Janak S. Parmar (left), Multipurpose Health Worker and Nishant Mistry, Regional Child Survival Officer review the vaccine and logistics stock register at the Ahmedabad Corporation Central Medical Store. This store houses a walk-in temperature-controlled room for the storage of the measles vaccine between +2 to +8 C...It is estimated that 90,000 Indian children die from measles every year in India which accounts for 67% of all measles deaths worldwide. 1.63% of measles infections in India results in the death of a child. Death results from one of a number of complications including diarrhoea, respiratory infection and encephalitis. Deaths are more likely to occur in malnourished children living in unsanitary conditions. The measles vaccine is included as part of the Routine Immunisation (RI) offered by the Indian Government to all Indian children in their first year. But RI fails to capture all children. In 14 of India's states, including Gujarat and Bihar, more than 20% of infants are not vaccinated against measles...In response, the Indian Government, with cooperation from several outside agencies including UNICEF and the WHO, has embarked on a program of Supplementary Immunisation Activity (SIA) in these fourteen states. Surveys record all children aged 9 months to 10 years. These children are invited by the Government to be vaccinated during a 3-4 week-long SIA. Vaccinations are administered in fixed locations including schools, Anganwadi (pre-school) centres and Public Health Centres. Mobile units are also deployed to reach children from migrant families. ..A communication effort has been undertaken to reinforce the importance of protecting children against measles. By June 2013, all children aged 9 months to 10 years in the 14 states will be vaccinated against measles. The ongoing RI will then sustain the efficacy of measles vaccination coverage. ..Photo: Tom Pietrasik.Ahmedabad, Gujarat. India.October 17th 2012