TY - JOUR AU - Hagan, José AU - Greiner, Ashley AU - Luvsansharav, Ulzii-Orshikh AU - Lake, Jason AU - Lee, Christopher AU - Pastore, Roberta AU - Takashima, Yoshihiro AU - Sarankhuu, Amarzaya AU - Demberelsuren, Sodbayar AU - Smith, Rachel AU - Park, Benjamin AU - Goodson, James T1 - Use of a Diagonal Approach to Health System Strengthening and Measles Elimination after a Large Nationwide Outbreak in Mongolia T2 - Emerging Infectious Disease journal PY - 2017 VL - 23 IS - 13 SN - 1080-6059 AB - Measles is a highly transmissible infectious disease that causes serious illness and death worldwide. Efforts to eliminate measles through achieving high immunization coverage, well-performing surveillance systems, and rapid and effective outbreak response mechanisms while strategically engaging and strengthening health systems have been termed a diagonal approach. In March 2015, a large nationwide measles epidemic occurred in Mongolia, 1 year after verification of measles elimination in this country. A multidisciplinary team conducted an outbreak investigation that included a broad health system assessment, organized around the Global Health Security Agenda framework of Prevent-Detect-Respond, to provide recommendations for evidence-based interventions to interrupt the epidemic and strengthen the overall health system to prevent future outbreaks of measles and other epidemic-prone infectious threats. This investigation demonstrated the value of evaluating elements of the broader health system in investigating measles outbreaks and the need for using a diagonal approach to achieving sustainable measles elimination. KW - immunization KW - measles KW - outbreak response KW - elimination KW - measles virus KW - viruses KW - measles elimination KW - health systems KW - Mongolia KW - global health security KW - prevent-detect-respond DO - 10.3201/eid2313.170594 UR - https://wwwnc.cdc.gov/eid/article/23/13/17-0594_article ER - End of Reference