the status of iran measles surveillance system in 2014

the results showed success of the health system to detect suspected cases of the measles and appropriate sampling from suspected cases that were more than expected. in addition, per every one million population of iran in 2014, 1.27 of cases of measles were reported; that a numbers of confirmed cases observed in afghan refugees. low levels of immunization coverage in eastern neighboring countries and high immigration to iran, are the main challenge of measles elimination in iran. the gradual accumulation of susceptible individuals, due to lack of proper vaccination or failure to respond to immunization, may underlie the development of outbreaks of measles in iran.