×

News publications and other organizations are encouraged to reuse Direct Relief-published content for free under a Creative Commons License (Attribution-Non-Commercial-No Derivatives 4.0 International), given the republisher complies with the requirements identified below.

When republishing:

  • Include a byline with the reporter’s name and Direct Relief in the following format: "Author Name, Direct Relief." If attribution in that format is not possible, include the following language at the top of the story: "This story was originally published by Direct Relief."
  • If publishing online, please link to the original URL of the story.
  • Maintain any tagline at the bottom of the story.
  • With Direct Relief's permission, news publications can make changes such as localizing the content for a particular area, using a different headline, or shortening story text. To confirm edits are acceptable, please check with Direct Relief by clicking this link.
  • If new content is added to the original story — for example, a comment from a local official — a note with language to the effect of the following must be included: "Additional reporting by [reporter and organization]."
  • If republished stories are shared on social media, Direct Relief appreciates being tagged in the posts:
    • Twitter (@DirectRelief)
    • Facebook (@DirectRelief)
    • Instagram (@DirectRelief)

Republishing Images:

Unless stated otherwise, images shot by Direct Relief may be republished for non-commercial purposes with proper attribution, given the republisher complies with the requirements identified below.

  • Maintain correct caption information.
  • Credit the photographer and Direct Relief in the caption. For example: "First and Last Name / Direct Relief."
  • Do not digitally alter images.

Direct Relief often contracts with freelance photographers who usually, but not always, allow their work to be published by Direct Relief’s media partners. Contact Direct Relief for permission to use images in which Direct Relief is not credited in the caption by clicking here.

Other Requirements:

  • Do not state or imply that donations to any third-party organization support Direct Relief's work.
  • Republishers may not sell Direct Relief's content.
  • Direct Relief's work is prohibited from populating web pages designed to improve rankings on search engines or solely to gain revenue from network-based advertisements.
  • Advance permission is required to translate Direct Relief's stories into a language different from the original language of publication. To inquire, contact us here.
  • If Direct Relief requests a change to or removal of republished Direct Relief content from a site or on-air, the republisher must comply.

For any additional questions about republishing Direct Relief content, please email the team here.

Aiding the Fight Against Measles in Madagascar

With more than 1,100 reported deaths on the island since last fall, vaccination efforts are underway to prevent further spread of the disease.

News

Madagascar

A young patient is vaccinated as part of a measles vaccination campaign in Madagascar's Ifanadiana District. In partnership with the Ministry of Health, local organization, Pivot, helped launch the campaign to immunize 65,000 children to protect them amid the ongoing measles outbreak. (Photo courtesy of Pivot)
By Kayla McCarthy

An outbreak of measles has infected nearly 87,000 people across Madagascar since last October, and the country’s health sector is working to stem the spread of the disease.

Measles is one of the most contagious viral diseases known, and can result in serious complications, such as pneumonia, encephalitis, and blindness. In severe cases, it can also be fatal, particularly in young children.

Since October, the disease has already claimed the lives of 1,141 individuals, and 70 percent of the deaths are of children, 14 and under. Madagascar’s Ministry of Public Health and its civil society partners have launched an aggressive vaccination campaign across the country in hopes of slowing the spread of the disease.

This is an alarming situation,” said Dr. Ali Ouenzar, National Director of PIVOT, a prominent health sector NGO and Direct Relief partner on the front lines of the epidemic. Preventive measures must be accelerated to prevent the spread of the disease, he said. The group just completed a vaccination campaign effort that reached 65,000 children, ages 6 months to 9 years, in the district of Ifanadiana.

The weather may complicate continued vaccination efforts this week, as a hurricane-force storm system from Cyclone Idai is expected to bringing flooding and high winds to many places in Madagascar already suffering from the measles outbreak.

While progress on measles vaccination has been made, funding gaps remain a serious concern for the campaign effort — as does the lack of adequate medicine and supplies for healthcare facilities to properly treat the rising number of cases.

Resurgence of Measles as a Global Threat

Prior to the introduction of the measles vaccine in 1963, measles caused an estimated 2.6 million deaths globally each year.  Through an extended global vaccination effort since the introduction of the vaccine, the number of cases of measles, and therefore deaths due to complications from measles, has drastically declined over the last half-century.

However, the reality is that measles remains a deadly threat.

WHO reports that 110,000 deaths occurred due to measles infection in 2017. Measles infections in 2018 have doubled globally since 2017, with extended outbreaks occurring across regions and in countries that had previously achieved measles elimination. Those numbers are difficult to come to terms with given that the disease is 100 percent preventable and had been eliminated until recently from many parts of the world.

Data from the World Health Organization shows the amount of cases being recorded since the outbreak.

Patterns of immunization coverage may be one reason for the recent spike in cases and deaths. Madagascar’s health sector, like many of the poorest countries, has struggled in recent years to meet widely accepted vaccination targets. Estimated measles immunization coverage in Madagascar prior to the outbreak was only at 58 percent, far below the 95 percent needed to protect against an epidemic.

Further complicating the outbreak in Madagascar, the country has the highest proportion of malnutrition among children under the age of five in the African region, leaving roughly half of the country’s children especially vulnerable to the disease.

Supporting Local Partners on the Front Lines of the Outbreak

In response to an urgent request from PIVOT Works and the Ministry of Public Health of Madagascar, Direct Relief is equipping health centers and hospitals in the region of Vatovavy-Fitovinany with essential medicines and supplies needed to treat both pediatric and adult measles cases. Included in this request is Vitamin A, which studies have shown to reduce morbidity and mortality in measles, and is a recommended treatment for all children with severe measles, whether or not they are thought to have a nutritional deficiency.

Direct Relief has been supporting maternal and child health in Madagascar since 2013 through the United Nations Population Fund, Freedom from Fistula Foundation, and the Sarobidy Maternity Center.

In 2017, the country experienced an alarming pneumonic plague epidemic, which Direct Relief responded to by providing the Ministry of Public Health with personal protective equipment and medicine supplies to support plague treatment centers and maternity centers.

Filed Under: , , , ,

Giving is Good Medicine

You don't have to donate. That's why it's so extraordinary if you do.