The Changing Global Epidemiology of Measles, 2013-2018
| Autor: | Minal K. Patel, Marta Gacic Dobo, Samir V. Sodha, Lisa Menning, Ikechukwu U. Ogbuanu, Sebastien Antoni, Yoann Nedelec |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Vaccination Coverage 030231 tropical medicine Measles Vaccine Global Health World Health Organization Measles 03 medical and health sciences 0302 clinical medicine Epidemiology medicine Immunology and Allergy Humans 030212 general & internal medicine Disease Eradication Developing Countries Income.status Univariate analysis business.industry Immunization Programs Mortality rate Incidence (epidemiology) Incidence medicine.disease Vaccination Infectious Diseases Immunization Population Surveillance business Demography |
| Zdroj: | The Journal of infectious diseases. 222(7) |
| ISSN: | 1537-6613 |
| Popis: | Background Measles incidence and mortality rates have significantly decreased since vaccine introduction. Despite this progress, however, there has been a global resurgence of measles. To understand the current global epidemiology, we analyzed measles surveillance data. Methods We analyzed data on measles cases from 2013–2018 reported to the World Health Organization. Univariate analysis was undertaken based on age, vaccination history, onset year, World Health Organization region, and World Bank income status for the country where the case was reported, and a surrogate indicator of the historical strength of the country’s immunization program. Annual incidence and a 2013–2018 mean country incidence per million were calculated. Results From 2013 through 2018, there were 899 800 reported measles cases, of which 57% occurred unvaccinated or undervaccinated persons, with an unknown vaccination history in another 30%. Lower-middle-income countries accounted for 66% of cases, 23% occurred in persons ≥15 years of age. In countries with stronger historical vaccination programs and higher country income, case patients had higher median ages. Conclusions Although most measles case patients are |
| Databáze: | OpenAIRE |
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