SUMENEP, Indonesia — Three health care workers rode motorbikes into the Indonesian city of Sumenep, carrying doses of measles vaccine and a list of children who needed them. With blue medical boxes in hand, they went from house to house administering the life-saving shots.<\/p>\n
The health workers on wheels are part of the regional government\u2019s latest efforts<\/a> to curb a deadly measles<\/a> outbreak on Madura Island that has persisted for the past nine months. More than 2,600 children have already been infected this year and 20 have died.<\/p>\n But efforts to stop the outbreak from spreading through the predominately Muslim population are being hindered in part by concerns that some measles vaccines may not meet Islam\u2019s halal standards<\/a> because they use a stabilizer that is derived from pigs.<\/p>\n Pork-derived gelatin is widely used as a stabilizer to ensure vaccines remain safe and effective during storage and transport, presenting a dilemma to religious communities that view pigs as ritually unclean. Many Islamic scholars say that vaccines with gelatin stabilizers can be used under religious law, as can other medical products with pig-derived ingredients, under certain conditions.<\/p>\n Indonesian religious leaders ruled in 2018 that vaccines with pig gelatin are haram, or forbidden, but advised Muslims that they should be used until other shots are available \u201cfor the benefit of society,\u201d said Ahmad Syamsuri, the head of Disease Control and Prevention at the Sumenep Health Office. <\/p>\n In Sumenep, many are reluctant to even discuss their religious concerns.<\/p>\n Pujiati Wahyuni, a 31-year-old Muslim mother and nurse, knows parents who refuse the vaccines for their children on religious grounds, though she recently had her daughter receive the vaccine at an Islamic kindergarten in Pamolokan village.<\/p>\n \u201cYes, there are some. Islam is a big religion. Maybe some Muslim people just do not want to get vaccinated, and it is not just now, but since they were born,\u201d Wahyuni said.<\/p>\n The regional government\u2019s latest efforts began in August and include making more than 78,000 vaccines available to children in the region, which are distributed through local clinics, delivered directly to the residents at their homes and even brought to schools.<\/p>\n The hope is that the campaign will help prevent future outbreaks, infections and deaths. But they cannot compel reluctant parents, said Musthafa, the general secretary of Indonesian Ulema Council in Sumenep.<\/p>\n \u201cWe have high hopes for Muslims in Indonesia, who are the ones consuming it. Let us ask the government, in this case the Health Office and the Ministry of Health, to find a halal vaccine,\u201d said Musthafa.<\/p>\n Indonesia, the world\u2019s largest Muslim-majority nation, has reported previous outbreaks of measles, mostly driven by gaps in vaccination coverage<\/a>.<\/p>\n In 2018, a major outbreak of the highly infectious disease occurred in the easternmost province of Papua, causing dozens of deaths. Due to some vaccine hesitancy then, the Indonesian Ulema Council said the measles-rubella vaccine, produced by the Serum Institute of India, contained an ingredient derived from pigs but allowed its use until a halal alternative was available.<\/p>\n The Serum Institute declined The Associated Press’ request for comment. <\/p>\n