Epidemic Measles at Samoa

A measles epidemic controlled by immunisation.

AIM In 1997, an immunisation campaign, using measles-mumps-rubella vaccine, was planned for children aged 2-10 years to prevent a measles epidemic predicted by mathematical modelling. The epidemic started before the campaign and is described here. METHOD Measles hospitalisation, notification and laboratory data were combined. RESULTS The epidemic started in April 1997 and was largely over b...

A measles epidemic in a circumscribed community.

A measles outbreak of 151 cases in a circumscribed rural community is documented. Attention is drawn to accuracy of vaccination documentation and the factors influencing uptake. The efficacy of the vaccine in the population of school children is estimated (both within the community at large and within the home of an affected person). A failure rate of 5-6 per cent was found.

Epidemic measles in a divided city.

Measles epidemic in Harare, Zimbabwe, despite high measles immunization coverage rates.

Despite rapidly increasing measles immunization coverage in Harare city, measles remains endemic, and regular outbreaks occur. The most recent occurred in 1988, when the measles immunization coverage was 83%. We have carried out a retrospective study of the clinical and epidemiological features of this outbreak to assess whether the present immunization policy needs to be changed. Of 4357 cases...

Measles Epidemic in Pakistan: In Search of Solutions