Four European countries lose measles elimination status

Agence France-Presse . Copenhagen | Published at 01:06pm on August 29, 2019

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A vial of the measles, mumps, and rubella virus vaccine is pictured at the International Community Health Services clinic in Seattle, Washington, US, on March 20, 2019. — Reuters file photo

Measles cases are skyrocketing in Europe and the disease is surging in four countries previously considered to have eliminated it, including the United Kingdom.

The World Health Organisation warned on Thursday in this regard, urging the countries to step up vaccination efforts.

‘Re-establishment of measles transmission is concerning. If high immunisation coverage is not achieved and sustained in every community, both children and adults will suffer unnecessarily and some will tragically die,’ warned Gunter Pfaff, the head of the WHO’s European Regional Verification Commission for Measles and Rubella Elimination.

The WHO said there were 89,994 cases of measles in 48 European countries in the first six months of 2019, more than double the number in the same period in 2018 when there were 44,175 cases, and already more than the 84,462 cases reported for all of 2018.

Based on 2018 data, the disease is no longer considered eliminated in the UK, Greece, the Czech Republic and Albania.

Measles is considered eliminated when there is no endemic disease transmission for 12 months or more in a specific geographic area.

While the disease is highly contagious, it can be entirely prevented through a two-dose vaccine, but the WHO has in recent months sounded the alarm over vaccination rates.

The UK reported 953 cases in 2018 and 489 for the first six months of 2019. In the same periods Greece reported 2,193 and 28 cases, Albania 1,466 and 475, and the Czech Republic 217 and 569.

‘Each of these countries are examples that have extremely high national vaccination coverage. So these are not examples of countries that have particularly weak systems,’ said Kate O’Brien, director of the WHO’s Immunisation Department.

‘This is the alarm bell that is ringing around the world: being able to achieve high national coverage is not enough, it has to be achieved in every community, and every family for every child,’ she said.

Measles is a highly contagious airborne infection causing fever, coughing and rashes. While it can be fatal, with 37 deaths reported in the first half of 2019 compared with 74 in 2018, other complications include blindness and, for pregnant women, miscarriage.

Some 60 per cent of patients in Europe in the first half of 2019 were under the age of 19. Four countries were home to 78 per cent of cases in the first six months of 2019: Ukraine, Kazakhstan, Georgia and Russia — 60 per cent of which were reported in Ukraine alone.

Meanwhile, Austria and Switzerland were confirmed to have elimination status in 2018, the WHO said.

Measles has been declared eliminated in 35 of the 53 countries in the WHO’s European region for 2018, down from 37 in 2017.