Challenges to Achieving Measles Elimination, Georgia, 2013–2018
Controlling measles outbreaks in the country of Georgia and throughout Europe is crucial for achieving the measles elimination goal for the World Health Organization’s European Region. However, large-scale measles outbreaks occurred in Georgia during 2013–2015 and 2017–2018. The epidemiology of the...
Main Authors: | , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Centers for Disease Control and Prevention
2020-11-01
|
Series: | Emerging Infectious Diseases |
Subjects: | |
Online Access: | https://wwwnc.cdc.gov/eid/article/26/11/20-0259_article |
id |
doaj-9be7ff306cb1462399b5e2018aaaee68 |
---|---|
record_format |
Article |
spelling |
doaj-9be7ff306cb1462399b5e2018aaaee682020-11-25T03:53:05ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592020-11-0126112565257710.3201/eid2611.200259Challenges to Achieving Measles Elimination, Georgia, 2013–2018Nino KhetsurianiKetevan SanadzeRusudan ChlikadzeNazibrola ChitadzeTamar DolakidzeTamta KomakhidzeLia JabidzeShahin HuseynovMyriam Ben MamouClaude MullerKhatuna ZakhashviliJudith M. Hübschen Controlling measles outbreaks in the country of Georgia and throughout Europe is crucial for achieving the measles elimination goal for the World Health Organization’s European Region. However, large-scale measles outbreaks occurred in Georgia during 2013–2015 and 2017–2018. The epidemiology of these outbreaks indicates widespread circulation and genetic diversity of measles viruses and reveals persistent gaps in population immunity across a wide age range that have not been sufficiently addressed thus far. Historic problems and recent challenges with the immunization program contributed to outbreaks. Addressing population susceptibility across all age groups is needed urgently. However, conducting large-scale mass immunization campaigns under the current health system is not feasible, so more selective response strategies are being implemented. Lessons from the measles outbreaks in Georgia could be useful for other countries that have immunization programs facing challenges related to health-system transitions and the presence of age cohorts with historically low immunization coverage. https://wwwnc.cdc.gov/eid/article/26/11/20-0259_articlemeaslesmeasles eliminationmeasles epidemiologymeasles virusmeasles virus geneticsGeorgia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nino Khetsuriani Ketevan Sanadze Rusudan Chlikadze Nazibrola Chitadze Tamar Dolakidze Tamta Komakhidze Lia Jabidze Shahin Huseynov Myriam Ben Mamou Claude Muller Khatuna Zakhashvili Judith M. Hübschen |
spellingShingle |
Nino Khetsuriani Ketevan Sanadze Rusudan Chlikadze Nazibrola Chitadze Tamar Dolakidze Tamta Komakhidze Lia Jabidze Shahin Huseynov Myriam Ben Mamou Claude Muller Khatuna Zakhashvili Judith M. Hübschen Challenges to Achieving Measles Elimination, Georgia, 2013–2018 Emerging Infectious Diseases measles measles elimination measles epidemiology measles virus measles virus genetics Georgia |
author_facet |
Nino Khetsuriani Ketevan Sanadze Rusudan Chlikadze Nazibrola Chitadze Tamar Dolakidze Tamta Komakhidze Lia Jabidze Shahin Huseynov Myriam Ben Mamou Claude Muller Khatuna Zakhashvili Judith M. Hübschen |
author_sort |
Nino Khetsuriani |
title |
Challenges to Achieving Measles Elimination, Georgia, 2013–2018 |
title_short |
Challenges to Achieving Measles Elimination, Georgia, 2013–2018 |
title_full |
Challenges to Achieving Measles Elimination, Georgia, 2013–2018 |
title_fullStr |
Challenges to Achieving Measles Elimination, Georgia, 2013–2018 |
title_full_unstemmed |
Challenges to Achieving Measles Elimination, Georgia, 2013–2018 |
title_sort |
challenges to achieving measles elimination, georgia, 2013–2018 |
publisher |
Centers for Disease Control and Prevention |
series |
Emerging Infectious Diseases |
issn |
1080-6040 1080-6059 |
publishDate |
2020-11-01 |
description |
Controlling measles outbreaks in the country of Georgia and throughout Europe is crucial for achieving the measles elimination goal for the World Health Organization’s European Region. However, large-scale measles outbreaks occurred in Georgia during 2013–2015 and 2017–2018. The epidemiology of these outbreaks indicates widespread circulation and genetic diversity of measles viruses and reveals persistent gaps in population immunity across a wide age range that have not been sufficiently addressed thus far. Historic problems and recent challenges with the immunization program contributed to outbreaks. Addressing population susceptibility across all age groups is needed urgently. However, conducting large-scale mass immunization campaigns under the current health system is not feasible, so more selective response strategies are being implemented. Lessons from the measles outbreaks in Georgia could be useful for other countries that have immunization programs facing challenges related to health-system transitions and the presence of age cohorts with historically low immunization coverage.
|
topic |
measles measles elimination measles epidemiology measles virus measles virus genetics Georgia |
url |
https://wwwnc.cdc.gov/eid/article/26/11/20-0259_article |
work_keys_str_mv |
AT ninokhetsuriani challengestoachievingmeasleseliminationgeorgia20132018 AT ketevansanadze challengestoachievingmeasleseliminationgeorgia20132018 AT rusudanchlikadze challengestoachievingmeasleseliminationgeorgia20132018 AT nazibrolachitadze challengestoachievingmeasleseliminationgeorgia20132018 AT tamardolakidze challengestoachievingmeasleseliminationgeorgia20132018 AT tamtakomakhidze challengestoachievingmeasleseliminationgeorgia20132018 AT liajabidze challengestoachievingmeasleseliminationgeorgia20132018 AT shahinhuseynov challengestoachievingmeasleseliminationgeorgia20132018 AT myriambenmamou challengestoachievingmeasleseliminationgeorgia20132018 AT claudemuller challengestoachievingmeasleseliminationgeorgia20132018 AT khatunazakhashvili challengestoachievingmeasleseliminationgeorgia20132018 AT judithmhubschen challengestoachievingmeasleseliminationgeorgia20132018 |
_version_ |
1724479980269731840 |