THE alarming rise in measles cases across Pakistan signals a burgeoning public health crisis that demands immediate intervention. Latest reports show the disease wreaking havoc in cities in Punjab. With around 3,400 cases since January this year, the situation in the province is dire. Several fatalities have already been reported, with some pending confirmation. This trend is echoed nationwide, including in Sindh and KP, though the more significant outbreaks have been reported from south Punjab. Measles, a highly contagious viral disease, poses severe risks to children, especially those who are malnourished or unvaccinated. Complications include pneumonia, encephalitis, severe diarrhoea, dehydration, and blindness. The recent spike in cases among infants younger than nine months is particularly of concern, as the standard vaccination schedule starts after this age.

So what has led to such a spike? A key driver is low vaccination rates, which the WHO has consistently warned the world about. The Covid pandemic disrupted routine immunisation services worldwide, leading to a significant drop in vaccination coverage. Misinformation and the global ‘anti-vax’ movement added fuel to the fire. The result is a backlog of children around the world who are at high risk. In Pakistan, malnutrition has exacerbated the severity of measles and its complications. To address this escalating emergency, the government must intensify vaccination campaigns. It is encouraging that during the upcoming anti-polio campaign, the government plans to simultaneously check for measles cases and administer measles shots to children in some areas. This must be extended to all cities. Alongside, public health education campaigns are crucial to raise awareness about the importance of the jab and early intervention. Improving access to healthcare services in underserved areas and addressing the nutritional needs of children is equally vital. Of particular importance is accountability among health officials to prevent negligence. The government must act swiftly.

Published in Dawn, June 4th, 2024