Implementation of the Plan for Elimination of Measles and Congenital Rubella Infection in Tuscany: evidence of progress towards phase II of measles control

摘要: Introduction. Tuscany was one of the first Italian regions to issue an own Regional Plan for elimination measles and congenital rubella infection The is now at intermediate stage application. goal ofthe present work highlight results which were reached in Region 2004, when immunization campaign took place primary schools (birth cohorts 1993-1997) order catch-up susceptible subjects. This provides obtained by twelve Local Health Agencies regarding monitoring coverage with MMR (Measles - Mumps Rubella) vaccine evaluation susceptibility infection. Methods. process indicators defined inside measurement surveillance activities are respect within 24 t h month age groups up 15 year age, definition a population risk indicator infection; updated December 2004; completion seroepidemiological investigation assess accumulation persons towards establishment regional committee technical experts evaluate serious adverse reactions following immunization. Results. level control Region, corresponds "limited control". evidence same also national level. from 1999 2003 showed substantial increase 87% last registered. lowest historical levels notifications recorded period 1997-2001. always negative two considered years determining clear improvement terms decreasing number susceptibles. At end children contacted during through 70.5% target population. more consistent increment registered second doses administered, but refusals rather high. During 1 s January 2004 25 February 2005, on effects met three times 21 notified cases. Discussions Conclusions. secondary schools, further survey will be performed reveal possible changes profile impact application elimination. Many indicate that achievement definite next come.