6533b86cfe1ef96bd12c8b37
RESEARCH PRODUCT
Mapping routine measles vaccination in low- and middle-income countries
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SalahshoorN SalamH SalemMr SalemJa SalomonHs KafilEz SambalaAm SamySyi SaraswathyR Sarmiento-suárezS SarosheB SartoriusA SarveazadB SathianT SathishLe SchaefferDc SchwebelS SenthilkumaranH ShabaninejadS ShahabiAa ShaheenMa ShaikhAs ShalashM Shams-beyranvandMb ShamsiM ShamsizadehK SharafiH SharifiA SheikhA SheikhtaheriRs ShettyWs ShiferawM ShigematsuJi ShinR ShirkoohiS SiabaniTj SiddiqiJis SilverbergB SimonettiJa SinghDn SinhaAh SinkeA SoheiliA SokhanS SoltaniM SoofiMb SorrieIn SoyiriA SpotinEe SpurlockCt SreeramareddyA SudaryantoMb SufiyanHar SuleriaRs AbdulkaderA TaherkhaniL TapakN TaveiraP TaymooriYm TeferaA Tehrani-banihashemiBf TeklehaimanotGh TekuluBe TesfayZt TessemaB TessemaKr ThankappanHr TohidinikR Topor-madryMr Tovani-paloneBx TranR UddinI UllahCd UmeokonkwoB UnnikrishnanE UpadhyayMs UsmanM VaeziTahbaz ValadanPr ValdezY VasseghianY VeisaniFs ViolanteS VollmerY WaheedJ WakefieldY WangY-p WangGt WeldesamuelA WerdeckerR WestermanT WiangkhamKe WiensCs WiysongeG WolduDz WondafrashTe WondeA-m WuA YadollahpourShy JabbariT YamadaS YayaV Yazdi-feyzabadiTy YeheyisY YeshawCs YilgwanP YipN YonemotoMz YounisZ YousefiM YousefifardT YousefinezhadiC YuH YusefzadehS ZadeyMoghadam ZahirianL ZakiSb ZamanM ZamaniM ZamanianH ZandianA ZangenehF ZareiTa ZerfuY ZhangZ-j ZhangX-jg ZhaoM ZhouA ZiapourSi HaySs LimJf MosserLocal Burden Of Disease Vaccine Coverage Collaboratorssubject
and promotion of well-beingVacunación MasivaInternationalityDisease preventionchildren under 5 years oldGeographic MappingRural Healthmedicine.disease_causeCross-reactivity0302 clinical medicineRA0421Vaccination Refusal030212 general & internal medicineChildimmunity patternsPediatric0303 health sciencesPublic healthMultidisciplinarybiologyVaccinationUncertaintyIMMUNIZATION3142 Public health care science environmental and occupational healthCOVERAGE3. Good healthTIME3.4 VaccinesChild PreschoolInfectious diseasesA990 Medicine and Dentistry not elsewhere classifiedAntibodyEngineering sciences. TechnologyAFRICAGeneral Science & TechnologySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Disease prevention ; COVID-19 ; Public health ; Infectious diseases610 Medicine & healthGlobal Vaccine Action Plan (GVAP)Local Burden of Disease Vaccine Coverage CollaboratorsArticleVaccine Related03 medical and health sciencesmeasles vaccineMeasels ; Vaccination ; Low- and middle-income countries ; Local burden of disease ; Public healthClinical ResearchmedicineHumansHealthcare DisparitiesPreschoolPROGRESS030304 developmental biologybusiness.industryMORTALITYDeveloped CountriesPreventionCommentVacunaciónUrban HealthCOVID-19Prevention of disease and conditionsVirologyCoronavirusGood Health and Well BeingCobertura de Vacunaciónbiology.proteinImmunizationbusinessMeaslesdescription
The safe, highly effective measles vaccine has been recommended globally since 1974, yet in 2017 there were more than 17 million cases of measles and 83,400 deaths in children under 5 years old, and more than 99% of both occurred in low- and middle-income countries (LMICs)1–4. Globally comparable, annual, local estimates of routine first-dose measles-containing vaccine (MCV1) coverage are critical for understanding geographically precise immunity patterns, progress towards the targets of the Global Vaccine Action Plan (GVAP), and high-risk areas amid disruptions to vaccination programmes caused by coronavirus disease 2019 (COVID-19)5–8. Here we generated annual estimates of routine childhood MCV1 coverage at 5 × 5-km2 pixel and second administrative levels from 2000 to 2019 in 101 LMICs, quantified geographical inequality and assessed vaccination status by geographical remoteness. After widespread MCV1 gains from 2000 to 2010, coverage regressed in more than half of the districts between 2010 and 2019, leaving many LMICs far from the GVAP goal of 80% coverage in all districts by 2019. MCV1 coverage was lower in rural than in urban locations, although a larger proportion of unvaccinated children overall lived in urban locations; strategies to provide essential vaccination services should address both geographical contexts. These results provide a tool for decision-makers to strengthen routine MCV1 immunization programmes and provide equitable disease protection for all children.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-01-21 |