A health worker marks a boy’s finger with ink, to show that he has been vaccinated, at Dr. C.G. Government School in the Sargar neighbourhood of the city of Ahmedabad in Gujarat State, during SIA campaign against measles. About 600 children, aged 9 months to 10 years of age, were vaccinated at the school. Four vaccination teams – each comprised of a vaccinator, a community volunteer, an anganwadi worker, and a schoolteacher or community worker; and overseen by a supervisor – were deployed from the Sardar Nagar health centre to accommodate the higher-than-anticipated turnout.In mid-October 2012 in India, a series of Supplementary Immunization Activities (SIAs) that began in 2010 is aiming to vaccinate all children aged 9 months to 10 years – some 134 million children – in 14 states against measles by the end of June 2013. An estimated 90,000 Indian children die from the disease each year, accounting for 67 per cent of all measles deaths worldwide. Although measles vaccinations for all children under age 1 are part of India’s routine immunization programmes, more than 20 per cent of infants in the targeted 14 states, including Gujarat and Bihar, are not vaccinated against measles. Government-led SIA campaigns in these states are vaccinating children at schools, ‘anganwadis’ (village-level health centres), urban health centres and other fixed locations. And, more than 100 mobile health units are being deployed to reach children in migrant families. Children under age 5 are also receiving vitamin A, to help boost their immunity. SIAs are part of a multi-partner effort by the Government and the Measles & Rubella Initiative, a global partnership led by the American Red Cross, the United Nations Foundation, the United States Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO) and UNICEF. Worldwide, measles remains a leading cause of death among young children: In 2010, an estimated 139,300 people – mainly children und

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