Use of a Diagonal Approach to Health System Strengthening and Measles Elimination after a Large Nationwide Outbreak in Mongolia
José E. Hagan
, Ashley L. Greiner, Ulzii-Orshikh Luvsansharav, Jason Lake, Christopher Lee, Roberta Pastore, Yoshihiro Takashima, Amarzaya Sarankhuu, Sodbayar Demberelsuren, Rachel Smith, Benjamin Park, and James L. Goodson
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J.E. Hagan, A. Greiner, U.-O. Luvsansharav, J. Lake, C. Lee, R. Smith, B. Park, J.L. Goodson); World Health Organization Regional Office for the Western Pacific, Manila, the Philippines (R. Pastore, Y. Takashima); Ministry of Health and Sports, Ulaanbaatar (A. Sarankhuu); World Health Organization Mongolia Country Office, Ulaanbaatar (S. Demberelsuren)
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Figure 1
Figure 1. Confirmed measles cases in Mongolia, March 1, 2015–Jun 27, 2016. A) Confirmed cases by epidemiologic week of rash onset and reported exposure to a healthcare facility during the 7–21 days (measles incubation period) before rash onset. B) Proportion of confirmed case-patients by epidemiologic week of rash onset and reported exposure to a healthcare facility during the measles incubation period. Light gray indicates healthcare exposure during incubation period; dark gray indicates no exposure or unknown. Cases were confirmed by laboratory results (positive IgM ELISA or PCR) or clinical criteria (rash plus fever and >1 of the following: cough, coryza, or conjunctivitis).
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