| Measles in rural Bangladesh: issues of validation and age distribution. | |
| | |
MedLine Citation:
|
PMID: 8082968 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In the Third World, scientists have described thoroughly the pattern of measles in Africa. In Asia, however, the epidemiology of measles has been poorly described. In 1989, a measles surveillance system was initiated in Matlab, rural Bangladesh in order to monitor measles incidence in the area. The population (100,000), which has relatively low immunization coverage, has an excellent demographic surveillance system which allows accurate follow-up. The system works through trained community health workers who visit all households every fortnight and report possible cases of measles. Medical doctors review a proportion of index cases and cases in infants soon after the appearance of the rash. Of the 4673 cases reported in all age groups, 18% were visited by medics. Confirmation of diagnosis was related to the age at onset and overreporting by community health workers is documented. The incidence of measles was estimated at 43% of children < 5 years old. Of cases < 5 years of age, 14% occurred below the age at vaccination (incidence rate = 5.5%). A strong seasonal pattern is reported. Case-fatality rates are low. This is the first report which shows the effect of age on reliability of reported measles. It shows the misclassification likely to occur when reporting measles in large-scale surveys, particularly in infants. It also shows that the pattern of measles in this community resembles the pattern reported for African communities and calls for a review of immunization strategies with vaccination below 9 months of age. |
| | |
Authors:
|
A De Francisco; V Fauveau; A M Sarder; H R Chowdhury; J Chakraborty; M D Yunus |
Related Documents
:
|
8409958 - Has multiple personality disorder remained consistent over time? a comparison of past a... 1940328 - Schistosomiasis in cross river state, nigeria: 1. prevalence and intensity of infection... 15635968 - Epidemiological features and clinical manifestations in 469 adult patients with brucell... 11012588 - Erythema nodosum in singapore. 18437658 - Unsuspected intestinal mucormycosis in a neonate presenting as necrotizing enterocoliti... 7709798 - A case of type i arnold-chiari malformation of anomalous onset. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: International journal of epidemiology Volume: 23 ISSN: 0300-5771 ISO Abbreviation: Int J Epidemiol Publication Date: 1994 Apr |
Date Detail:
|
Created Date: 1994-10-10 Completed Date: 1994-10-10 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 7802871 Medline TA: Int J Epidemiol Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 393-9 Citation Subset: IM; J |
Affiliation:
|
International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Age Factors Bangladesh / epidemiology Cause of Death Child, Preschool Cross-Sectional Studies Developing Countries* Female Humans Incidence Infant Infant, Newborn Male Measles / epidemiology*, mortality, prevention & control Population Surveillance Rural Population / statistics & numerical data* Seasons Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Field test of a rapid assessment technique against a probabilistic community survey: operational imp...
Next Document: A mathematical model for the prediction of the impact of HIV infection on tuberculosis.