GENEVA: Measles infections soared by a fifth last year to over 10 million cases globally, revealing alarming gaps in vaccine coverage, a study showed Thursday.
Worldwide, there were an estimated 10.3 million measles cases in 2023, according to a joint publication by the World Health Organization and the US Centers for Disease Control and Prevention (CDC).
That marked a 20-percent increase from 2022, the study showed, saying that “inadequate immunization coverage globally is driving the surge in cases.”
Measles is one of the world’s most infectious diseases. At least 95-percent coverage with two doses of the measles/rubella vaccine is needed to prevent outbreaks.
But in 2023, only 83 percent of children worldwide received their first dose of the measles vaccine through routine health services — the same level as in 2022 but down from 86 percent before the pandemic.
Only 74 percent received their second dose last year, the study showed.
“Measles vaccine has saved more lives than any other vaccine in the past 50 years,” WHO chief Tedros Adhanom Ghebreyesus said in a joint statement.
“To save even more lives and stop this deadly virus from harming the most vulnerable, we must invest in immunization for every person, no matter where they live.”
CDC director Mandy Cohen said: “The measles vaccine is our best protection against the virus, and we must continue to invest in efforts to increase access.”
As a result of global gaps in vaccination coverage, 57 countries experienced large and disruptive measles outbreaks in 2023, up from 36 countries a year earlier, the study showed.
All regions except the Americas were impacted, it said, with nearly half of all large and disruptive outbreaks occurring in the African region.
The virus that can cause a rash, fever and flu-like symptoms but also particularly severe complications in young children is estimated to have killed 107,500 people in 2023, most of them under the age of five.
This marks an eight-percent decrease from the previous year.
The agencies explained that the decline was mainly due to the fact that the surge in cases occurred in countries and regions where children with measles were less likely to die, due to better nutritional status and access to health services.
“Far too many children are still dying from this preventable disease,” they said.
The agencies cautioned that a global target of eliminating measles as an endemic threat by 2030 was “under threat.”
By the end of last year, 82 countries had achieved or maintained measles elimination.
After Brazil this week reverified having eliminated measles, WHO’s Americas region is once again considered free of endemic measles.
All regions, with the exception of Africa, meanwhile count at least one country that has eliminated the disease.
The agencies called for urgent and targeted efforts to ensure all children are reached with two vaccine doses, especially in the African and Eastern Mediterranean regions and in fragile and conflict-affected areas.
“This requires achieving and maintaining high-performing routine immunization programs and delivering high-quality, high-coverage campaigns when those programs are not yet sufficient to protect every child,” they said.

GENEVA: Russia is open to negotiations on an end to the Ukraine war if initiated by US President-elect Donald Trump, but any talks need to be based on the realities of Russian advances, Moscow’s ambassador to the UN in Geneva told reporters on Thursday.
Trump has repeatedly criticized the scale of Western aid to Kyiv and has promised to end the conflict swiftly, without explaining how. His victory in the Nov. 5 presidential election has spurred concerns in Kyiv and other European capitals about the degree of future US commitment to helping Ukraine.
“Trump promised to settle the Ukrainian crisis overnight. OK, let him try. But we are realistic people of course we understand that this will never happen,” said Gennady Gatilov, Russia’s ambassador to the United Nations in Geneva.
“But if he starts or suggests something to start the political process, it’s welcome.”
He added that any such negotiations needed to be based on what he called the “realities on the ground,” describing Ukraine as being on the back foot in the more-than-two-year conflict. Russian forces are advancing at the fastest pace in at least a year in Ukraine and now control about one-fifth of the country.
Ukrainian President Volodymyr Zelensky has repeatedly said peace cannot be established until all Russian forces are expelled and all territory captured by Moscow, including Crimea, is returned. The “victory plan” he outlined last month maintained that provision, as well as an invitation for Ukraine to join NATO, long denounced by Russia.
Zelensky told European leaders in Budapest last week that concessions to Russia would be “unacceptable for Ukraine and suicidal for all Europe.”
Russia’s invasion of Ukraine in 2022 triggered the biggest confrontation between Moscow and the West since the depths of the Cold War, with President Joe Biden driving efforts to isolate Russia.
Gatilov indicated Trump’s election represented a new possibility for dialogue with the United States, but was doubtful about a broader reset of relations, echoing earlier caution voiced by the Kremlin.
“The US political elite regardless of domestic political shifts, (Washington) consistently pursues a stance of containing Moscow and this orientation is deeply-rooted unfortunately and the change of administration does little to alter it,” he said.
“The only shift (that) might be possible is dialogue between our countries, something that has been lacking during the last several years,” he added.