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Level of immunisation of poultry was low (5.9%) without differences within the zones (Table 2).
15 18 In conclusion, even with the limitation of a low level of immunisation, no risk associated with the A-H1N1 vaccine used in Italy was described.
Data collected by mobile parenting education teams indicate a particularly low level of immunisation coverage among Romany children: Oral Polio Vaccine (OPV3) 29%, Measles, Mumps and Rubella (MMR) 47%, Diphtheria, Tetanus and Whooping cough (DTP3) 30%.
31 The government of Uganda has developed a comprehensive plan to achieve and sustain a high level of immunisation in the country, with a specific focus on underperforming districts and subdistricts, through the Reach Every District (RED) strategy.
Note that classification values for the indicator differ between the maps, since the range and average level of immunisation varied considerably between the districts and these maps were intended primarily for internal district use.
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If there are high levels of immunisation in the locality, this is unlikely to happen.
"Measles is a very infectious virus, so you're relying on maintaining very high levels of immunisation within the population to stop it circulating," says Dr Matthew Snape, a paediatrician and vaccines expert at Oxford university hospitals NHS trust.
Measles did not play any major part in the observed mortality rates, probably due to relatively good levels of immunisation.
Concerns arise in the following areas: rising rates of maternal mortality, little or no improvement in infant mortality, high rates of waste, and low levels of immunisation and birth registrations.
Such effects can be incorporated into the optimisation process, by placing very high levels of immunisation out of reach – but the precise bounds would be pathogen and scenario dependent.
Ghana also needs to safeguard its polio-free status by maintaining a high level of polio immunisation coverage.
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