Switzerland eliminates measles. National Strategy for the Elimination of Measles 2011 -2015

摘要

The measles virus circulates within Switzerland in an endemic way leading to sporadic outbreaks. The most recent outbreak occurred in 2011. It lasted 9 months and had 687 reported cases. This is in contrast to 2012 when there were 66 cases,corresponding to an incidence of 8 cases per million inhabitants. During 2008-2010, the average national vaccination coverage for one or two doses of measles vaccine amounted to 92 and 83% for 2-year-olds, 95 and 85% for 8-year-olds, and 95 and 85% for 16-year-olds, respectively.To improve the national vaccination coverage, the Federal Council adopted the National Strategy for the Elimination of Measles 2011 -2015 in 2011. The strategy was drawn up in a participative process led by the Federal Office for Public Health.The cantons as key partners were represented by the Conference of the Cantonal Directors for Public Health and the Association of Cantonal Health Officers. The strategy pursues the vision of eliminating measles in Switzerland in order to protect the population against measles and itscomplications, including all persons who may not be vaccinated for medical reasons. The strategy comprises-six axes of intervention^ )political engagement and support by all stakeholders, (2)a tar-geted>95% two-dose vaccination coverage for all 2-year-olds, (3)easier access and incentives for the booster vaccination for everyone in the 2-year-old age groupup to those born in 1964, (4)communication and promotion, (5)uniform national outbreak control, and (6) targeted surveillance.