Failure of targeted urban supplemental measles vaccination campaigns (1997-1999) to prevent measles epidemics in Mozambique (1998-2001)
Failure of targeted urban supplemental measles vaccination campaigns (1997-1999) to prevent measles epidemics in Mozambique (1998-2001)
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DOI：
10.1086/368058
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发表时间：
2003-05-15
影响因子：
6.4
通讯作者：
Biellik, R
中科院分区：
文献类型：
--
作者：
Cliff, J;Simango, A;Biellik, R
这项研究评估了莫桑比克城市补充麻疹疫苗接种运动（1997-1999年）的效果，目标是9-59个月的儿童。对2001年底报告的麻疹病例进行了分析，以确定运动的影响。在国家首都和运动后一年发生流行病的三个省会收集了医院住院病人的数据。在首都、9个省会中的4个和126个县中的39个开展运动后，麻疹流行病得到了控制。运动影响有限的原因包括城市居民比例低、一些省会的地理位置、目标年龄组有限以及日常活动和运动覆盖面低。应加强常规免疫接种和疾病监测，宣传运动的覆盖率必须达到90%以上，并以更广泛的年龄组和地理区域为目标，以使高比例的麻疹易感人群受益。
This study assessed the effect of urban supplemental measles vaccination campaigns (1997-1999) in Mozambique that targeted children aged 9-59 months. Reported measles cases were analyzed to the end of 2001 to determine campaign impact. Hospital inpatient data were collected in the national capital and in three provincial capitals where epidemics occurred the year after the campaigns. Measles epidemics followed campaigns in the capital city, in 4 of 9 provincial capitals, and in 39 of 126 districts. Reasons for limited campaign impact included a low proportion of urban dwellers, the geographic location of some provincial capitals, the limited target age group, and low routine and campaign coverage. Routine immunization and disease surveillance should be strengthened and campaigns must achieve >90% coverage and target wider age groups and geographic areas in order to reach a high proportion of persons susceptible to measles.