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. 1985 Jun;39(2):113–116. doi: 10.1136/jech.39.2.113

Introduction of measles into a highly immunised West African community: the role of health care institutions.

P Aaby, J Bukh, I M Lisse, A J Smits
PMCID: PMC1052417  PMID: 4009095

Abstract

In an urban area of Guinea-Bissau, where more than 80% of the children have been vaccinated, measles continues to be a major cause of child mortality. Compared with the period before the introduction of vaccination, more cases occur outside the community, while more cases within the district are now guests and newcomers. Half of the new introductions of measles into the community and 30% of the measles deaths can be traced back to the paediatric ward. Contact with health care institutions plays an important role in the transmission of measles, particularly among the youngest children. This consequence of health care may be avoidable, however, since several studies suggest that sick children can be vaccinated safely and effectively.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aaby P., Bukh J., Lisse I. M., Smits A. J., Gomes J., Fernandes M. A., Indi F., Soares M. Determinants of measles mortality in a rural area of Guinea-Bissau: crowding, age, and malnutrition. J Trop Pediatr. 1984 Jun;30(3):164–168. doi: 10.1093/tropej/30.3.164. [DOI] [PubMed] [Google Scholar]
  2. Aaby P., Bukh J., Lisse I. M., Smits A. J. Measles vaccination and reduction in child mortality: a community study from Guinea-Bissau. J Infect. 1984 Jan;8(1):13–21. doi: 10.1016/s0163-4453(84)93192-x. [DOI] [PubMed] [Google Scholar]
  3. Aaby P., Bukh J., Lisse I. M., Smits A. J. Overcrowding and intensive exposure as determinants of measles mortality. Am J Epidemiol. 1984 Jul;120(1):49–63. doi: 10.1093/oxfordjournals.aje.a113874. [DOI] [PubMed] [Google Scholar]
  4. Davis R. Measles in the tropics and public health practice. Trans R Soc Trop Med Hyg. 1982;76(2):268–275. doi: 10.1016/0035-9203(82)90294-2. [DOI] [PubMed] [Google Scholar]
  5. GROUNDS J. G. MEASLES IN KENYA. J Trop Med Hyg. 1964 Jul;67:169–176. [PubMed] [Google Scholar]
  6. Glyn-Jones R. Measles vaccine gamma globulin in the prevention of cross infection with measles in an acute paediatric ward. Cent Afr J Med. 1972 Jan;18(1):4–9. [PubMed] [Google Scholar]
  7. Guyer B., McBean A. M. The epidemiology and control of measles in Yaoundé, Cameroun, 1968-1975. Int J Epidemiol. 1981 Sep;10(3):263–269. doi: 10.1093/ije/10.3.263. [DOI] [PubMed] [Google Scholar]
  8. Génécé E., Davis R. Interruption of local measles transmission by surveillance and containment. Trans R Soc Trop Med Hyg. 1982;76(1):98–98. doi: 10.1016/0035-9203(82)90030-x. [DOI] [PubMed] [Google Scholar]
  9. Hopkins D. R., Hinman A. R., Koplan J. P., Lane J. M. The case for global measles eradication. Lancet. 1982 Jun 19;1(8286):1396–1398. doi: 10.1016/s0140-6736(82)92510-7. [DOI] [PubMed] [Google Scholar]
  10. Ifekwunigwe A. E., Grasset N., Glass R., Foster S. Immune responses to measles and smallpox vaccinations in malnourished children. Am J Clin Nutr. 1980 Mar;33(3):621–624. doi: 10.1093/ajcn/33.3.621. [DOI] [PubMed] [Google Scholar]
  11. Katz M., Stiehm E. R. Host defense in malnutrition. Pediatrics. 1977 Apr;59(4):490–495. [PubMed] [Google Scholar]
  12. MITUS A., HOLLOWAY A., EVANS A. E., ENDERS J. F. Attenuated measles vaccine in children with acute leukemia. Am J Dis Child. 1962 Mar;103:413–418. doi: 10.1001/archpedi.1962.02080020425051. [DOI] [PubMed] [Google Scholar]
  13. Mawhinney H., Allen I. V., Beare J. M., Bridges J. M., Connolly J. H., Haire M., Nevin N. C., Neill D. W., Hobbs J. R. Dysgammaglobulinaemia complicated by disseminated measles. Br Med J. 1971 May 15;2(5758):380–381. doi: 10.1136/bmj.2.5758.380. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. McMurray D. N., Loomis S. A., Casazza L. J., Rey H. Influence of moderate malnutrition on morbidity and antibody response following vaccination with live, attenuated measles virus vaccine. Bull Pan Am Health Organ. 1979;13(1):52–57. [PubMed] [Google Scholar]
  15. Vivell O., Lips G. Erfahrungen mit der Masern-Lebendimpfung. Arch Kinderheilkd. 1967;176(2):156–163. [PubMed] [Google Scholar]
  16. Wesley A., Coovadia H. M., Watson A. R. Immunization against measles in children at risk for severe disease. Trans R Soc Trop Med Hyg. 1979;73(6):710–715. doi: 10.1016/0035-9203(79)90026-9. [DOI] [PubMed] [Google Scholar]

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