Verification of measles elimination in Australia: application of World Health Organization regional guidelines

Gidding, H. F., Martin, N. V., Stambos, V., Tran, T., Dey, A., Dowse, G. K., Kelly, H. A., Durrheim, D. N. and Lambert, S. B. (2016) Verification of measles elimination in Australia: application of World Health Organization regional guidelines. Journal of Epidemiology and Global Health, 6 3: 197-209. doi:10.1016/j.jegh.2015.12.004


Author Gidding, H. F.
Martin, N. V.
Stambos, V.
Tran, T.
Dey, A.
Dowse, G. K.
Kelly, H. A.
Durrheim, D. N.
Lambert, S. B.
Title Verification of measles elimination in Australia: application of World Health Organization regional guidelines
Journal name Journal of Epidemiology and Global Health   Check publisher's open access policy
ISSN 2210-6014
2210-6006
Publication date 2016-09
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.jegh.2015.12.004
Open Access Status DOI
Volume 6
Issue 3
Start page 197
End page 209
Total pages 13
Place of publication Bromley, United Kingdom
Publisher Elsevier
Collection year 2017
Language eng
Formatted abstract
Background

The World Health Organization (WHO) Western Pacific Region (WPR) Guidelines on verification of measles elimination were established in 2012. This article outlines Australia’s approach to addressing the guideline’s five lines of evidence, which led to formal verification of elimination by the WHO Regional Verification Commission (RVC) in March 2014.

Methods

The criteria were addressed using national measles notifications, data from selected laboratories, the national childhood immunization register, and three national serosurveys (1998/1999, 2002, 2007).

Results

Australia met or exceeded all indicator targets with either national or sentinel data. Laboratory and epidemiological surveillance were of high quality, with 85% of cases documented as imported/import-related (target 80%); coverage with the first dose of measles vaccine was close to 94% in 2008–2012 and second dose coverage increased to 91% in 2012 (target >95%). There is ongoing commitment by the Australian Government to increase immunization coverage, and the absence of sustained transmission of any single measles genotype was demonstrated.

Conclusions

This is the first documentation of the successful application of the WPR RVC guidelines. The indicators afford some flexibility but appear to provide appropriate rigor to judge achievement of measles elimination. Our experience could assist other countries seeking to verify their elimination status.
Keyword Disease elimination
Measles
Surveillance
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Faculty of Medicine and Biomedical Sciences Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Tue, 22 Mar 2016, 02:10:39 EST by System User on behalf of Faculty of Medicine