Skip to main content
PMC home page
Bulletin of the World Health Organization logoLink to Bulletin of the World Health Organization
. 1994;72(2):227–231.

Measles control in Maputo, Mozambique, using a single dose of Schwarz vaccine at age 9 months.

F T Cutts 1, O Monteiro 1, P Tabard 1, J Cliff 1
PMCID: PMC2486532  PMID: 8205642

Abstract

In Maputo city, immunization is available at government health facilities, all contacts being used to vaccinate children. Door-to-door mobilization is conducted to identify eligible children and refer them for immunization. Card-documented measles vaccine coverage, estimated by community surveys, rose from 48% in 1982 to 86% in 1986 and 92% in 1992. The median age at measles vaccination was 10.2 months in 1986 and 9.2 months in 1992. The reported measles incidence rates per 100,000 population fell by 92% from 569 in 1977-78 (pre-vaccination) to 44 in 1990-92, and the reported inpatient measles mortality fell from 19.8 to 0.7 per 100,000. Among children whose age at measles onset was known, the proportion of reported measles cases in children under 9 months of age fell from 2162 (20.3% of 10,636 cases) in 1982-85 to 1695 (17.8% of 9501 cases) in 1986-92. The proportion of cases in children aged > or = 5 years increased from 15.2% to 32.8% in the corresponding periods. The global goals for measles control can be achieved by a single dose of Schwarz vaccine at 9 months of age.

Full text

PDF
229

Selected References

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

  1. Aaby P., Andersen M., Knudsen K. Excess mortality after early exposure to measles. Int J Epidemiol. 1993 Feb;22(1):156–162. doi: 10.1093/ije/22.1.156. [DOI] [PubMed] [Google Scholar]
  2. Aaby P., Bukh J., Kronborg D., Lisse I. M., da Silva M. C. Delayed excess mortality after exposure to measles during the first six months of life. Am J Epidemiol. 1990 Aug;132(2):211–219. doi: 10.1093/oxfordjournals.aje.a115650. [DOI] [PubMed] [Google Scholar]
  3. Aaby P., Bukh J., Leerhøy J., Lisse I. M., Mordhorst C. H., Pedersen I. R. Vaccinated children get milder measles infection: a community study from Guinea-Bissau. J Infect Dis. 1986 Nov;154(5):858–863. doi: 10.1093/infdis/154.5.858. [DOI] [PubMed] [Google Scholar]
  4. Aaby P., Bukh J., Lisse I. M., da Silva M. C. Decline in measles mortality: nutrition, age at infection, or exposure? Br Med J (Clin Res Ed) 1988 Apr 30;296(6631):1225–1228. doi: 10.1136/bmj.296.6631.1225. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Böttiger M., Christenson B., Romanus V., Taranger J., Strandell A. Swedish experience of two dose vaccination programme aiming at eliminating measles, mumps, and rubella. Br Med J (Clin Res Ed) 1987 Nov 14;295(6608):1264–1267. doi: 10.1136/bmj.295.6608.1264. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Cutts F. T., Phillips M., Kortbeek S., Soares A. Door-to-door canvassing for immunization program acceleration in Mozambique: achievements and costs. Int J Health Serv. 1990;20(4):717–725. doi: 10.2190/61V1-220G-4A4D-K8KN. [DOI] [PubMed] [Google Scholar]
  7. Dabis F., Sow A., Waldman R. J., Bikakouri P., Senga J., Madzou G., Jones T. S. The epidemiology of measles in a partially vaccinated population in an African city: implications for immunization programs. Am J Epidemiol. 1988 Jan;127(1):171–178. doi: 10.1093/oxfordjournals.aje.a114778. [DOI] [PubMed] [Google Scholar]
  8. Henderson R. H., Sundaresan T. Cluster sampling to assess immunization coverage: a review of experience with a simplified sampling method. Bull World Health Organ. 1982;60(2):253–260. [PMC free article] [PubMed] [Google Scholar]
  9. McLean A. R., Anderson R. M. Measles in developing countries. Part II. The predicted impact of mass vaccination. Epidemiol Infect. 1988 Jun;100(3):419–442. doi: 10.1017/s0950268800067170. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Orenstein W. A., Bernier R. H., Dondero T. J., Hinman A. R., Marks J. S., Bart K. J., Sirotkin B. Field evaluation of vaccine efficacy. Bull World Health Organ. 1985;63(6):1055–1068. [PMC free article] [PubMed] [Google Scholar]
  11. Sabin A. B. Measles, killer of millions in developing countries: strategy for rapid elimination and continuing control. Eur J Epidemiol. 1991 Jan;7(1):1–22. doi: 10.1007/BF00221337. [DOI] [PubMed] [Google Scholar]
  12. Taylor W. R., Mambu R. K., ma-Disu M., Weinman J. M. Measles control efforts in urban Africa complicated by high incidence of measles in the first year of life. Am J Epidemiol. 1988 Apr;127(4):788–794. doi: 10.1093/oxfordjournals.aje.a114860. [DOI] [PubMed] [Google Scholar]

Articles from Bulletin of the World Health Organization are provided here courtesy of World Health Organization

RESOURCES