Measles 2nd dose vaccine support

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GAVI is a partner of the Measles Initiative, providing 28% of funding through investment cases

Measles Vaccination Campaign

Hanoi, Vietnam. Tuoi Tho Kindergarten. Measles Vaccination Campaign. Photo/Jeff Holt. 30 October 2010

Measles Initiative

Around the world, measles deaths fell by 78% between 2000 and 2008, from an estimated 750,000 to 164,000 per year, according to the Measles Initiative, a global partnership committed to reducing global measles mortality by 90% between 2000 and 2010.

In Africa, measles deaths decreased an estimated 92% between 2000 and 2008.

GAVI's support

Through the investment cases, the GAVI Alliance has provided 28% of the funding for the Measles Initiative over this time period.

The risk of resurgence of measles in Africa is high, reinforcing the importance of timely measles campaigns and stronger immunisation services. 

Measles kill an estimated 450 people every day, and are entirely preventable with immunisation

Before 2001, more than 750,000 children died every year from measles, a highly contagious virus, whose symptoms include a high fever, severe skin rash, and a cough.

Since then, the number of measles deaths has come down significantly, helped by the Measles Initiative, a global partnership committed to reducing global measles mortality by 90% between 2000 and 2010.

Effects of Measles

According to the Measles Initiative, measles still kills an estimated 164,000 people each year – mostly children less than five years of age – or about 450 people every day.

Because it is so contagious, measles remains a significant threat to child health even in those areas where the rates of measles are reduced.

In developing countries, measles kills about 5% of children who catch it, though this rate may be as high as 25% among the displaced, malnourished, or those with poor access to health care. By weakening the immune system, measles can also lead to other health problems such as pneumonia, blindness, diarrhoea, and encephalitis.

Preventable with immunisation

In 2008, an estimated three out of four measles deaths occurred in India, according to the Measles Initiative.

Measles is entirely preventable with immunisation, using a safe, effective and relatively inexpensive vaccine that has existed for almost half a century.

Many countries do not yet reach every child with routine immunisation, so prevention strategies have tended to emphasise the need for mass campaigns. 

GAVI has helped protect against measles through the Measles Initiative and new vaccine support

GAVI has helped protect against measles in two main ways.

Measles Initiative

The first way is direct support for the Measles Initiative, a global partnership committed to reducing global measles mortality by 90% between 2000 and 2010.

Between 2004 and 2007, GAVI contributed US$ 176 million to the Measles Initiative. Funds for the project have been used to purchase measles vaccine, syringes, and other supplies as well as operational costs.

New vaccine support

Secondly, countries can also continue to apply and receive support to provide children with a second opportunity for measles vaccination (“measles second dose”) through the new vaccine support (NVS) window.

Providing a second opportunity for measles vaccination is a very powerful tool to reach children who missed the first opportunity and to produce immunity in the small number of persons who failed to develop measles immunity after the first dose.

Initially, two countries, the Democratic People’s Republic of Korea and Vietnam, applied for support and were approved for a total of US$ 4.2 million from GAVI between 2007 and 2011.

To date, nine additional countries have been approved for support: Bangladesh, Burundi, Cambodia, Eritrea, Gambia, Ghana, Myanmar, São Tomé and Zambia.

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