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In the field of childhood primary vaccination, implementation of measles vaccination confirmed that the new recommendation is a long learning.
Globally, after many years of implementation of measles vaccination, the number of deaths due to measles fell by 78 per cent between 2000 and 2008.
However, despite the existence of national recommendations, responsibility for implementation of measles vaccination activities lies within each of Italy's 21 regions.
Information on additional serologic tests and extra vaccinations among health care workers in hospitals were obtained from a study on the implementation of measles guidelines for hospitals (Technical Appendix).
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The surveillance system was strengthened through reinforcement of the case definition and data collection, retrospective review of health registers and implementation of measles-specific registers.
9 Low achievement for this indicator is attributed to a delay in the implementation of the measles immunization campaign, which was expected to start in October and will be now rolled out in 2016.
UNICEF is also the lead agency for the implementation of measles campaigns and for social mobilization along with the American Red Cross.
"Together with other volunteer groups in the country such as CORE and the Rotary, the Red Cross is part of a key network of activists that in collaboration with WHO and UNICEF throughout the past years, has made possible the implementation of major polio and measles vaccination campaigns," said Pirlot.
This remarkable progress was related to an increase of measles vaccine coverage [ 1] and the implementation of supplementary immunization activities (SIAs).
The African Region of the World Health Organization (WHO) has attained 92 per cent reduction in measles mortality between 2000 and 2008 through the implementation of these strategies, with the support from the Measles Initiative.
The current wave of measles outbreaks comes as a result of gaps in the implementation of the control strategies.
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