Epidemiology of measles in southern Iran: trends, challenges, and vaccination insights.

Autor: Hassani Azad M; Infectious and Tropical Diseases Research Center, Hormozgan Health Institute., Dehghani Sargazi L; Student Research Committee., Salari M; Student Research Committee., Jahangiri S; Internal Medicine Resident, Research Development Unit, School of Medicine, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman., Hashemi SM; Student Research Committee., Asadi SS; Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas., Ghaedi Hengami G; Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas., Ghazalgoo A; Student Research Committee., Keivanlou MH; Gastrointestinal and Liver Diseases Research Center.; Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran., Amini-Salehi E; Gastrointestinal and Liver Diseases Research Center.; Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran., Asadi Yousefabad SH; Student Research Committee.
Jazyk: angličtina
Zdroj: Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2024 Apr 03; Vol. 86 (6), pp. 3273-3280. Date of Electronic Publication: 2024 Apr 03 (Print Publication: 2024).
DOI: 10.1097/MS9.0000000000002004
Abstrakt: Background: Measles, a highly contagious and vaccine-preventable disease, continues to present global public health challenges. This retrospective study focused on measles outbreaks in Hormozgan province, southern Iran, spanning from 2014 to 2019.
Methods: Between 2014 and 2019, patients suspected of having measles, as reported by medical centers in Hormozgan, were subject to a comprehensive evaluation. The diagnosis of measles was conclusively established through the use of real-time polymerase chain reaction (RT-PCR) testing. A detailed collection of pertinent data was undertaken. SPSS software, version 21, was employed for statistical analysis.
Results: In the current study, out of 1291 clinically suspected measles cases, 151 were PCR-confirmed, with an average age of 16.77 years (±10.46), comprising 50.9% males and 49.1% females. The annual distribution showed varied incidence: 8.4% in 2014, peaking at 18.8% in 2015, then fluctuating to 11.4% in 2016, 0.8% in 2017, and 17.9% in 2018, with no cases in 2019. Among confirmed cases, 16.5% were vaccinated, while 68.2% were not, and 15.23% had unknown vaccination status.
Conclusion: This retrospective study highlights the ongoing challenge of measles in Hormozgan province, Iran, from 2014 to 2019. Despite measles being preventable by vaccination, a significant number of cases were confirmed among both vaccinated and unvaccinated individuals, indicating gaps in immunization coverage and effectiveness. The fluctuating annual incidence, with a peak in 2015 and no cases in 2019, suggests variable success in disease control efforts. This underscores the need for enhanced surveillance, improved vaccination strategies, and public health interventions to effectively combat measles outbreaks in this region.
Competing Interests: The authors have no conflict of interest to declare.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.
(Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze: MEDLINE