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November 26, 1999 / Vol. 48 / No. 46 - page 5 / 20





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Vol. 48 / No. 46 Suicide — Continued



assigned a team to monitor the ongoing intervention and surveillance activities and to recommend modifications as needed. The USAF suicide prevention strategy should be tested in other occupation-related communities, such as law enforcement or inves- tigative agencies, to determine whether the programs can be effective in other popu- lations.


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Progress Toward Poliomyelitis Eradication — Eastern Mediterranean Region, 1998–October 1999

Ino1i988, thieisRegionaltiCommitteeifor the Eastern Mediterranean Region* (EMR) of the World Health Organization (WHO) adopted a resolution to eliminate poliomyelitis from the region by 2000. This report summarizes progress toward this goal in EMR countries through October 1999; all EMR countries, including war-torn and other underdeveloped areas of the region, are conducting essential polio eradication strate- gies, and eradication activities to rapidly stop poliovirus transmission are under way in countries where polio is endemic.

Routine Vaccination Coverage

In 1998, regional routine coverage with at least three doses of oral poliovirus vac- cine (OPV3) by age 1 year was 82% (range: 24%–100%). All member countries re- ported routine coverage data, and OPV3 coverage was 90% in 16 countries. However, reported OPV3 coverage was 86% in Iraq, 79% in Pakistan, 72% in Sudan, 68% in Yemen, 62% in Djibouti, 35% in Afghanistan, and 24% in Somalia. Countries reporting <90% coverage represent more than half of the regional population. Compared with the reported coverage rates, most of which are determined by using target population estimates, population-based surveys in Afghanistan, Iraq, and Pakistan have found lower coverage rates.

*Member countries are Djibouti, Egypt, Libya, Morocco, Somalia, Sudan, and Tunisia in northern and eastern Africa; Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, United Arab Emirates, and Yemen in the Arab Gulf states; Iraq, Jordan, Lebanon, Syria, and the Palestinian National Authority in the Middle East; Afghanistan, Iran, and Pakistan in Asia; and Cyprus.

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