{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:49:14Z","timestamp":1784699354972,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,5,7]],"date-time":"2015-05-07T00:00:00Z","timestamp":1430956800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Risk Analysis"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>In 2012, the World Health Organization Regional Committee for the Western Pacific Region (WPR) reaffirmed its commitment to eliminate measles and urged WPR member states to interrupt endemic measles virus transmission as rapidly as possible. In 2013, a large measles outbreak occurred in the Philippines despite implementation of measles elimination strategies including a nationwide supplemental immunization activity (SIA) in 2011 using measles\u2010 and rubella\u2010containing vaccine and targeting children aged nine months to seven years. To prevent future measles outbreaks a new tool was developed to assess district\u2010level risk for measles outbreaks, based on the WPR polio risk assessment tool previously applied in the Philippines. Risk was assessed as a function of combined indicator scores from four data input categories: population immunity, surveillance quality, program performance, and threat assessment. On the basis of the overall score, the tool assigned each district a risk category of low, medium, high, or very high. Of the 122 districts and highly urbanized cities in the Philippines, 58 (48%) were classified as high risk or very high risk, including the district of the Metro Manila area and Region 4A where the outbreak began in 2013. Risk assessment results were used to guide the monitoring and supervision during the nationwide SIA conducted in 2014. The initial tool drafted in the Philippines served as a template for development of the global risk assessment tool. Regular annual measles programmatic risk assessments can be used to help plan risk mitigation activities and measure progress toward measles elimination.<\/jats:p>","DOI":"10.1111\/risa.12404","type":"journal-article","created":{"date-parts":[[2015,5,7]],"date-time":"2015-05-07T11:34:22Z","timestamp":1430998462000},"page":"1082-1095","source":"Crossref","is-referenced-by-count":11,"title":["Using the World Health Organization Measles Programmatic Risk Assessment Tool for Monitoring of Supplemental Immunization Activities in the Philippines"],"prefix":"10.1111","volume":"37","author":[{"given":"Maria Joyce U.","family":"Ducusin","sequence":"first","affiliation":[{"name":"National Center for Disease Prevention and Control Department of Health  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maricel","family":"de Quiroz\u2010Castro","sequence":"additional","affiliation":[{"name":"World Health Organization (WHO) Office of the WHO Representative in the Philippines  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigrun","family":"Roesel","sequence":"additional","affiliation":[{"name":"World Health Organization (WHO) Office of the WHO Representative in the Philippines  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luzviminda C.","family":"Garcia","sequence":"additional","affiliation":[{"name":"National Center for Disease Prevention and Control Department of Health  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dulce","family":"Cecilio\u2010Elfa","sequence":"additional","affiliation":[{"name":"National Epidemiology Center Department of Health  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. William","family":"Schluter","sequence":"additional","affiliation":[{"name":"World Health Organization Western Pacific Regional Office  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James L.","family":"Goodson","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention (CDC) Center for Global Health Global Immunization Division  Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene","family":"Lam","sequence":"additional","affiliation":[{"name":"World Health Organization Western Pacific Regional Office  Manila Philippines"},{"name":"Centers for Disease Control and Prevention (CDC) Center for Global Health Global Immunization Division  Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,7]]},"reference":[{"issue":"5","key":"e_1_2_8_2_1","first-page":"103","article-title":"Global control and regional elimination of measles, 2000\u20132012","volume":"63","author":"Perry RT","year":"2014","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"e_1_2_8_3_1","unstructured":"WHOROfS\u2010EA.Resolution of the WHO Regional Committee for South\u2010East Asia. Sea\/rc66\/r5. Measles elimination and rubella\/congenital rubella syndrome control."},{"issue":"22","key":"e_1_2_8_4_1","first-page":"443","article-title":"Progress toward measles elimination\u2014Western Pacific Region, 2009\u20132012","volume":"62","author":"Centers for Disease Control and Prevention","year":"2013","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jir166"},{"issue":"2","key":"e_1_2_8_6_1","first-page":"S571\u2014S578","article-title":"Elimination of rubella and congenital rubella syndrome in the Americas","volume":"204","author":"Castillo\u2010Solorzano C","year":"2011","journal-title":"Journal of Infectious Diseases"},{"issue":"49","key":"e_1_2_8_7_1","first-page":"490","article-title":"WHO. 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