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    Thompson, Kimberly M. Odahowski, Cassie L. Goodson, James L. Reef, Susan E. and Perry, Robert T. 2016. Synthesis of Evidence to Characterize National Measles and Rubella Exposure and Immunization Histories. Risk Analysis, Vol. 36, Issue. 7, p. 1427.


    Uzicanin, A. and Zimmerman, L. 2011. Field Effectiveness of Live Attenuated Measles-Containing Vaccines: A Review of Published Literature. Journal of Infectious Diseases, Vol. 204, Issue. Supplement 1, p. S133.


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    Nandy, R. Handzel, T. Zaneidou, M. Biey, J. Coddy, R. Z. Perry, R. Strebel, P. and Cairns, L. 2006. Case-Fatality Rate during a Measles Outbreak in Eastern Niger in 2003. Clinical Infectious Diseases, Vol. 42, Issue. 3, p. 322.


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Priorities in global measles control: report of an outbreak in N'Djamena, Chad

  • A. Ndikuyeze (a1), A. Cook (a2), F. T. Cutts (a2) and S. Bennett (a2)
  • DOI: http://dx.doi.org/10.1017/S095026880005843X
  • Published online: 01 May 2009
Abstract
Summary

In N'Djamena, capital of Chad, measles vaccination coverage of 12–23-month-old children fell from 61% in 1990 to 15% in 1993. A community survey of measles after an outbreak in 1993 showed that among children < 5 years of age, the mean monthly attack rate was 37 per 1000 (95% CI, 32–43) and the mean case fatality rate was 7·4%. Measles incidence was highest (77/1000/month) in children aged 9–11 months and fell among children > 3 years of age. Incidence rates were high (56/1000/month) among 6–8-month-old children, but only 3 deaths occurred in this age group. Measles vaccine efficacy, estimated by comparing attack rates in unvaccinated and vaccinated children, was 71 % (95% CI, 59–80%). Extrapolation of the results to the city population indicated that an estimated 19000 cases and > 1000 measles-associated deaths occurred in 1993. This preventable morbidity and mortality, in a city where coverage was formerly among the highest in Africa, shows the need for sustained global commitment to preventive health care.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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