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Objectives: Measles continues to pose a serious threat to global public health, fueled by declining vaccination rates, international travel, and persistent immunization gaps. Early outbreak detection and response remain hampered by fragmented surveillance systems, which often lack interoperability and limit data accessibility.
Materials And Methods: To address the major limitations of current measles surveillance systems-including data fragmentation and lack of standardization-we developed Measles Tracker, an integrated near-real-time data hub that centralizes and harmonizes measles surveillance data in the United States using publicly available sources. The system aggregates data from multiple layers, including: (1) official reports from public health agencies, (2) epidemiological surveillance bulletins, and (3) outbreak reports, mainly captured through news websites or via news aggregators. The platform architecture implements (1) geospatial normalization of key epidemiological variables (case counts, vaccination coverage, age-stratified incidence) and (2) dynamic visualization interfaces to support coordination of evidence-based response.
Results: Measles Tracker enhances situational awareness by integrating disparate data streams in near real-time, enabling rapid geospatial detection of outbreak clusters, mapping vaccination gaps, and supporting dynamic risk stratification of vulnerable populations. It is intended exclusively as a complementary tool to official public health systems, providing educational and situational awareness without interfering with contact tracing, vaccination, or outbreak control activities.
Conclusions: As a centralized, scalable tool, Measles Tracker advances measles surveillance by leveraging digital epidemiology principles. Future iterations will incorporate additional data streams (eg, climate variables, genomic surveillance) and advanced analytics (eg, machine learning for risk prediction, network models for transmission dynamics) to further optimize outbreak preparedness and resource allocation. This framework underscores the transformative potential of integrated data systems in global measles elimination efforts.
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http://dx.doi.org/10.1093/jamiaopen/ooaf062 | DOI Listing |
JAMIA Open
June 2025
Department of Biomedical Sciences, University of Sassari, Sassari, 07100 , Italy.
Objectives: Measles continues to pose a serious threat to global public health, fueled by declining vaccination rates, international travel, and persistent immunization gaps. Early outbreak detection and response remain hampered by fragmented surveillance systems, which often lack interoperability and limit data accessibility.
Materials And Methods: To address the major limitations of current measles surveillance systems-including data fragmentation and lack of standardization-we developed Measles Tracker, an integrated near-real-time data hub that centralizes and harmonizes measles surveillance data in the United States using publicly available sources.
Arch Public Health
April 2025
Global Health Cluster, Division for Health Services, Norwegian Institute of Public Health, Oslo, Norway.
Background: Documentation and reporting of routine data by health workers is the backbone of the childhood immunization program. Immunization data from health management information systems (HMIS) in low-and middle-income countries (LMICs) are often incomplete and unreliable. In Rwanda, the immunization e-Tracker, an individual-level health management information system (HMIS) built on DHIS2 open-source software, has been implemented and scaled nationwide since 2019.
View Article and Find Full Text PDFInt J Infect Dis
June 2022
World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland.
Background: The COVID-19 pandemic has contributed to the widespread disruption of immunization services, including the postponement of mass vaccination campaigns.
Methods: In May 2020, the World Health Organization and partners started monitoring COVID-19-related disruptions to mass vaccination campaigns against cholera, measles, meningitis A, polio, tetanus-diphtheria, typhoid, and yellow fever through the Immunization Repository Campaign Delay Tracker. The authors reviewed the number and target population of reported preventive and outbreak response vaccination campaigns scheduled, postponed, canceled, and reinstated at 4 time points: May 2020, December 2020, May 2021, and December 2021.
BMC Public Health
July 2020
IRD Global, 15 Beach Road #02-01, Singapore, 189677, Singapore.
Background: Inability to track children's vaccination history coupled with parents' lack of awareness of vaccination due dates compounds the problem of low immunization coverage and timeliness in developing countries. We evaluated the impact of two types of silicone immunization reminder bracelets for children in improving immunization coverage and timeliness of Pentavalent-3 and the Measles-1 vaccines.
Methods: Children < 3 months were enrolled in either of the 2 intervention groups (Alma Sana Bracelet Group and Star Bracelet Group) or the Control group.
mBio
November 2019
Stead Family Department of Pediatrics, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA
Measles virus (MeV) is a highly contagious human pathogen that continues to be a worldwide health burden. One of the challenges for the study of MeV spread is the identification of model systems that accurately reflect how MeV behaves in humans. For our studies, we use unpassaged, well-differentiated primary cultures of airway epithelial cells from human donor lungs to examine MeV infection and spread.
View Article and Find Full Text PDF