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Measles epidemic in the urban community of Niamey: transmission patterns, vaccine efficacy and immunization strategies, Niger, 1990 to 1991.

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dc.contributor Epicentre, Paris, France.
dc.creator Malfait, P
dc.creator Jataou, I M
dc.creator Jollet, M C
dc.creator Margot, A
dc.creator De Benoist, A C
dc.creator Moren, A
dc.date 1994-01
dc.date.accessioned 2017-01-31T07:10:15Z
dc.date.available 2017-01-31T07:10:15Z
dc.identifier Measles epidemic in the urban community of Niamey: transmission patterns, vaccine efficacy and immunization strategies, Niger, 1990 to 1991. 1994, 13 (1):38-45 Pediatr. Infect. Dis. J.
dc.identifier 0891-3668
dc.identifier 8170731
dc.identifier http://hdl.handle.net/10144/19918
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/19918
dc.identifier The Pediatric Infectious Disease Journal
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/19918
dc.description From October 1, 1990, until April 28, 1991, 13,578 cases of measles were reported in the urban community of Niamey, Niger. Vaccine coverages (one dose of Schwarz vaccine given after 9 months) in urban community of Niamey were, respectively, 63% at the age of 12 months and 73% at 24 months before the epidemic. Incidence rates were the highest among children ages 6 to 8 months and 9 to 11 months and 22% of the cases were less than 1 year old. Vaccine efficacy estimates ranged from 86 to 94% according to age groups and the method used (screening method, case control study, retrospective cohort study). The risk of transmission of illness increased with the intensity of contact with a case. Contact with a health facility 7 to 22 days before onset of rash was not a risk factor. Seasonal migrants in Niamey were more likely to develop measles. Recommendations included implementation of an early two dose schedule of measles immunization during the outbreak, vaccination offered at each contact with a health facility, radio and television advertising for measles immunization and distribution of vitamin A to all measles cases.
dc.language en
dc.rights Published by Wolters Kluwer Lippincott Williams & Wilkins - Archived on this site by kind permission Wolters Kluwer
dc.title Measles epidemic in the urban community of Niamey: transmission patterns, vaccine efficacy and immunization strategies, Niger, 1990 to 1991.


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