Global Alert and Response (GAR)

WHO guidelines for epidemic preparedness and response to measles outbreaks

WHO/CDS/CSR/ISR/99/1

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WHO Guidelines for Epidemic Preparedness and Response to Measles Outbreaks. Geneva, Switzerland, May 1999

Part One: The Organism and the Disease
1.1 The Nature and Magnitude of the Problem
1.2 The Organism
1.3 The Disease (Pathogenesis and Clinical Problems)
1.4 Transmission and Immunity
Part Two: Prevention and Control
2.1 Phases of Measles Control
2.2 Measles Control phase
2.3 Outbreak Prevention Phase
2.4 Measles Elimination Phase
Part Three: Epidemic Control
3.1 Management
3.2 Detection
3.3 Confirmation
3.4 Response

3.4.1 Planning a response

3.4.2 Definition and agreement on response

3.4.3 Management of response

3.4.4 Public information

3.4.5 Predicting further outbreaks

3.4.6 Post-outbreak activities

Annex 1: Case Definitions for Measles
Annex 2: Case Management, Complications and Vitamin A
Annex 3: Measles Vaccine Suppliers to United Nations Agencies
Annex 4: Strategies for the Prevention of Outbreaks
Annex 5: Measles Elimination Strategies
Annex 6: Surveillance and Outbreak Thresholds
Annex 7A: Suspected Measles Case Investigation Form
Annex 7B: Measles Line Listing Form (suspected cases)
Annex 8: Laboratory Diagnostic Methods
Annex 9: Data Analysis and Epidemiological Calculations
Annex 10: Epidemic Response Teams - roles and responsibilities
Annex 11: Prediction of Severe Disease during Outbreaks
Annex 12: Causes of Measles Outbreaks
Annex 13: Supplementary Immunization Activities
Annex 14: Measles in Emergency Situations
Annex 15: Safety of Injections
Annex 16: Reference Addresses and Contacts
Annex 17: References and Further Reading

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