Makuma is a remote coastal village nestled in the north-west corner of Sierra Leone, on the border with Guinea. It’s only accessible by one narrow and bumpy dirt track. Its 2,000 or so inhabitants travel by foot or on motorbikes in the drier months. But when waters rise in the rainy season from May to December, the track becomes unusable—cutting people off from their nearest health centre, some 10km away.Its isolated location, coupled with the high risk of infectious diseases in Sierra Leone, means Makuma could be the perfect breeding ground for an epidemic, if it weren’t for one thing: the presence of the Sierra Leone Red Cross Society.Momoh Saio Kamara is Makuma’s local Red Cross volunteer. He grew up in the village and is much loved and trusted, thanks to his work supporting people through the 2014/15 Ebola outbreak.In 2019, Momoh was trained in epidemic control and community-based surveillance through the USAID-funded Community Epidemic and Pandemic Preparedness Programme (CP3)—acquiring the skills and tools needed to detect, alert, and respond to disease outbreaks early.So when, in early 2022, people in Makuma started noticing strange symptoms of a mystery illness they’d never seen before, Momoh knew exactly what to do.“One day I was in the village doing house visits. I visited my friend who said there is someone—the nose is red, the mouth is red, the nose runs and there is a rash. I go and look and I thought straight away, it is measles,” explains Momoh.Without hesitating, Momoh alerted his supervisor, Jobel, using a digital community-based surveillance system set up through the CP3 programme. Jobel arrived shortly afterwards on his motorbike to investigate. Seeing the symptoms for himself, he escalated the alert in the system—notifying district health authorities in an instant.“After the alert, I rang the local nurse and called a community meeting to tell the people it is suspected measles,” adds Momoh.A highly contagious viral infection, measles spreads easily among the unvaccinated. It’s a serious illness that can require hospital admission, cause permanent disability, and even kill if not treated properly.Local nurses swiftly arrived and started tracing and registering suspected cases, while Momoh and Jobel went house-to-house to tell people how to stay safe.The following day, a Rapid Response Team from Kambia district hospital arrived to undertake testing, conduct a ring vaccination of nearly 800 children to minimize further infection, and tend to patients.“The Red Cross and District Health Management Team they come. It did not take long. When they arrived, again we called a meeting, we talked to the community. We told them these people have medicine and it is free,” explains Momoh.For N’Mah, a woman from Makuma whose young son caught measles, having Momoh by her side was a huge relief.“My son Morlai fell sick. I had no idea what the illness was and I felt worried and restless. Momoh held a community meeting to let people know he thought it was measles. He told us what he knew about the disease and asked people to tell him if they noticed anyone with the same symptoms. He told us to keep our environment as clean as possible, wash our hands properly, and isolate anyone who showed signs of the illness. I felt really happy because the health services came really quickly,” explains N’Mah.Momoh is one of 250 volunteers in Kambia district trained through the CP3 programme. Together, they are the eyes and ears in hard-to-reach communities, making sure no suspicious health event goes undetected.A total of 124 measles cases were eventually recorded during the outbreak in Makuma. The number could have been significantly higher had it not been for Momoh’s early action, the trust placed in him by his community, and the rapid response from local health authorities.“The successful response which prevented deaths and disability is a result of the early detection and reporting by theRed Cross volunteers, followed by a swift response from the District Health Management Team. It is no exaggeration to say that these volunteers help greatly towards the health care delivery system in Kambia district, especially in public health surveillance,” explains Ishmael Rogers, Kambia District Surveillance Officer.For Makuma village Councillor, Yusif, who has steered his community through difficult times such as Ebola and COVID-19 in recent years, the relief at having Red Cross support in keeping his people healthy is palpable.“I feel happy that Momoh is here. He’s always available for our community – any day, any time. He’s very patient. When our people are sick, he makes sure they are taken to hospital. I feel my community is safe with Momoh. God forbid there is another outbreak, we know Momoh is here for us.”--The rapid outbreak detection and response reported in this article were made possible thanks to the Community Epidemic and Pandemic Preparedness Programme (CP3).Funded by the U.S. Agency for International Development (USAID), the programme supports communities, National Societies, and other partners in seven countries to prepare for, prevent, detect and respond to disease threats.If you enjoyed this story and would like to learn more:Sign up to the IFRC’s Epidemic and Pandemic Preparedness NewsletterFollow the Sierra Leone Red Cross Society on X, Facebook and LinkedInTo learn more about community-based surveillance initiatives within the IFRC please visit cbs.ifrc.org

Amidst a concerning surge in measles cases, the Red Crescent Society of Kyrgyzstan (RCSK), in collaboration with the IFRC, has launched an immunization campaign to combat what has become a significant threat to many communities in Kyrgyzstan. As of early September, Kyrgyzstan has reported a staggering 1,982 confirmed cases, making measles a major threat to communities in the Kyrgyz Republic and one of the highest measles incidences globally. A highly contagious disease, and a leading cause of child mortality worldwide, measles is almost completely preventable with vaccination. The first major challenge in tackling the outbreak lies in dispelling misinformation about the disease and vaccinations. “Tackling measles and other communicable diseases begins and ends in communities,” says Chingiz Djakipov, president of the RCSK, adding that communities play a pivotal role in addressing diseases like measles. ”Something as simple as a vaccine can help prevent many unavoidable deaths and illnesses. But we have a far way to go to tackle vaccine hesitancy in the country,”. Additionally, the National Society and the IFRC have deployed trained volunteers and staff country-wide to support the government’s national immunization campaign. Their mission includes raising awareness about measles and rubella prevention, dispelling misinformation, alleviating fears, addressing questions, and facilitating access to vaccination points and health services. As an additional help, IFRC’s Disaster Response Emergency Fund (DREF) allocated 139,000 Swiss francs to bolster the RCSK’s efforts in curbing the outbreak. Over the coming months, the Red Crescent Society aims to reach 70,000 individuals across the most affected regions and cities, including the cities of Osh and Bishkek cities, and the Osh and Chui regions. “Debunking misinformation about the disease and vaccinations is the first major hurdle to tackling this next outbreak,” says Seval Guzelkilinc, head of IFRC’s Central Asia Country Cluster Delegation. “For many years, the Red Crescent Society of Kyrgyzstan has played a fundamental role in responding to health-related emergencies across the country and it is seen as a reliable and trusted source of information for communities.”

Last year, Marietta Laneslao (far left in the picture) celebrated 20 years as a Philippine Red Cross volunteer. Along the way she has also recruited plenty of people starting with her own family: her husband, children, nieces, nephews… altogether she has organized new volunteers for 18 barangays or communities. “As a volunteer, my favorite activity is blood donation and recruiting more volunteers into that,” she says. During the past months with the measles outbreak, Marietta Laneslao has been busy organizing and coordinating roving vaccination teams in her home-town of Santa Rosa in Laguna province. Local knowledge is essential when teams go around looking for unvaccinated children, ready to give the shot on the spot, if the parents so wish. “I am happy and proud to be part of the services that the Red Cross offers to communities. And I am also happy to constantly learn new skills,” says Marietta Laneslao, who had her right arm amputated in an operation. She recognizes that some volunteers have to stop because they need to find paid work. “It is sad but of course very understandable. But I always say that they are welcome back later! Talking and working with other volunteers makes me smile and happy. The team’s volunteer spirit gives me the strength to go on even after 20 years."

Manila/Kuala Lumpur/Geneva, 7 March 2019 – Children in the Philippines are at serious risk of a deadly measles outbreak that has already claimed the lives of 261 people, most of whom are youngsters under age five, the International Federation of Red Cross and Red Crescent Societies (IFRC) warned today. The spread of measles has been on the rise in the Philippines in recent years due to a range of reasons including low vaccination rates across the country. In 2018, cases were up 547 per cent compared to 2017. Already this year there has been more deaths from measles than was recorded in 2018 when 202 people died from the disease. Worryingly the death rate from this year’s outbreak is higher than in 2018 and the number of cases continues to rise. Philippines Red Cross Chairman and CEO, Richard Gordon said: “Some 2.6 million children could be at risk, so we are drawing on the skills and dedication of our two million Red Cross volunteers to go door-to-door and neighbourhood-to-neighbourhood to reach 100 per cent of our unvaccinated children in the country within 12 months. The Philippines Red Cross, in close cooperation with the Department of Health, is rolling out a massive social mobilization campaign across seven of the hardest hit regions to provide vaccination and raise awareness in an effort to contain the outbreak. With many local hospitals overwhelmed, the Red Cross is also operating seven measles tents (Measles Care Units) to help with the clinical management and medical care of highly contagious patients, and to prevent the infection of other patients and visitors coming to the hospitals. IFRC has launched an emergency appeal of 2 million Swiss francs (1.99 million US dollars) to enable Philippines Red Cross to vaccinate 260,000 people, raise awareness about immunization and provide clinical support for 12 over-crowded hospitals. Recent global declines in vaccination rates resulted in more than 110,000 measles deaths worldwide in 2017. The Philippines outbreak coincides with other measles outbreaks across Europe, the United States, New Zealand and Madagascar where declines in vaccination rates have also been observed.

Budapest/Geneva, 5 March 2019 – Ukrainian Red Cross Society volunteers are being deployed to help contain a measles outbreak that has affected more than 75,000 people, making it the largest outbreak in Europe since 2015. This includes 54,000 measles cases reported in 2018, and more than 21,000 cases registered thus far in 2019. Poor immunization coverage has contributed to the measles outbreak in Ukraine. In 2018, the measles vaccination rate for newborn babies was only 54 per cent, which is amongst the lowest in the world. This is well below the target of 95 per cent recommended by the World Health Organization. A rate of 95 per cent would protect even those members of the community who cannot be vaccinated for medical reasons. Professor Mykola Polishchuk, Acting President of Ukrainian Red Cross Society, said: “Ukraine has one of the lowest vaccination rates against measles in the world and this is a very worrying trend. We are deploying 100 Red Cross volunteers to raise awareness about vaccination and conduct education campaigns to stop the spread of this disease.” The International Federation of Red Cross and Red Crescent Societies (IFRC) has released 109,000 Swiss francs from its Disaster Relief Emergency Fund to help the Ukrainian Red Cross Society tackle the outbreak. Officials say the low coverage rate and widespread transmission of the virus is due to many factors, including transport costs for those in rural areas, a high number of people with weakened immune systems, such people living with HIV and tuberculosis - and vaccine refusal. The funds will allow Ukrainian Red Cross Society to assist 90,000 people, including the most at-risk – children under six years of age, people with weakened immune systems, and people who have never been vaccinated against the disease. The emergency funds will also allow volunteers to help health authorities raise awareness about vaccination, to conduct education campaigns in kindergartens, schools, hospitals and aged care facilities, and to provide protective equipment for Red Cross volunteers. IFRC Europe Regional Director, Simon Missiri, said vaccine refusal is an increasingly worrying trend worldwide. “It is hard to believe that children are dying of measles in Europe in 2019,” he said. “This disease is almost completely preventable. Red Cross workers have an important role in helping communities understand the importance of vaccines, and in answering concerns that are increasingly prevalent in many countries.” The measles operation will run for four months in five regions across the country. Recent global declines in vaccination rates resulted in more than 110,000 measles deaths worldwide in 2017. The Ukraine outbreak coincides with other measles outbreaks across Europe and in the Philippines where measles cases are up more than 547 per cent in 2018 compared to 2017.

Budapest, 5 March 2019 – Ukrainian Red Cross Society volunteers are being deployed to help contain a measles outbreak that has affected more than 75,000 people, making it the largest outbreak in Europe since 2015. This includes 54,000 measles cases reported in 2018, and more than 21,000 cases registered thus far in 2019. Poor immunization coverage has contributed to the measles outbreak in Ukraine. In 2018, the measles vaccination rate for newborn babies was only 54 per cent, which is amongst the lowest in the world. This is well below the target of 95 per cent recommended by the World Health Organization. A rate of 95 per cent would protect even those members of the community who cannot be vaccinated for medical reasons. Professor Mykola Polishchuk, Acting President of Ukrainian Red Cross Society, said: “Ukraine has one of the lowest vaccination rates against measles in the world and this is a very worrying trend. We are deploying 100 Red Cross volunteers to raise awareness about vaccination and conduct education campaigns to stop the spread of this disease.” The International Federation of Red Cross and Red Crescent Societies (IFRC) has released 109,000 Swiss francs from its Disaster Relief Emergency Fund to help the Ukrainian Red Cross Society tackle the outbreak. Officials say the low coverage rate and widespread transmission of the virus is due to many factors, including transport costs for those in rural areas, a high number of people with weakened immune systems, such people living with HIV and tuberculosis - and vaccine refusal. The funds will allow Ukrainian Red Cross Society to assist 90,000 people, including the most at-risk – children under six years of age, people with weakened immune systems, and people who have never been vaccinated against the disease. The emergency funds will also allow volunteers to help health authorities raise awareness about vaccination, to conduct education campaigns in kindergartens, schools, hospitals and aged care facilities, and to provide protective equipment for Red Cross volunteers. IFRC Europe Regional Director, Simon Missiri, said vaccine refusal is an increasingly worrying trend worldwide. “It is hard to believe that children are dying of measles in Europe in 2019,” he said. “This disease is almost completely preventable. Red Cross workers have an important role in helping communities understand the importance of vaccines, and in answering concerns that are increasingly prevalent in many countries.” The measles operation will run for four months in five regions across the country. Recent global declines in vaccination rates resulted in more than 110,000 measles deaths worldwide in 2017. The Ukraine outbreak coincides with other measles outbreaks across Europe and in the Philippines where measles cases are up more than 547 per cent in 2018 compared to 2017.