POST 00576E : SECOND DOSE OF MEASLES VACCINE 30 June 2003
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Anil Varshney (mailto:[log in to unmask]) needs advice on the
introduction of a second dose of measles vaccine into national programmes.
See his message below.
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I wish to seek advice from our esteemed experts in Immunization regarding
the introduction of a second dose of measles as routine in the national EPI
programme. I am preparing the guidelines and policy framework for a country
whose EPI coverage is high (fully immunized 89.7 % and measles coverage 96
% as of 2002 EPI coverage evaluation).
The measles case load is low. My personal opinion based on facts is as follows:
"Second dose of measles is at the moment not recommended unless measles
case reports and sufficient qualitative epidemiological data analysis
demonstrate the usefulness of a second dose of measles. Moreover since it
is not clear whether a second dose will improve measles control any
further, more data on cost effectiveness and impact of this strategy are
needed. At these times supplementary immunization would be useful"
I shall appreciate suggestions on this issue with relevant reading
references in literature. My review did not find much rule of second dose
where case load is low. However I feel it is important to take opinion of
our valued members of this forum.
Thanking you
Anil Varshney
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