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The sudden drop in vaccination coverage in communities which had traditionally maintained high coverage brings about the risk of disease outbreaks because as new cohorts of unimmunized children accumulate, pockets of susceptible build-up.
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C10H8 is found to maintain high coverage across the whole potential range, independent of the mass transfer rates.
Thus, developing and least developed countries continue to struggle to attain and maintain high coverage levels.
The challenge before us now is to maintain high coverage in Zambia through a strengthened routine immunization programme".
Maintaining high coverage will be a challenge when populations move from IDP camps and without external funding.
Maintaining high coverage through routine immunization can minimize the number of susceptibles, and consequently avoid periodic epidemics.
It is a cost effective model for other countries that are struggling to achieve and maintain high coverage of vitamin A supplementation and polio vaccination.
Interestingly, Table 6 also reveals that the NIB coverage breaks down (with coverage only 85.9%) when ICC b ≤ 0.23, while the GCI maintains high coverage (with coverage 99.2%) in this setting.
This objective has already been achieved in some States through routine immunization programmes which maintain high coverage using a two-dose measles-mumps-rubella (MMR) vaccine schedule [ 3].
The potential importance of a population-based approach and programme monitoring and coordination to achieving and maintaining high coverage should not be overlooked.
The WHO strategy to reduce measles mortality includes maintaining high coverage of routine measles immunization and ensuring all children receive a second dose (2).
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