UNICEF

Alarming global surge of measles cases a growing threat to children – UNICEF

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Ten countries accounted for approximately three-quarters of the total increase in measles in 2018, including significant outbreaks in Brazil, Madagascar, the Philippines, Ukraine, and Yemen

NEW YORK/HA NOI, 1 March 2019 – UNICEF warned today that global cases of measles are surging to alarmingly high levels, led by ten countries accounting for more than 74 per cent of the total increase, and several others that had previously been declared measles free.

Countries with ten highest increases in cases between 2017 & 2018[1]

  1. Ukraine: 30,338
  2. Philippines: 13,192
  3. Brazil: 10,262
  4. Yemen: 6,641
  5. Venezuela: 4,916
  6. Serbia: 4,355
  7. Madagascar: 4,307
  8. Sudan: 3,496
  9. Thailand: 2,758
  10. France: 2,269
Ukraine, the Philippines and Brazil saw the largest increases in measles cases from 2017 to 2018. In Ukraine alone, there were 35,120 cases of measles in 2018. According to the government, another 24,042 people were infected just in the first two months of 2019. In the Philippines so far this year, there have been 12,736 measles cases and 203 deaths[2], compared to 15,599 cases in the whole of 2018.Globally, 98 countries reported more cases of measles in 2018 compared to 2017, eroding progress against this highly preventable, but potentially deadly disease.

 

“This is a wake up call. We have a safe, effective and inexpensive vaccine against a highly contagious disease – a vaccine that has saved almost a million lives every year over the last two decades,” said Henrietta H. Fore, UNICEF’s Executive Director. “These cases haven’t happened overnight. Just as the serious outbreaks we are seeing today took hold in 2018, lack of action today will have disastrous consequences for children tomorrow.”

Measles is highly contagious, more so than Ebola, tuberculosis or influenza. The virus can be contracted by someone up to two hours after an infected person has left a room. It spreads through air and infects the respiratory tract, potentially killing malnourished children or babies too young to be vaccinated. Once infected, there is no specific treatment for measles, so vaccination is a life-saving tool for children.

In response to these outbreaks, UNICEF and its partners are supporting governments to urgently reach millions of children in countries around the globe. For example:

Notable reported measles cases in 2018 in countries with no reported cases in 2017

  1. Brazil: 10,262
  2. Moldova: 312
  3. Montenegro: 203
  4. Colombia: 188
  5. Timor-Leste: 59
  6. Peru: 38
  7. Chile: 23
  8. Uzbekistan: 17

Poor health infrastructure, civil strife, low community awareness, complacency and vaccine hesitancy in some cases have led to these outbreaks in both developed and developing countries. For example, in the United States, the number of measles cases increased six-fold between 2017 and 2018, reaching 791 cases. More recently, the U.S. has seen outbreaks in New York and Washington state.

“Almost all of these cases are preventable, and yet children are getting infected even in places where there is simply no excuse,” said Fore. “Measles may be the disease, but, all too often, the real infection is misinformation, mistrust and complacency. We must do more to accurately inform every parent, to help us safely vaccinate every child.”

To fight measles, UNICEF is issuing an urgent appeal to governments, health care providers, and parents to do more to contain the disease by:

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Notes to editors

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About the Measles and Rubella Initiative

UNICEF is part of the Measles and Rubella Initiative, a private-public partnership of five global partners including WHO, CDC, United Nations Foundation and American Red Cross that has been spearheading a global push towards measles and rubella elimination.

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[1] Note: The analysis is based on WHO’s global measles and rubella data of 194 countries for the year 2017 and 2018. To know more, click here. The analysis is based on the total confirmed cases of measles.

[2] Until 23 February 2019.