Emerging Infectious Disease ISSN: 1080-6059

Lessons and Challenges for Measles Control from Unexpected Large Outbreak, Malawi

Andrea Minetti

, Matthew Kagoli, Agnes Katsulukuta, Helena Huerga, Amber Featherstone, Hazel Chiotcha, Delphine Noel, Cameron Bopp, Laurent Sury, Renzo Fricke, Marta Iscla, Northan Hurtado, Tanya Ducomble, Sarala Nicholas, Storn Kabuluzi, Rebecca F. Grais, and Francisco J. Luquero

Author affiliations: Author affiliations: Epicentre, Paris, France (A. Minetti, H. Huerga, D. Noel, S. Nicholas, R.F Grais, F.J. Luquero); Ministry of Health, Lilongwe, Malawi (M. Kagoli, A. Katsulukuta, S. Kabuluzi); Médecins Sans Frontières, Lilongwe (A. Featherstone, H. Chiotcha, C. Bopp); Médecins Sans Frontières, Paris, France (L. Sury, N. Hurtado); Médecins Sans Frontières, Brussels, Belgium (R. Fricke, T. Ducomble); Médecins Sans Frontières, Barcelona, Spain (M. Iscla)

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Figure 1

Weekly distribution of measles cases and time when the reactive vaccination campaigns were implemented (A) and districts where outbreak-response immunizations were conducted by the MoH and MSF (B), Malawi, 2010. MoH, Ministry of Health; MSF, Médecins Sans Frontières; BLT, Blantyre; MZB, Mzimba, LLW, Lilongwe; THY, Thyolo; CDZ, Chiradzulu; MGC, Mangochi; BLK, Balaka; MCG, Machinga. Black arrows indicate campaigns implemented by MoH/MSF; gray arrows indicate campaigns implemented by MoH only.

Figure 1. . Weekly distribution of measles cases and time when the reactive vaccination campaigns were implemented (A) and districts where outbreak-response immunizations were conducted by the MoH and MSF (B), Malawi, 2010. MoH, Ministry of Health; MSF, Médecins Sans Frontières; BLT, Blantyre; MZB, Mzimba, LLW, Lilongwe; THY, Thyolo; CDZ, Chiradzulu; MGC, Mangochi; BLK, Balaka; MCG, Machinga. Black arrows indicate campaigns implemented by MoH/MSF; gray arrows indicate campaigns implemented by MoH only.

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