{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:14:21Z","timestamp":1762506861661},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,7,20]],"date-time":"2016-07-20T00:00:00Z","timestamp":1468972800000},"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"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Risk Analysis"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>Despite global improvement in annual measles incidence and mortality since 2000, progress toward elimination goals has slowed. The World Health Organization (WHO) European Region (EUR) established a regional goal for measles and rubella elimination by 2015. Romania is one of 13 EUR countries in which measles remains endemic. To identify barriers to meeting programmatic targets and to aid in prioritizing efforts to strengthen measles elimination strategy implementation, the WHO and U.S. Centers for Disease Control and Prevention developed a measles programmatic risk assessment tool that uses routinely collected data to estimate district\u2010level risk scores. The WHO measles programmatic risk assessment tool was used to identify high\u2010risk areas in order to guide measles elimination program activities in Romania. Of the 42 districts in Romania, 27 (64%) were categorized as very high or high risk. Many of the very\u2010high\u2010risk districts were clustered in the western part of the country or were clustered around the capital Bucharest in the southeastern part of the country. The overall risk scores in the very\u2010high\u2010risk districts were driven primarily by poor surveillance quality and suboptimal population immunity. The measles risk assessment conducted in Romania was the first assessment to be completed in a European country. Annual assessments using the programmatic risk tool could provide valuable information for immunization program and surveillance staff at the national level and in each district to guide activities to enhance measles elimination efforts, such as strengthening routine immunization services, improving immunization campaign planning, and intensifying surveillance.<\/jats:p>","DOI":"10.1111\/risa.12669","type":"journal-article","created":{"date-parts":[[2016,7,20]],"date-time":"2016-07-20T15:02:43Z","timestamp":1469026963000},"page":"1096-1107","source":"Crossref","is-referenced-by-count":16,"title":["The World Health Organization Measles Programmatic Risk Assessment Tool\u2014Romania, 2015"],"prefix":"10.1111","volume":"37","author":[{"given":"Jennifer L.","family":"Kriss","sequence":"first","affiliation":[{"name":"Global Immunization Division, Center for Global Health Centers for Disease Control and Prevention  Atlanta GA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aurora","family":"Stanescu","sequence":"additional","affiliation":[{"name":"National Institute of Public Health National Centre for Communicable Diseases Surveillance and Control  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Pistol","sequence":"additional","affiliation":[{"name":"National Institute of Public Health National Centre for Communicable Diseases Surveillance and Control  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra","family":"Butu","sequence":"additional","affiliation":[{"name":"World Health Organization Country Office  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James L.","family":"Goodson","sequence":"additional","affiliation":[{"name":"Global Immunization Division, Center for Global Health Centers for Disease Control and Prevention  Atlanta GA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,7,20]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"World Health Organization.Global Vaccine Action Plan 2011\u20132020 2013."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.6444a4"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469-0691.12584"},{"key":"e_1_2_10_5_1","unstructured":"World Health Organization. Regional Committee for Europe. Sixtieth session. Renewed commitment to elimination of measles and rubella and prevention of congenital rubella syndrome by 2015 and sustained support for polio\u2010free status in the WHO European region. 2010. Available at:http:\/\/www.euro.who.int\/__data\/assets\/pdf_file\/0008\/119546\/RC60_edoc15.pdf Accessed December 11 2015."},{"key":"e_1_2_10_6_1","unstructured":"European Centre for Disease Prevention and Control. Implementing the ECDC Action Plan for Measles and Rubella. Available at:http:\/\/www.ecdc.europa.eu\/en\/publications\/Publications\/measles-rubella-implementing-action-plan.pdf Accessed March 3 2016."},{"key":"e_1_2_10_7_1","first-page":"2005","article-title":"Eliminating measles and rubella and preventing congenital rubella infection","author":"World Health Organization","year":"2005","journal-title":"WHO European region strategic plan"},{"key":"e_1_2_10_8_1","unstructured":"WHO Regional Office for Europe. Third meeting of the European Regional Verification Commission for Measles and Rubella Elimination (RVC). Available at:http:\/\/www.euro.who.int\/__data\/assets\/pdf_file\/0011\/275519\/3rd-Meeting-European-RVC-Measles-Rubella-Elimination.pdf?ua=1 Accessed December 11 2015."},{"key":"e_1_2_10_9_1","volume-title":"Population Division","author":"United Nations","year":"2013"},{"key":"e_1_2_10_10_1","unstructured":"United Nations. United Nations Statistics Division. Country profile Romania. Available at:http:\/\/data.un.org\/CountryProfile.aspx?crName=Romania Accessed December 10 2015."},{"issue":"31","key":"e_1_2_10_11_1","article-title":"Ongoing measles outbreak in Romania","volume":"16","author":"Stanescu A","year":"2011","journal-title":"Euro Surveillance"},{"key":"e_1_2_10_12_1","unstructured":"World Health Organization. WHO vaccine\u2010preventable diseases: Monitoring system.2015global summary. Available at:http:\/\/apps.who.int\/immunization_monitoring\/globalsummary\/incidences?c=ROU Accessed December 10 2015."},{"key":"e_1_2_10_13_1","unstructured":"National Centre for Communicable Diseases Surveillance and Control.Vaccination coverage evaluation February 2015. Romania 2015."},{"key":"e_1_2_10_14_1","unstructured":"World Health Organization.Immunization Vaccines and Biologicals. Data statistics and graphics. Retrospective measles data on supplementary immunization activities 2000\u20132015.http:\/\/www.who.int\/immunization\/monitoring_surveillance\/data\/en\/ Accessed December 10 2015."},{"key":"e_1_2_10_15_1","article-title":"Development of a district\u2010level programmatic assessment tool for risk of measles virus transmission","author":"Lam E","year":"2015","journal-title":"Risk Analysis"},{"key":"e_1_2_10_16_1","unstructured":"Institutul National de S\u0103n\u0103tate Public\u0103 Romania. Measles and rubella surveillance methodology. 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The guide to tailoring immunization programmes (TIP): Increasing coverage of infant and child vaccination in the WHO European region.2013."},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1708.101994"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11262-015-1173-1"},{"issue":"7","key":"e_1_2_10_21_1","article-title":"Ongoing rubella outbreak among adolescents in Salaj, Romania, September 2011\u2013January 2012","volume":"17","author":"Janta D","year":"2012","journal-title":"Euro Surveillance"}],"container-title":["Risk Analysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Frisa.12669","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Frisa.12669","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/risa.12669","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T07:43:22Z","timestamp":1694591002000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/risa.12669"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,20]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1111\/risa.12669"],"URL":"https:\/\/doi.org\/10.1111\/risa.12669","archive":["Portico"],"relation":{},"ISSN":["0272-4332","1539-6924"],"issn-type":[{"value":"0272-4332","type":"print"},{"value":"1539-6924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,20]]}}}