According to a new report released by the WHO and CDC last week, global measles cases surged to an estimated 10.3 million in 2023, a 20% increase from 2022, driven by inadequate immunization coverage.
The report - Progress Toward Measles Elimination Worldwide, 2000–2023 - found that despite only two vaccine doses being required to prevent measles, over 22 million children missed their first dose, and only 74% received the second dose. This falls short of the 95% coverage needed to prevent outbreaks.
The rise in cases led to large or disruptive outbreaks in 57 countries, mainly in Africa, Eastern Mediterranean, and South-East Asia, with nearly half occurring in Africa.
Although measles deaths decreased by 8% to 107,500, primarily due to better healthcare access in some regions, the majority of fatalities were children under 5 years old. Survivors often face severe complications like blindness, pneumonia, and encephalitis.
The measles elimination goal under the Immunization Agenda 2030 is at risk, with only 82 countries achieving or maintaining elimination. Brazil's re-verification highlighted success in the Americas, the only region without major outbreaks.
WHO urges urgent action to improve routine immunization, particularly in vulnerable and conflict-affected areas.
Strengthening disease surveillance, including through the Global Measles Rubella Laboratory Network, is critical for detecting and responding swiftly to outbreaks.
This coordinated effort is essential to protect children and curb the rising global threat of measles.