An Anganwadi worker (scratching cheek) and a Community Link Worker (in blue) record measles vaccinations in a log-book at the Meera Slum Quarters Anganwadi (pre-school) centre in Mani Nagar, Ahmendabed. Two other Anganwadi workers (also in pink) look on. ..The measles vaccination clinic at the Meera Slum Quarters Anganwadi (pre-school) centre in Mani Nagar, Ahmendabed was part of the SIA (Supplementary Immunisation Activity) that ran for 3 weeks from October 15th. Children over the age of 5 years were vaccinated in school so vaccination teams at the Anganwadi centre concentrated their efforts of those children aged 9 months to 5 years, all of whom were accompanied by a parent with an invitation card distributed by a Community Link Worker. ..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