"

The National Council of State Boards of Nursing, Inc. The challenge is for the rest of the world to catch up.

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The Technical Advisory Group will
consider whether 2012 is a feasible date for the Region to achieve measles
elimination.
-- After recovery there is life-long immunity.

Spread of measles
-- Measles only affects humans.
-- Current status of measles control in the Western Pacific Region.
-- Cambodia was the last country in the Region to add measles vaccine to
its programme -- in 1986. Therefore, data on measles that is only
based on reported cases is unreliable.

For more information, please contact:

Dr Yang Baoping,
Regional Adviser in the Expanded Programme on Immunization
Tel: +63-2-528-9747
Email: yangb@wpro.

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Donna
Dorsey, NCSBN President and Executive Director of the Maryland Board of
Nursing, presided at the meeting. About 30,000 children die each year from measles
in the Region, nearly all of them in five countries: Cambodia, China, the Lao
People 's Democratic Republic, Papua New Guinea and the Philippines. Measles elimination makes it essential for health services to
reach, and keep reaching, every community.
-- Infection with the vaccine virus generates life-long immunity without
causing the illness or complications of natural measles.
-- Two doses will protect about 99%.

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org) met August 2-5 in Washington, D.

Donna Dorsey, NCSBN President and Executive Director of the Maryland Board
of Nursing, thanked the participants for a successful meeting and commented
that the Board of Directors looks forward to working with member boards and
external groups throughout the year on these and other matters of mutual
concern .

National Council of State Boards of Nursing, Inc. "Sustained political commitment and
sufficient funding are crucial to achieve measles elimination," said Dr Omi.
-- Spread is from person-to -person by direct contact or through airborne
spread.
-- Every country in the world uses measles vaccine in their immunization
programme.

guinea mariana

Routine immunization services are a fundamental public health requirement.who.

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Measles Elimination in the Western Pacific Region

BEIJING and MANILA, Philippines, June 6 /Xinhua-PRNewswire/ -- Measles:
normal childhood illness or killer disease? Actually, it is both but it could
soon be neither.
''We want to eliminate measles as soon as possible,'' said Dr Shigeru Omi,
WHO Regional Director for the Western Pacific , ''but we have to realize that
progress across the Region varies and some countries are further advanced than
others. "The children who die from measles are generally the most
disadvantaged children in the Region.
-- Symptoms usually start 10-12 days after infection.

Measles vaccine safety
-- Causes a mild measles-like illness (rash and fever) in about 5%
-- More serious reactions are rare and do not usually cause long-term
problems.

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newscom.
"It is unacceptable that children are dying from measles, a disease that
can be easily prevented by an effective, safe and inexpensive vaccine," said
Dr Omi.
-- Measles remains relatively common in several countries:
-- Cambodia -- Lao People's Democratic Republic
-- China -- Papua New Guinea
-- Japan -- Philippines

Burden of measles in the Western Pacific Region
-- Measles cases and deaths are under-reported, especially in the areas
with the highest burden.

Achieving measles elimination requires:
-- Political commitment
-- Financial commitment
-- Technical capacity

Measles elimination, child survival, and health systems
-- Most measles deaths in the Region occur in disadvantaged populations
where regular health services are not available for various reasons,
such as cultural and geographical barriers.int

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We recognize that the
challenges that arise from the implementation of these important new
programs and models will be numerous and continually evolving but know that
this groundbreaking work of ensuring public protection through regulatory
vigilance is vital.com/cgi-bin/prnh/20040610/CNTH001LOGO )
That is the key question to be debated by immunization experts at a WHO
meeting in Beijing from 8 to 10 June .
It also leaves at least as many with life-long disabilities like blindness,
deafness and brain damage.

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Highlights of some of the significant actions approved by the member boards
of nursing included:


-- Election of new Area Directors and Directors-at-Large to the Board of
Directors. "Our delegate assembly this year addressed some of the most
critical issues facing nursing regulation today. This means that health services need to reach every community,
especially the most disadvantaged that are at highest risk of disease and its
consequences.
-- The initial symptoms are fever, cough, conjunctivitis, and runny nose.
-- The characteristic rash (raised red blotches) usually appears 14 days
after infection; it spreads from the head to the trunk and then the
limbs over 3 to 4 days.
-- Measles control continues to improve with more countries and areas
achieving very low levels of measles circulation; some have already
achieved elimination.

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Mission: The National Council of State Boards of Nursing (NCSBN ), composed
of Member Boards, provides leadership to advance regulatory excellence for
public protection .
-- Elimination means that measles virus is no longer circulating and that
following any importation any further spread is very limited.
-- Measles has already been eliminated from a significant number of
countries.

finder federated

(NCSBN) is a
not-for-profit organization whose membership comprises the boards of
nursing in the 50 states, the District of Columbia, and five United States
territories -- American Samoa, Guam, Northern Mariana Islands, Puerto Rico
and the Virgin Islands .
-- May cause encephalitis in less than 1 per million doses - not certain.
-- Provide laboratory support so that laboratory testing is available to
confirm diagnosis.

pan guam

"
Because measles is one of the most infectious viruses, practically every
child needs to be immunized with two doses of measles vaccine to stop its
spread.
-- About 1 in every 5-10 cases develops ear infections (otitis media),
diarrhoea, or pneumonia.
-- On average, one case infects 15-20 other cases in a population with no
immunity.
-- Live virus vaccine: attenuated (weakened) form of the natural ('wild')
measles virus.

Measles vaccine efficacy
-- A single dose of vaccine, given in ideal conditions, protects about
85% of children if given at the age of 9 months; about 90% at the age
of 12 months.

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-- Adoption of the Model Act and Rules For Delegation and Nursing Assistant
Regulatory Model for use by member boards.
111 E.

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-- Adoption of the Model Process for Criminal Background Checks and the
supporting Concept Paper Using Criminal Background Checks to Inform
Licensure Decision Making for use by member boards.

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The National Council of State Boards of Nursing
(NCSBN) (www.ncsbn . Wacker Drive, Suite 2900
Chicago, IL 60601-4277

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PRESS RELEASE Nurse Regulators Meet for 2005 NCSBN Annual Meeting

C. Mobilizing sufficient political and financial support to achieve
the elimination goal will be a key consideration.
But geographical, cultural, and other barriers leave many communities
underserved.
-- Mortality rates can be as high as 2-15% in developing countries .
-- About 1 per 1000 cases gets brain inflammation (encephalitis).
-- A second dose of vaccine is recommended for all children to protect
those who were not protected by the first.
-- The high coverage requirement for measles elimination, and the need to
achieve that high coverage routinely for every birth cohort is
challenging.

pacific guam

"

* The 37 countries and areas comprising the WHO Western Pacific Region
are: American Samoa, Australia, Brunei Darussalam, Cambodia, China, Cook
Islands, Fiji, French Polynesia, Guam, Hong Kong (China), Japan,
Kiribati, the Lao People's Democratic Republic, Macao (China), Malaysia ,
the Marshall Islands, the Federated States of Micronesia, Mongolia,
Nauru, New Caledonia , New Zealand, Niue, the Commonwealth of the
Northern Mariana Islands, Palau, Papua New Guinea , the Philippines, the
Pitcairn Islands, the Republic of Korea, Samoa, Singapore, Solomon
Islands, Tokelau, Tonga, Tuvalu, Vanuatu, Viet Nam, and Wallis and
Futuna.
-- Vaccine efficacy is reduced if the vaccine is damaged by heat or
light.

Measles elimination strategy
-- Ensure that 95% of children get two doses of measles vaccine.
-- As well as the indirect benefits, measles elimination will be of
greatest benefit to disadvantaged populations as they are the ones
that have the greatest disease burden.

samoa vanuatu

, to consider
pertinent association business with its member boards of nursing.
-- Before immunization began in 1963, about 99% of children would get
measles in childhood.
-- A 2003 estimate was of about 30 000 deaths and one million cases per
year in the Region; whereas only about 100,000 cases were reported
(deaths were not reported).
-- This means that once elimination is achieved, it must be maintained by
keeping practically every person immune to measles .
-- Addressing that challenge, and providing regular immunization services
for the disadvantaged population can provide the foundation for
delivering other life-saving interventions and building regular health
services.

conjunction zines

-- Adoption of the Position Paper Nursing Education Clinical Instruction In
Prelicensure Nursing Programs for use by member boards. Measles has already been eliminated in the WHO Region of the
Americas.

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A group of experts forming the Task Force on measles elimination
identified 2012 as a realistic target date for the Region to achieve
elimination .
"We think that a target date of 2012 will help to mobilize these.

Complications of measles
-- The risk of developing complications varies, being much higher in
developing countries , especially in under-nourished cases.
-- It is one of the most infectious viruses.

caledonia pan

''
Despite a 95% reduction in measles deaths in the Region since the pre-
vaccine era, measles remains a leading cau se of death among young children.

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Reaching and protecting these children
is not just a disease control issue; it is also about fairness and justice.

Measles vaccine
-- Available since 1963.

This category contains links to countries within Oceania that have news and media sites.

journalism pacific

Background Information on Measles

What is measles?
-- Measles is caused by a virus (Paromyxovirus family).

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-- Adoption of the Delegation Position Paper Working with Others:
Delegation and Other Health Care Interfaces for use by member boards.

-- Resolution that NCSBN generate and publish an unambiguous public
position statement indicating that nursing regulation and the
interpretation of nursing scopes of practice shall be officially
interpreted and explained by state nursing regulators.
Can the Western Pacific Region* eliminate measles within the next seven
years?
(Logo: http://www.
But measles elimination has to compete for attention and funding with many
other development issues in the Region. Those
cases that do not die are often left with permanent brain damage.

Measles elimination
-- Elimination does not mean zero cases -- because importations and some
spread from these are inevitable. Measles elimination is an
issue of justice and fairness.

guam finder

In so doing, other health
interventions can also be delivered to the community, including other life-
saving vaccines.
-- Improve surveillance to detect all suspected cases of measles .

pacifica journalism

---

- - kjjkjk

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