ABSTRACT
In October 1977, the Directing Council of the Pan American Health Organisation (PAHO) approved a resolution concerning the formal inauguration of the Expanded Programme on Immunisation of the Americas. Subsequently, the EPI entered full implementation in those countries that were members of the Caribbean Epidemiology Centre (CAREC) during 1978-80. The establishment of the programme in these countries resulted in focused activities, including training and the development of operational guidelines. The immunisation programmes in the CAREC member countries (CMCs) continues to be very exciting. The eradication of poliomyelitis, the interruption of measles transmission (8 years measles-free), and the implementation of strategies for the elimination of rubella and congenital rubella syndrome (CRS), have presented many challenges to public health practitioners in the region. The success of all these initatives is a reflection of the deep commitment and strong partnerships, which have been developed between the governments, health practitioners, and people of the region (AU)
