and revised target was set as 2018. Study was conducted to assess the measles elimination
progress and factors affecting it.
Methodology
: By multistage stratification, two districts (urban and rural) were identified from each of seven states in all
regions of country. Measles data from 2006-2016 were analyzed fromweb based surveillance system (e-notification, e-measles).
Outbreak reports, immunisation coverage were reviewed and personnel involved in surveillance and immunisation programme
were interviewed. MEP Surveillance indicators for 2016 were assessed.
Results
: Measles incidence in 2016 was 3 per million populations (target 1/1million) with cyclical peak every 3–4 years. No
gender differences reported. Measles were high in ≤15 years (76%), among them 29% were children below one year. Fifty
percent of cases were not vaccinated. Reason for non-vaccination being vaccine refusal and preference for alternative medicine.
MCV1 coverage for state and district level was above 95% but few health centers revealed lower coverage (75%-90%). All MEP
targets achieved except for reporting of laboratory result within 4 days (achieved 72%, target >80%).
Conclusion and Recommendations
: Measles is still endemic in Malaysia and showed triennial peak. Low vaccine coverage
at the health centers and delayed laboratory result hinder measles elimination. Measles supplementary immunization activity
(children 1-15 years) for low coverage areas with three yearly mopping up campaign, health education on importance of
immunisation and prompt reporting of laboratory result will ensure measles elimination in Malaysia is achieved by 2022.
Epidemiology (Sunnyvale) 2017, 7:5(Suppl)
DOI: 10.4172/2161-1165-C1-018