Battling measles: Shifting strategies to meet emerging challenges and inequities

Abstract

Background

Measles outbreaks remain a significant global health challenge, particularly in low-resource settings, despite the availability of safe and effective vaccines. The resurgence of measles underscores the critical need to address underlying health inequities that hinder vaccination coverage, such as political instability, growing distrust of all vaccines, economic collapse, and weak healthcare systems. Vulnerable populations, including unvaccinated children and pregnant individuals, are at heightened risk for severe complications, especially in regions with limited access to healthcare and vaccination services. The persistent disparities in vaccine uptake, driven by social determinants of health like ethnicity, socioeconomic status, and geographic location, exacerbate these risks. This emphasizes the need for equitable vaccination strategies that ensure access to life-saving immunizations for all, particularly those in hard-to-reach areas.

Approaches and future strategies

Targeted approaches, such as Supplemental Immunization Activities (SIAs) and the use of innovative vaccine delivery technologies, like Microarray Patches (MAPs), show promise in reducing access barriers. Additionally, policies rooted in inclusivity that foster community engagement, health literacy, and infrastructure development are essential for increasing measles vaccination rates.

Conclusion

Achieving global measles control requires a commitment to a multifaceted strategy that combines equitable policy, innovative technologies, and strengthened healthcare systems to ensure no one is left behind in the fight against measles.