Measles elimination in France: An elusive goal
Stagnating vaccination coverage consistently below target has kept the disease going
January 2021
Why measles?
- Measles is ripe for elimination. Humans are its only host. Vaccination, available since the 1960s, is highly effective.
- Despite this eradication targets -- on a global and European level -- have been pushed back at least twice as vaccination levels have failed to reach the necessary level in countries such as France.
- An outbreak that started in 2008 brought the disease back on the French agenda. In 2018, Macron's government made 11 vaccinations compulsory for all newborns, including against measles.
Data limitations
- Case numbers prior to 2008 are estimates recorded by Réseau Sentinelles, which was tasked to track the disease from 1985-2008.
- Conflicting numbers: Santé Publique reports only 604 cases of measles for 2018. But Réseau Sentinelles for the same year estimated 3,977.
- Vaccination coverage for 1986-1991 and 2008-2009 are estimates, calculated based off charts such as this one
Sources
- Estimated measles cases, 1985-2008 Réseau Sentinelles, INSERM/Sorbonne Université
- Declared cases of measles, 2008-2018 Santé Publique, Synthèse des données de surveillance de la rougeole du 1er janvier 2008 au 30 septembre 2019
- Declared cases of measles 2019 Santé Publique, Rougeole Bulletin épidémiologique Bilan année 2019
- Vaccination coverage among 2-year-olds 1985 Eurosurveillance, Vol07n04 April 2002
- Vaccination coverage among 2-year-olds 1995-2007 L’état de santé de la population en France, Rapport 2011
- Vaccination coverage among 2-year-olds 2010-2018 Santé Publique, Données de couverture vaccinale rougeole, rubéole, oreillons par groupe d'âge