APSC Answer Writing (Daily) based on Assam Tribune – 14/07/2026

For APSC CCE and other Assam Competitive examinations aspirants, practicing Daily Answer Writing is vital. This blog covers the most important Main question and its model Answer from the Assam Tribune today (14-07-2026).

📘 GS Mains Model Question (APSC CCE)

Q. “The resurgence of vaccine-preventable diseases highlights that public health gains are reversible unless supported by sustained immunisation and robust health governance.” Discuss in the context of the recent global resurgence of measles and Assam’s immunisation progress.

Model Answer

Introduction

According to the World Health Organization (WHO), measles outbreaks are re-emerging across multiple regions due to declining routine immunisation coverage. Against this backdrop, Assam’s achievement of 87.7% full immunisation coverage (NFHS-6) demonstrates the importance of sustained public health interventions while also highlighting the need to bridge the remaining immunity gaps.

Body

1. Why is the Global Resurgence of Measles a Matter of Concern?

Measles is among the most contagious viral diseases, with one infected person capable of infecting several susceptible individuals.
Declining vaccination coverage has led to outbreaks in countries that had previously eliminated endemic transmission.
It threatens progress towards SDG 3 (Good Health and Well-being).
It places additional pressure on already stretched healthcare systems.

2. Factors Responsible for the Resurgence

Decline in routine immunisation after the COVID-19 pandemic.
Vaccine hesitancy fuelled by misinformation.
Armed conflicts and humanitarian crises disrupting health services.
Migration and increasing global mobility.
Weak disease surveillance and delayed outbreak detection.

3. Assam’s Immunisation Progress: A Positive Example

Full immunisation coverage increased to 87.7% (NFHS-6).
Significant reduction in:
- Infant Mortality Rate (IMR).
- Neonatal Mortality Rate (NMR).
Successful outreach through:
- Universal Immunisation Programme (UIP).
- Mission Indradhanush.
- Zero Measles-Rubella Campaign.
Improved access in tea garden areas, char regions and remote tribal communities through frontline health workers.

4. Persisting Challenges

Seasonal floods affecting healthcare delivery.
Difficult terrain and poor last-mile connectivity.
Migration leading to missed vaccination schedules.
Incomplete immunisation due to poor follow-up.
Vaccine hesitancy and misinformation in certain communities.
Maintaining cold-chain infrastructure in remote areas.

5. Measures Needed

Strengthen routine immunisation rather than relying only on special campaigns.
Expand digital tracking through U-WIN to ensure completion of vaccination schedules.
Intensify community awareness through ASHA workers, Anganwadi workers and local community leaders.
Build climate-resilient health infrastructure in flood-prone districts.
Strengthen Integrated Disease Surveillance Programme (IDSP) and laboratory networks.
Improve inter-departmental coordination between health, education and local governance institutions.

Conclusion

Public health victories are not permanent achievements but continuing responsibilities. Assam’s progress demonstrates that sustained political commitment, community participation and strong primary healthcare systems can significantly improve child health outcomes. Going forward, India must focus on universal immunisation, evidence-based public health governance and resilient health systems to eliminate measles and other vaccine-preventable diseases while advancing the constitutional goal of improving public health under Article 47 and achieving SDG 3.

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