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Mapping routine measles vaccination in low- and middle-income countries.

Publication ,  Journal Article
Local Burden of Disease Vaccine Coverage Collaborators,
Published in: Nature
January 2021

The safe, highly effective measles vaccine has been recommended globally since 1974, yet in 2017 there were more than 17 million cases of measles and 83,400 deaths in children under 5 years old, and more than 99% of both occurred in low- and middle-income countries (LMICs)1-4. Globally comparable, annual, local estimates of routine first-dose measles-containing vaccine (MCV1) coverage are critical for understanding geographically precise immunity patterns, progress towards the targets of the Global Vaccine Action Plan (GVAP), and high-risk areas amid disruptions to vaccination programmes caused by coronavirus disease 2019 (COVID-19)5-8. Here we generated annual estimates of routine childhood MCV1 coverage at 5 × 5-km2 pixel and second administrative levels from 2000 to 2019 in 101 LMICs, quantified geographical inequality and assessed vaccination status by geographical remoteness. After widespread MCV1 gains from 2000 to 2010, coverage regressed in more than half of the districts between 2010 and 2019, leaving many LMICs far from the GVAP goal of 80% coverage in all districts by 2019. MCV1 coverage was lower in rural than in urban locations, although a larger proportion of unvaccinated children overall lived in urban locations; strategies to provide essential vaccination services should address both geographical contexts. These results provide a tool for decision-makers to strengthen routine MCV1 immunization programmes and provide equitable disease protection for all children.

Duke Scholars

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Published In

Nature

DOI

EISSN

1476-4687

Publication Date

January 2021

Volume

589

Issue

7842

Start / End Page

415 / 419

Location

England

Related Subject Headings

  • Vaccination Refusal
  • Vaccination
  • Urban Health
  • Uncertainty
  • Rural Health
  • Measles
  • Internationality
  • Humans
  • Healthcare Disparities
  • Geographic Mapping
 

Citation

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Local Burden of Disease Vaccine Coverage Collaborators, . (2021). Mapping routine measles vaccination in low- and middle-income countries. Nature, 589(7842), 415–419. https://doi.org/10.1038/s41586-020-03043-4
Local Burden of Disease Vaccine Coverage Collaborators, Christopher M. “Mapping routine measles vaccination in low- and middle-income countries.Nature 589, no. 7842 (January 2021): 415–19. https://doi.org/10.1038/s41586-020-03043-4.
Local Burden of Disease Vaccine Coverage Collaborators. Mapping routine measles vaccination in low- and middle-income countries. Nature. 2021 Jan;589(7842):415–9.
Local Burden of Disease Vaccine Coverage Collaborators, Christopher M. “Mapping routine measles vaccination in low- and middle-income countries.Nature, vol. 589, no. 7842, Jan. 2021, pp. 415–19. Pubmed, doi:10.1038/s41586-020-03043-4.
Local Burden of Disease Vaccine Coverage Collaborators. Mapping routine measles vaccination in low- and middle-income countries. Nature. 2021 Jan;589(7842):415–419.
Journal cover image

Published In

Nature

DOI

EISSN

1476-4687

Publication Date

January 2021

Volume

589

Issue

7842

Start / End Page

415 / 419

Location

England

Related Subject Headings

  • Vaccination Refusal
  • Vaccination
  • Urban Health
  • Uncertainty
  • Rural Health
  • Measles
  • Internationality
  • Humans
  • Healthcare Disparities
  • Geographic Mapping