Kyrgyzstan Among Countries with Highest Number of Measles Cases

The measles virus is spreading in many parts of the world, and Kyrgyzstan is among the nations experiencing a surge in cases as health officials conduct an immunization drive despite vaccine skepticism among some people. A total of 5,168 measles cases had been registered across the Central Asian country as of April 10 this year, in what the Ministry of Health described as an “acute” situation. Some 1,777 vaccination clinics operate across Kyrgyzstan at a primary healthcare level and in maternity hospitals, and mobile teams carry out vaccinations in remote areas as well as among migrants in new settlements in the capital, Bishkek, according to the ministry. One UNICEF-supported nurse has traveled on horseback to deliver measles vaccines on remote farms in the mountainous country. “Every year, up to 20,000 people refuse to get vaccinated. The main reasons for refusal are religious beliefs — 43%, doubts about the safety and effectiveness of vaccines — 45%. This leads to the spread of vaccine-preventable diseases,” the ministry said. It also stated that unvaccinated citizens, mainly preschool children, could be temporarily barred from educational institutions in the event of an epidemic or the threat of one. Health experts say a decline in immunization is contributing to a rise in global measles cases this year. The U.S. Centers for Disease Control and Prevention said that, as of April 10, a total of 712 confirmed cases of the airborne, highly contagious disease had been reported in the United States this year, compared to 285 cases that were reported last year. The greatest concentration of cases this year is in Texas. Officials declared the disease to be eliminated in the U.S. in 2000. Yemen, India, and Pakistan have the world’s highest numbers of reported measles cases in the last six months, according to an April report by the World Health Organization. Kyrgyzstan, which has a population of about seven million, has the seventh highest number of cases in the WHO data. Kyrgyzstan’s healthcare system is likely under a lot of strain because of the surging measles cases, the International Federation of Red Cross and Red Crescent Societies said in March, stating that the deaths of two children had been reported. “Hospitals, clinics, and health professionals are overwhelmed with the high number of patients, leading to longer waiting times, limited resources, and increased workload for medical staff,” the federation said.

Unvaccinated Children Barred from First Grade in Kyrgyzstan

Kyrgyzstan’s Ministry of Education has announced that children who are not vaccinated will not be admitted to first grade, amid a worsening measles outbreak in the country. Deputy Education Minister Lira Samykbayeva stated during a live national radio broadcast that the process of registering children for school has been significantly simplified. Parents no longer need to submit numerous documents such as passports, marriage or birth certificates, and proof of family composition. “This year, the Ministry of Education integrated its database with other government agencies, so there is no longer a need to collect certificates manually,” Samykbayeva explained. However, she emphasized that two medical certificates will remain mandatory: one confirming a general health examination, and another verifying that the child has received preventive vaccinations, including the measles vaccine. “The only thing that must be provided to the school is two medical certificates,” she said. “Including vaccination against measles.” A government decree enforcing the new requirement was adopted just a day earlier. In the future, the Ministries of Education and Health plan to fully integrate their systems, allowing medical records to be accessed automatically by schools. The stricter policy comes as Kyrgyzstan battles a growing measles outbreak. Since the beginning of the year, over 4,000 children have contracted the disease, and eight people have died. According to health officials, 95 percent of those infected were unvaccinated. Speaking to The Times of Central Asia, Gulbara Ishenapysova, Director of the Republican Center for Immunoprophylaxis, said the Ministry of Health is stepping up vaccination efforts. “By decision of the Kyrgyz Cabinet of Ministers, the ministry has revised the national vaccination calendar,” she noted. In an effort to improve public trust, Kyrgyz health authorities have also engaged religious leaders. Clergy across the country are being encouraged to speak with parents about the importance of vaccinating their children.