Overview

• More than 2,600 children have been infected and 20 have died during a nine-month measles outbreak centered on Madura Island’s Sumenep region.
• Health workers are going door to door by motorbike with prioritized lists of unvaccinated children to boost coverage during the ongoing surge.
• Some parents are refusing shots over pig-derived gelatin used as a vaccine stabilizer, despite a 2018 ruling that permits temporary use for public benefit.
• Indonesia’s measles-rubella coverage fell from 86.6% in 2023 to 82.3% in 2024, far below the roughly 95% two-dose level needed to prevent outbreaks.
• Hospitals were overwhelmed from May to July with more than 100 cases treated daily, as some families continued to hesitate while others opted to vaccinate to protect their children.