Measles in a highly vaccinated society: The 2007-08 outbreak in Israel

被引：43
作者：
Anis, Emilia [1 ,2 ,3 ,6 ]
Grotto, Itamar [2 ,3 ,5 ]
Moerman, Larisa [2 ,3 ,4 ]
Warshavsky, Bruce [2 ,3 ]
Slater, Paul E. [2 ,3 ,4 ,6 ]
Lev, Boaz [2 ]
Israeli, Avi [2 ,6 ]
机构：
[1] Minist Hlth, Dept Infect Dis, IL-91010 Jerusalem, Israel
[2] Minist Hlth, IL-93591 Jerusalem, Israel
[3] Minist Hlth, Publ Hlth Serv, IL-91010 Jerusalem, Israel
[4] Minist Hlth, Dept Epidemiol, IL-91010 Jerusalem, Israel
[5] Ben Gurion Univ Negev, Fac Hlth Sci, Dept Epidemiol, IL-84101 Beer Sheva, Israel
[6] Hebrew Univ & Hadassah, Braun Sch Publ Hlth, IL-91120 Jerusalem, Israel
来源：
JOURNAL OF INFECTION | 2009年 / 59卷 / 04期
关键词：
Measles outbreak; Vaccination coverage; Sub-groups; Control measures; EPIDEMIC;
D O I：
10.1016/j.jinf.2009.07.005
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
Background: Despite success in controlling measles through a national immunization program, Israel recently experienced its largest measles outbreak since 1994. Methods: Using data reported by health district offices to the Ministry of Health, an epidemiological analysis of the 2007-08 measles outbreak was performed. Results: 1467 measles cases were reported in Israel, primarily among ultra-orthodox Jewish communities in the Jerusalem Health District and to a lesser extent in other areas. The highest age-specific incidence rate (122.5 per 100,000) occurred among infants. 38.6% of all measles patients were under the age of five, and 53.4% were under the age of ten. 186 patients (12.7%) were hospitalized; there were no fatalities. Only 4.6% of measles patients had been fully vaccinated for their age. Conclusion: To minimize the risk of future outbreaks in Israel, successful marketing of the MMR vaccine to under-vaccinated sub-groups is essential. (C) 2009 The British Infection Society. Published by Elsevier Ltd. All rights reserved.
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收藏
页码：252 / 258
页数：7
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