Twenty Vadol village primary school students are driven from school in a health-department vehicle to the Vadol Sub-Health Centre to be vaccinated against measles. ..Earlier vaccination clinics at Vadol primary school and the village Sub-Health Centre saw 190 children vaccinated against measles. Some children were absent from school on the day the vaccination team visited so a subsequent clinic in the village Sub-Health Centre was established to complete the vaccination of the remaining 25 children in Vadol village. The task was completed successfully. Most families in Vadol village own very little land and must lease or work other peoples land to make a living. ..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 th