from Section 2 - Mother and Child Health
Published online by Cambridge University Press: 18 June 2025
The global measles problem is worst in sub-Saharan Africa where the incidence and mortality are highest, and vaccine coverage is lowest. Reported measles cases fell from 520,102 in 2000 to 36,269 in 2016, but there was a steep increase in cases to 618,595 in 2019 (Patel et al. 2020). In 2019–2020, the world’s largest single-nation measles outbreak occurred in the Democratic Republic of the Congo with more than 6,000 deaths and 310,000 suspected cases. The recent increase in the incidence of and mortality from measles in Africa is connected to concurrent disease outbreaks and recurrent conflicts that have disrupted many vaccination programmes.
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