Vaccine: Measles and Rubella Vaccination Experience in Zambia

Mazyanga L. Mazaba (Editor)
The Health Press, Zambia National Public Health Institute, Ministry of Health, Lusaka, Zambia

Seter Siziya, PhD (Editor)
The Copperbelt University, Michael Chilufya Sata School of Medicine, Department of Clinical Sciences, Public Health Unit, Ndola, Zambia

Joav Merrick, MD, MMedSci, DMSc, (Editor)
Medical Director, Health Services, Division for Intellectual and Developmental Disabilities, Ministry of Social Affairs and Social Services, Jerusalem, Israel
Division of Adolescent Medicine, KY Children’s Hospital, Department of Pediatrics, Lexington, Kentucky, USA
National Institute of Child Health and Human Development, Jerusalem, Israel
Division of Pediatrics, Hadassah Hebrew University Medical Centers, Mt Scopus Campus, Jerusalem, Israel
School of Public Health, Georgia State University, Atlanta, Georgia, USA

Series: Pediatrics, Child and Adolescent Health
BISAC: MED044000

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Volume 10

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Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick

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Measles is still the cause of disease and even death around the world, and with the modern widespread travel around the globe, it can be spread from one site to another with ease. Rubella infection, especially during pregnancy, can also have important effects on the fetus and the family involved. The WHO African regional target of eliminating measles by 2020 seems unlikely, but in Zambia great strides have been made to eliminate measles. Following the successful implementation of the MR (measles-rubella) vaccination campaign, the MR vaccine should be introduced in the routine immunization program to replace single measles containing virus vaccine.

In this book, we review the status of measles and rubella vaccination campaigns and incidence rates of these diseases in Zambia. Vaccination campaigns were conducted in 2010 and 2012 using a single measles vaccine and in 2016, a combined measles-rubella vaccine was administered in a campaign. The measles incidence rate reduced following the campaigns in 2010 and 2012.

However, the incidence of measles slightly increased after the 2016 vaccination campaign. Meanwhile, the incidence of rubella increased in 2011 following the 2010 measles vaccination campaign. Thereafter, the decline in the incidence of rubella was observed and sustained with the measles-rubella vaccination campaign in 2016. There has been great progress towards the control and elimination of measles in Zambia.
(Imprint: Nova Medicine and Health)

Introduction

Chapter 1. Measles-Rubella Control and Elimination: Zambian Experience
(Mazyanga L Mazaba, Seter Siziya and Joav Merrick)

Section One: Experience from a Vaccination Campaign

Chapter 2. Measles and Rubella Vaccination Campaigns 2010-2018: Implications for Their Control and Elimination in Zambia
(Mazyanga L. Mazaba, David Mulenga, Eric M. Njunju, Memory Chirambo-Kalolekesha, Emmanuel Rudatsikira, Moono Silitongo, Paul M. Syapiila, Chikafuna Banda, Tawanda Marufu, Willard Tinago, Victor Daka and Seter Siziya)

Chapter 3. First Ever Measles-Rubella Vaccination Coverage in a Campaign in 2016, Zambia
(Mazyanga L. Mazaba, David Mulenga, Eric M. Njunju, Memory Chirambo-Kalolekesha, Emmanuel Rudatsikira, Moono Silitongo, Paul M. Syapiila, Chikafuna Banda, Tawanda Marufu, Willard Tonago, Victor Daka and Seter Siziya)

Chapter 4. Measles and Rubella Vaccine: Association of Residence with Measles-Rubella Vaccination Status
(Memory Chirambo-Kalolekesha, David Mulenga, Eric M. Njunju, Mazyanga L. Mazaba, Willard Tinago, Moono Silitongo, Paul M. Syapiila, Chikafuna Banda, Tawanda Marufu, Victor Daka, Emmanuel Rudatsikira and Seter Siziya)

Chapter 5. Cluster Survey Evaluation of a Measles-Rubella Vaccination Campaign in Northwestern Province in Zambia, 2016
(Emmanuel Rudatsikira, Mazyanga L. Mazaba, David Mulenga, Tawanda Marufu, Memory Chirambo-Kalolekesha, Willard Tinago, Paul M. Syapiila, Chikafuna Banda, Victor Daka, Eric M. Njunju, Moono Silitongo and Seter Siziya)

Chapter 6. Measles-Rubella Immunization Coverage and Associated Factors in Southern Province of Zambia
(David Mulenga, Memory Chirambo-Kalolekesha, Mazyanga L. Mazaba, Eric M Njunju, Victor Daka, Willard Tinago, Emmanuel Rudatsikira, Moono Silitongo, Paul M. Syapiila, Chikafuna Banda, Tawanda Marufu and Seter Siziya)

Chapter 7. Reasons for Non-Vaccination in a Measles-Rubella Campaign in Zambia, 2016
(Moono Silitongo, Mazyanga L. Mazaba, David Mulenga, Memory Chirambo-Kalolekesha, Eric M. Njunju, Victor Daka, Willard Tinago, Emmanuel Rudatsikira, Paul M. Syapiila, Chikafuna Banda, Tawanda Marufu and Seter Siziya)

Chapter 8. Coverage and Risk Factors Associated with Child Immunisation Coverage in the 2016 Measles Rubella Campaign in Lusaka, Zambia
(Paul M. Syapiila, Mazyanga L. Mazaba, David Mulenga, Eric M Njunju, Memory Chirambo-Kalolekesha, Emmanuel Rudatsikira, Moono Silitongo, Chikafuna Banda, Tawanda Marufu, Willard Tinago, Victor Daka and Seter Siziya)

Chapter 9. Post Measles-Rubella Immunization Coverage in Central Province, Zambia-2016
(Eric M. Njunju, Memory Chirambo-Kalolekesha, Paul M. Syapiila, Mazyanga L. Mazaba, Emmanuel Rudatsikira, David Mulenga, Victor Daka, Willard Tinago, Tawanda Marufu, Chikafuna Banda, Moono Silitongo and Seter Siziya

Chapter 10. Measles-Rubella Vaccination Coverage among Children Aged 9-179 Months in the Copperbelt Province of Zambia
(Chikafuna Banda, David Mulenga, Eric M. Njunju, Mazyanga L. Mazaba, Memory Chirambo-Kalolekesha, Emmanuel Rudatsikira, Moono Silitongo, Paul M. Syapiila, Tawanda Marufu, Willard Tinago, Victor Daka and Seter Siziya)

Chapter 11. Measles-Rubella Immunization Coverage among Children Aged 9-179 Month in Luapula Province of Zambia
(David Mulenga, Eric M. Njunju, Mazyanga L. Mazaba, Memory Chirambo-Kalolekesha, Emmanuel Rudatsikira, Moono Silitongo, Paul M. Syapiila, Chikafuna Banda, Tawanda Marufu, Willard Tinago, Victor Daka and Seter Siziya)

Chapter 12. Factors Associated with Being Vaccinated in the Measles-Rubella Vaccination Campaign Applied To Children Aged 9-179 Months in Eastern Province of Zambia in 2016
(Tawanda Marufu, Willard Tinago, Mazyanga L. Mazaba, David Mulenga, Eric M. Njunju, Memory Chirambo-Kalolekesha, Emmanuel Rudatsikira, Moono Silitongo, Paul M. Syapiila, Chikafuna Banda, Victor Daka and Seter Siziya)

Chapter 13. A Post Immunization Evaluation of a Measles-Rubella Campaign in the Northern Province of Zambia
(Victor Daka, Tawanda Marufu, Paul M. Syapiila, Emmanuel Rudatsikira, Eric M Njunju, Willard Tinago, Memory Chirambo-Kalolekesha, Moono Silitongo, Chikafuna Banda, David Mulenga, Mazyanga L. Mazaba and Seter Siziya

Chapter 14. Determinants of Measles-Rubella Immunization Coverage in Muchinga Province of Zambia
(David Mulenga, Mazyanga L Mazaba, Eric M. Njunju, Memory Chirambo-Kalolekesha, Emmanuel Rudatsikira, Moono Silitongo, Paul M. Syapiila, Chikafuna Banda, Tawanda Marufu, Willard Tinago, Victor Daka and Seter Siziya)

Chapter 15. Measles-Rubella Mass Vaccination Campaign in Western Province of Zambia, 2016
(Seter Siziya, David Mulenga, Eric M Njunju, Memory Chirambo-Kalolekesha, Emmanuel Rudatsikira, Moono Silitongo, Paul M. Syapiila, Chikafuna Banda, Tawanda Marufu, Willard Tinago, Victor Daka, and Mazyanga L. Mazaba)

Section Two: Acknowledgements

Chapter 16. About the Editors

Chapter 17. About the Health Press, Zambia National Public Health Institute, Ministry of Health, Lusaka, Zambia

Chapter 18. About the Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia

Chapter 19. About the National Institute of Child Health and Human Development in Israel

Chapter 20. About the Book Series “Pediatrics, Child and Adolescent Health”

Section Three: Index

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