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dc.contributor.authorPorter, J D
dc.contributor.authorGastellu-Etchegorry, M
dc.contributor.authorNavarre, I
dc.contributor.authorLungu, G
dc.contributor.authorMoren, A
dc.date.accessioned2008-04-14T11:13:20Z
dc.date.available2008-04-14T11:13:20Z
dc.date.issued1990-12
dc.identifier.citationMeasles outbreaks in the Mozambican refugee camps in Malawi: the continued need for an effective vaccine. 1990, 19 (4):1072-7notInt J Epidemiolen
dc.identifier.issn0300-5771
dc.identifier.pmid2083992
dc.identifier.urihttp://hdl.handle.net/10144/23216
dc.descriptionTo access this article, click on "Additional Links"
dc.description.abstractBetween November 1988 and January 1989, measles outbreaks occurred in 11 Mozambican refugee camps in Malawi with five camps principally affected. A total of 1214 cases were reported. Despite the reduction of the age of measles vaccination to six months in 1987, attack rates were highest in children aged 6-9 months (10-26%); rates were also high in the 0-5 month age group (3-21%). The case-fatality rate was high among children less than five years old (15-21%). Children were being inappropriately vaccinated, either being vaccinated at less than six months of age (2-29%) or failing to receive a second dose if vaccinated at six months (0-25%). With vaccine coverage between 66-87%, vaccine efficacy in children less than five years old was estimated to be more than 90% in the camps principally affected. Reduction of the age of vaccination leads to logistical problems in vaccine delivery in refugee situations. These outbreaks again indicate the need to improve vaccine coverage with the existing Schwarz vaccine, and also highlight the urgent need for an effective single dose measles vaccine for children less than nine months of age.
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urlhttp://ije.oxfordjournals.org/cgi/content/abstract/19/4/1072en
dc.rightsArchived on this site with kind permission from Oxford University Press and the International Epidemiological Associationen
dc.subject.meshAge Factorsen
dc.subject.meshDeveloping Countriesen
dc.subject.meshDisease Outbreaksen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshInfanten
dc.subject.meshMalawien
dc.subject.meshMeaslesen
dc.subject.meshMeasles Vaccineen
dc.subject.meshMozambiqueen
dc.subject.meshPopulation Surveillanceen
dc.subject.meshRefugeesen
dc.titleMeasles outbreaks in the Mozambican refugee camps in Malawi: the continued need for an effective vaccine.en
dc.contributor.departmentEpicentre, Paris, France.en
dc.identifier.journalInternational Journal of Epidemiologyen
html.description.abstractBetween November 1988 and January 1989, measles outbreaks occurred in 11 Mozambican refugee camps in Malawi with five camps principally affected. A total of 1214 cases were reported. Despite the reduction of the age of measles vaccination to six months in 1987, attack rates were highest in children aged 6-9 months (10-26%); rates were also high in the 0-5 month age group (3-21%). The case-fatality rate was high among children less than five years old (15-21%). Children were being inappropriately vaccinated, either being vaccinated at less than six months of age (2-29%) or failing to receive a second dose if vaccinated at six months (0-25%). With vaccine coverage between 66-87%, vaccine efficacy in children less than five years old was estimated to be more than 90% in the camps principally affected. Reduction of the age of vaccination leads to logistical problems in vaccine delivery in refugee situations. These outbreaks again indicate the need to improve vaccine coverage with the existing Schwarz vaccine, and also highlight the urgent need for an effective single dose measles vaccine for children less than nine months of age.


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