The Philippine health secretary says 136 people, mostly children, have died of measles and 8,400 others have been sickened in an outbreak blamed partly on recent vaccination fears.

Health Secretary Francisco Duque III said Monday a massive immunization drive that started last week in hard-hit Manila and four provincial regions may contain the outbreak by April. Duque said a government information drive is helping restore public trust in the government’s immunization program, which was marred in 2017 by an anti-dengue vaccine made by French drugmaker Sanofi which was blamed for the deaths of at least three children.

The World Health Organization (WHO) has declared the anti-vaccination movement one of 2019’s top 10 health threats, saying that measles cases have risen globally by 30 per cent, though not all of these cases are attributable to vaccine hesitancy.

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