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Zambia: measles outbreak

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
Source: United Nations Children's Fund (UNICEF)

Date: 28 Jun 2007

Zambia: Integrated measles campaign on course

Goal is to Protect More than 2 Million Children


LUSAKA, Zambia, 28 June 2007 (UNICEF) - As the nation prepares for the National Integrated Measles Campaign ? which will be held from the 9th to 14th of July ? social mobilization efforts to encourage every Zambian family and caregiver to bring children under the age of five for lifesaving vaccinations is well underway.

Nationwide, more than 8,997 vaccinators and volunteers will participate in the campaign at 1,351 fixed immunization posts. Further, over the past several weeks immunization supplies have been pre-positioned across the country using several modes of transport, including by lorries and airlifting supplies to remote regions of the country.

With less than three weeks to go before the campaign starts, Minister of Health, the Hon. Brigadier General, Dr. Brian Chituwo, is appealing to the private sector and faith based organizations to help donate to the measles campaign budget, which currently has a shortfall of over US$500,000. The total campaign budget is estimated at US$3 million and so far cooperating partners including UNICEF, the United Nations Children?s Fund, and WHO, the World Health Organization, which have contributed US$1,700,000 and US$590,000, respectively, have provided the Government of the Republic of Zambia with more than US$2 million. The Government of the Republic of Zambia has contributed over US$185,000 cash and in-kind infrastructure and personnel.

The integrated measles campaign ? which is part of July?s Child Health Week -- is aimed at reducing the incidence of measles occurrences in the country. Over 2 million children aged between nine months and five years are targeted to be vaccinated during the measles campaign. ?There is a lot that is still required to adequately meet the needs of the campaign,? the Hon. Minister said, ?Let us make a collective responsibility to save the children of Zambia. You are all urged to partner with the Ministry of Health.?

Other services to be provided during the integrated campaign include Vitamin A supplementation to all children aged six months to 5 years and de-worming Mebendazole tablets to all children aged one year to 5 years. Vitamin A is essential for the functioning of the immune system. Giving vitamin A supplements to children who need them increases their resistance to disease, and improves their chances for survival, growth, development, and also prevents blindness.

Fixed health posts during the campaign will also provide re-treatment of insecticide-treated nets to protect against malaria. The ministry of Health and partners are targeting to re-treat 1 million insecticide-treated nets countrywide.

The Hon. Minister commented on the last national measles vaccination campaign that was conducted in 2003 and recorded over 95 percent coverage. Hon. Chituwo said that with a growing national partnership to protect Zambian children, the 2003 success can be repeated, and even surpassed in this year?s campaign.

In her address at last week?s measles campaign advocacy meeting in Lusaka, WHO Representative in Zambia, Dr. Stella Anyangwe, said ?Measles is preventable with a simple and very effective and efficient vaccine which costs less than a dollar per child. It is therefore unpardonable to allow the disease to continue to kill, to sicken and to disable our children.?

Also speaking at the advocacy meeting, UNICEF Zambia Deputy Representative, Ms. Elspeth Erickson, stressed the need to reach out to every child in the targeted age group with the measles vaccine. ?As UNICEF, we are proud to be associated with this life saving partnership and its aim to reach every single child with a ?second opportunity for vaccination? against measles. We support the Government?s effort to protect Zambia's greatest resource - its children - from one of the leading child killer diseases, measles.

?It is a travesty that globally measles is still one of the major causes of childhood illness and a leading cause of child death in many developing countries, despite the fact that a safe vaccine has been available for many decades. We know what has to be done to protect our children and stop the loss of life due to this disease. We need to ensure that every child in Zambia is vaccinated against measles from the 9th to 14th July,? she said.

Campaign organizers are gearing up for a major social mobilization effort to reach all Zambians before the campaign gets underway on 9th July. Over the last two months, communication specialists from the Ministry of Health and partners in the social mobilization committee of the national measles campaign have been meeting weekly to strategize. To date, a workshop on communications material development has been held; a major press conference was convened in Lusaka; a workshop for media houses was conducted; and training has been held for provincial, district, and community health promoters.

?Though the whole process may seem daunting, it has a simple goal: finding better ways to harness the extraordinary power of communication and new technologies for - and with - the children, families, and communities the Government and partners serve,? said Hon. Chituwo. ?But the word must go forth to parents and caregivers to take their children aged between six months and five years for the integrated measles vaccination from 9th to the 14th of July.?

Source:Reliefweb

http://www.mediaforfreedom.com/ReadArticle.asp?ArticleID=1028
 
Re: Zambia: Integrated measles campaign

Re: Zambia: Integrated measles campaign

Archive Number 20070630.2100
Published Date 30-JUN-2007
Subject PRO/EDR> Measles - Zambia



MEASLES - ZAMBIA
****************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Wed 27 Jun 2007
Source: Xinhua News Agency, Wed 27 Jun 2007 [translated from French by
corresp.CS]
<http://www.french.xinhuanet.com/french/2007-06/27/content_448476.htm>


Zambia: Measles outbreak of over 200 cases
------------------------------------------
More than 200 cases [of measles] have been detected in several districts in
Zambia, said Canisius Banda, the spokesperson of the Ministry of Health, on
Wed 27 Jun 2007. Affected districts were Kaputa, Chinsali, Chibombo, Mbala
and Mazabuka and medical teams have been sent to provide aid.

Those who have contracted the disease are presumed not to have been
vaccinated during the most recent immunization campaigns. The next
immunization campaign against measles is scheduled for the period 9 to 14
July [2007].

Measles remains one of the main childhood diseases and one of the most
important causes of mortality in developing countries despite the
availability of a good vaccine.

http://www.promedmail.org/pls/prome..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,38163
 
Re: Zambia: measles outbreak

Measles outbreak serious

Tuesday, 29 June 2010 12:26
Written by Chalwe



<SCRIPT type=text/javascript><!--google_ad_client = "pub-5471381628545778";/* 120x240, created 10/2/09 */google_ad_slot = "7108686300";google_ad_width = 120;google_ad_height = 240;//--></SCRIPT><SCRIPT type=text/javascript src="http://pagead2.googlesyndication.com/pagead/show_ads.js"></SCRIPT><SCRIPT src="http://pagead2.googlesyndication.com/pagead/expansion_embed.js"></SCRIPT><SCRIPT src="http://googleads.g.doubleclick.net/pagead/test_domain.js"></SCRIPT><SCRIPT src="http://pagead2.googlesyndication.com/pagead/render_ads.js"></SCRIPT><SCRIPT>google_protectAndRun("render_ads.js::google_render_ad", google_handleError, google_render_ad);</SCRIPT>​
By Times

The Ministry of Health has acknowledged that the countrywide outbreak of measles is serious with more than 2,800 cases and 66 deaths recorded since January. The outbreak of the disease, was first reported in April 2010.

Ministry of Health spokesperson Kamoto Mbewe said yesterday that routine vaccinations against the disease had been stepped up in Lusaka which had recorded the highest number at 2,453 with 66 deaths.

This rise in measles cases is despite the recent countrywide vaccination exercise carried out in all health centres in April this year when the outbreak was reported.

He attributed the high prevalence of measles in the country to the failure by care-givers to take children under the age of five for vaccination.

Dr Mbewe said that there were cases of some children failing to respond to the vaccine, despite it being administered, saying the countrywide vaccination exercise, had recorded a 90 per cent success rate.

Dr Mbewe said some children failed to respond to the vaccination because of either ill-health as was the case with children living with HIV and AIDS and malnutrition, while for others it was because of poor management and storage of the vaccines by health workers.

“There is a 15 per cent failure rate of children who do not respond to vaccines, either because there are malnourished, others it’s because of their health being compromised by HIV and other diseases, making it difficult for them to respond to vaccines.

There could be those who were missed out because they were not brought to the centres, during the routine vaccinations exercise. Our health workers are always willing to carry out the vaccinations,” he said.

Dr Mbewe said there were isolated cases where the efficacy of the vaccines was compromised due to poor cold chain storage and management of the vaccines that could have also led to some children not responding to the vaccines.

He said for Lusaka, the routine vaccinations were an on-going process, and that Lusaka had been divided into eight zones, to step up the vaccinations campaign exercise.

Dr Mbewe said the ministry would embark on another countrywide vaccination campaign during the Child Health Week, between July 19 and 24.

And Immunology and HIV/AIDS specialist Nkandu Luo has said the high number of measles being recorded in the country is due to poor sensitisation campaigns by the Ministry of health.

Professor Luo, who is also former Health minister in Frederick Chiluba’s cabinet, maintained that effective immunisation programmes would reduce the cases of measles, because the disease was preventable through vaccination.

She also explained that inaccessibility of health centres by most caregivers, had contributed to the rise in the number of measles cases.


“What we should know is that measles is preventable, it has a vaccine, and according to available data, the vaccine works in the prevention of measles, but there is a question of accessibility to these health centres by mothers, who live far away from clinics,” she said.

She said most of the extension vaccination campaigns were limited to the district health centres, and were not scaled out to far-flung centres.

“Since the demise of the Central Board of Health, most health campaigns have been limited to district health centres, and due to financial constraints, they are not able to effectively carry out immunisation programmes,” she said.

Professor Luo said most of the operations of the Ministry of Health had been centralised, making it difficult to carry out effective health campaigns in specific areas.

There was an urgent need for the Ministry of Health to conduct a survey to establish the ratio of measles admissions, to the children living with HIV and AIDS.

And a check at Chawama Health Centre on Lusaka, found admissions of both children and adults in the isolation ward.

A care-giver, who did not want to be named, said there were more than 30 admissions at the health centre.

A nurse found on duty, referred all queries to district health management team officials, who could not be reached for comment.

The University Teaching Hospital (UTH) and Chawama Health Centre are the only two centres in Lusaka, where patients with suspected cases if measles are being admitted.

http://zamtalk.com/index.php?option...break-serious&catid=52:general-news&Itemid=77
<SCRIPT src="http://googleads.g.doubleclick.net/pagead/test_domain.js"></SCRIPT><SCRIPT src="http://pagead2.googlesyndication.com/pagead/render_ads.js"></SCRIPT><SCRIPT>google_protectAndRun("render_ads.js::google_render_ad", google_handleError, google_render_ad);</SCRIPT><SCRIPT>google_protectAndRun("render_ads.js::google_render_ad", google_handleError, google_render_ad);</SCRIPT>
 
Last edited:
Re: Zambia: measles outbreak

Friday, July 9, 2010, 17:44
<!-- /metas -->
Zambia: Measles breaks out at Kasisi Orphanage

Measles has broken out at Kasisi Children?s Home with one case recorded so far.

Kasisi Children?s Home Sister in Charge Mariola Mierzejewska confirmed the development in an interview with ZANIS at Kasisi in Chongwe on Thursday.

Sister Mierzejewska said the affected patient was a child who was out of danger and was responding well to treatment.

But she expressed concern that the disease may spread further and affect other children at the orphanage.

She has since urged Government to quickly undertake a measles vaccination campaign countrywide in order to halt the further spread of the disease.

The country has so far, recorded over 2 800 cases of measles with over 70 deaths since the disease broke out in the country three months ago.

The Ministry of Health disclosed that Lusaka has recorded the highest cases of measles with over 2 600 and a record of over of 64 deaths.

Health Minister Kapembwa Simbao has since appealed to the donor community to help with financial resources to enable the Ministry of Health undertake a measles vaccination campaign to preserve life.

ZANIS

http://www.lusakatimes.com/?p=27475
 
Re: Zambia: measles outbreak

Measles outbreak kills 88 in Zambia

2010-07-15 22:42


Lusaka - An outbreak of measles has killed 88 people in Zambia over the last two months, with the capital Lusaka the hardest-hit part of the country, Health Minister Kapembwa Simbao told lawmakers on Thursday.

The outbreak is the worst since 2003 and comes as the nation is prepaing a new national vaccination campaign for next week, three years after the last programme to ensure children receive their jabs, the minister said.

"Zambia has reported 4 255 cases and 88 deaths countrywide. Lusaka alone has recorded 3 242 cases, 76% of the country's cases with 84 deaths," Simbao said.

In Lusaka, local vaccination efforts were disrupted by flooding in parts of the city earlier this year.

Zambia's health services generally have suffered from corruption and mismanagement, which has led some donors to suspend aid.
AFP

http://m.news24.com/news24/Africa/News/Measles-outbreak-kills-88-in-Zambia-20100715
 
Re: Zambia: measles outbreak

Zambia to immunise 1.6 mln children against measles

<CITE class=caption></CITE>
<CITE class=caption>AFP/File ? Women queue to have their children immunized against measles. Zambia plans to immunise 1.6 million children ? </CITE><!-- end #main-media --><!-- end .primary-media --><!-- end .related-media -->
<ABBR class=recenttimedate title=2010-07-19T05:57:52-0700></ABBR>
<ABBR class=recenttimedate title=2010-07-19T05:57:52-0700>2 hrs 17 mins ago</ABBR>
<!-- end .byline -->
LUSAKA (AFP) ? Zambia plans to immunise 1.6 million children against measles this week, Health Minister Kapembwa Simbao said Monday, as the nation suffers the worst outbreak of the disease in years.

"We are targeting to immunise 1.6 million children against measles and another 1.2 million against polio, and we shall administer vitamin A supplements to 2.3 million children," Simbao said.

An outbreak of measles has killed 88 people in Zambia over the last two months, with the capital Lusaka the hardest-hit part of the country. It is the worst outbreak of the disease in seven years.

Simbao said that the total budget for the programme was about three million dollars (2.4 million euros) to vaccinate children aged four months to five years.

"Our aim is to eradicate preventable diseases like measles," Simbao said.
Zambia's health services generally have suffered from corruption and mismanagement of finances leading to some donors to suspend aid.

Last month, the Global Fund suspended more than 300 million dollars in health assistance to Zambia because of concerns about corruption.

The freeze, which was likely to affect the country's fight against AIDS, tuberculosis and malaria, comes a year after Sweden and the Netherlands suspended 33 million dollars in health aid after five million dollars went missing.

http://news.yahoo.com/s/afp/20100719/hl_afp/zambiahealthmeasles
 
Re: Zambia: measles outbreak

Health ministry optimistic of containing measles
<TABLE border=0 cellSpacing=0 cellPadding=0 width="100%"><TBODY><TR><TD>By Joseph Mwenda
Wed 28 July 2010, 14:00

</TD></TR></TBODY></TABLE>

Ministry of Health spokesperson Dr Reuben Mbewe has said he is optimistic that the countrywide measles awareness and immunization campaign will yield the targeted results.

Speaking in an interview with The Post Online, Dr Mbewe said although the actual figures of how many children had been immunized during the campaign which ran between July 19 and 24, there were signs of positivity.

?The campaign was a huge success looking at the good attendance that we received, our target was to immunize at least 95 per cent of children between nine months and four years and I think it went very well but the figures from other districts are still being compiled,? Dr Mbewe said...

Read more:
http://www.postzambia.com/post-read_article.php?articleId=12052
 
Re: Zambia: measles outbreak

Source: http://www.lusakatimes.com/?p=28331

Friday, August 6, 2010

Zambia: Measles claims 110 lives in Zambia

Ministry of Health spokesperson Kamoto Mbewe says the measles has so far claimed 110 lives from 6252 cases reported since the disease outbreak in the country.

Speaking in an interview with ZANIS in Lusaka today , Dr Mbewe revealed that Lusaka is the most hit district with 106 deaths recorded out of 4928 cases reported representing 78 percent .

Dr Mbewe said Lundazi district in Eastern Province was the most hit with 789 cases while three lives were lost due to the disease.

Kabwe in Central province recorded 30 cases with no death so far.

He further revea ed that Chibombo recoreded 132 cases with one death while Nyimba recoreded 58 cases, Katete 27and Chama 26 cases and that no death has been recorded in the three districts.

And Dr Mbewe explained that preliminary results indicates that all districts accross the country recorded a 90 percent measles immunisation programme stating that the outbreak is stabilising and has assured the people not to panic as the ministry is doing everything possible to arrest the problem...
 
Re: Zambia: measles outbreak

Source: http://allafrica.com/stories/201008110680.html

The Times of Zambia (Ndola)
Zambia: More Measles Cases Are Recorded
11 August 2010

MEASLES cases in Zambia have risen to 6,252 with Lusaka still recording the highest number of cases at 4,928.

And the Ministry of Health has said it recorded a 90 per cent success rate in the just-ended measles vaccination exercise.

Ministry spokesperson Kamoto Mbewe said in an interview in Lusaka that there had been a slight reduction in the number of deaths recorded.

"These figures are cumulative and they are as of August 2, 2010, so we have seen a slight reduction in the number of deaths recorded," he said.

Dr Mbewe said out of the 110 deaths recorded countrywide, Lusaka still topped with 106.

He said Lundazi recorded 789 cases, with three deaths, Chibombo 232 with one death. Kabwe had 30, Nyimba 58, and Katete 27, with no deaths recorded.

And commenting on the suspected outbreak of measles at Evelyn Hone College, Dr Mbewe said he was unable to confirm the outbreak, saying health experts were still carrying out laboratory investigations.

Dr Mbewe also said 90 per cent of children between the ages of six months and five years were captured during last month's countrywide child health week vaccination exercise.

He, however, said his ministry was still compiling statistics of the children who were vaccinated.
 
Re: Zambia: measles outbreak

Source: http://www.lusakatimes.com/?p=29213

Friday, September 3, 2010, 14:51
Zambia: Measles cases reduce

The Ministry of Health has disclosed that cases of measles in the country have been decreasing with cases now standing at 7,682 since the disease broke out nationwide. Measles first broke out in the country in April this year.

Ministry of Health Spokesperson Dr. Kamoto Mbewe said most of the cases had been recorded in Lusaka.

Dr. Mbewe further disclosed that Lusaka Province recorded the highest number of deaths resulting from measles as compared to other provinces.

He disclosed this to ZANIS in a telephone interview in Lusaka today and noted that measles cases across the country were going down and very few cases were being recorded. He attributed the reduction to the recently held child health week and measles campaign.

Dr Mbewe said in week leading to August 23, 2010, the ministry recorded four deaths in Lundazi, while Nyimba recorded two; Chibombo had 1, and Lusaka 121 deaths which brought the number to 128...
 
Re: Zambia: measles outbreak

Sunday, October 3, 2010, 19:14

Zambia: Measles breaks out at University of Zambia

Measles has broken out at the University of Zambia (UNZA) Great East Road Campus, ministry of health spokesperson Dr Reuben Kamoto Mbewe has said.

Dr Mbewe said two cases of the disease had been recorded, but assured students at the institution that the outbreak had been contained...

http://www.lusakatimes.com/2010/10/03/measles-breaks-university-zambia/
 
Re: Zambia: measles outbreak

The Post Newspapers Zambia

Measles breaks out in Solwezi

By David Chongo in Solwezi on Wednesday 13 October 2010, 15:50:00

MEASLES has broken out in Solwezi with more than 68 cases reported so far.

Solwezi District commissioner Frobisher Fulayi confirmed the epidemic which is mainly concentrated in densely populated areas of Kyawama and Zambia compounds, but was spreading fast.

?We have 40 cases of admissions at Solwezi General hospital and 28 at Urban clinic. We are badly hit. There is no death recorded so far, but the situation is getting out of hand; it?s intensifying. The most affected are babies aged nine months and below and those above five years,? he said.

Fulayi said the hospital and the clinic were not taking in any more cases as there was no more bed space available.

He, however, said his office was in the process of bringing in more beds
from Meheba refugee resettlement and Katandano Zambia National Service camp and further engaging the army for tents regarding over spilling cases at the two health institutions.

[...]

http://postzambia.com/post-print_article.php?articleId=14627
 
Re: Zambia: measles outbreak

Tuesday, October 26, 2010, 8:21 |
Zambia: Chief Kathumba of Katete warns subjects against shunning measles immunization

A Nurse immunising a child


Chief Kathumba of Katete district in Eastern province has warned people in his area against shunning immunization of measles being conducted by the ministry of health.

Chief Kathumba expressed sadness over some apostolic church members who are refusing to have their children immunized against measles saying the situation had led to 14 deaths in his area.

He was speaking in an interview with ZANIS in Katete.

He noted that such people retard development adding that they should voluntarily leave his area because they were also deterring efforts by government to protect children from communicable diseases to avoid premature deaths...

http://www.lusakatimes.com/2010/10/...rns-subjects-shunning-measles-immunization-2/
 
Re: Zambia: measles outbreak

Source: http://www.postzambia.com/post-read_article.php?articleId=15595

PS demands answers for measles cases
By Abigail Chaponda in Ndola
Sat 13 Nov. 2010, 03:59 CAT

COPPERBELT deputy permanent secretary Christopher Mutembo has demanded answers from the provincial health office on the many cases of measles recorded in the province.

Officiating at the provincial epidemic prevention, preparedness and response meeting held at the Savoy Hotel in Ndola yesterday, Mutembo said a total of 1,501 measles cases were reported, 35 cases confirmed and 16 deaths with a fatality rate of one per cent...
 
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