Image 29 of 30
SC October 2012
Measles Gujarat A116 H99A9205.CR2.jpg
With the assistance of colleagues, a vaccinator working from a mobile unit in the Nava Naroda neighbourhood of Ahmedabad, administers the measles vaccine as part of SIA (Supplementary Immunisation Activity)...A vaccination team administered the measles vaccinations to the children of migrant workers from Gujarat's Dahod district currently employed in state capital Ahmedabad. The mobile unit is dispatched to reach migrant communities. Such communities are often very poor and vulnerable to ill-health. Their migrant status also makes them particularly susceptible to missing public-health activities including the administering of vaccines. ..This mobile unit successfully vaccinated 77 children on 14 sites across the Nava Naroda neighbourhood of Ahmedabad. Two vaccination teams worked in the van, each consisting of one vaccinator and three link workers together with a supervisor to oversee the activity of both teams. In addition, the mobile van is operated by a driver and two multipurpose health workers. ..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. Thes