The tip of the iceberg: incompleteness of measles reporting during a large outbreak in The Netherlands in 2013–2014
The tip of the iceberg: incompleteness of measles reporting during a large outbreak in The Netherlands in 2013–2014
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冰山一角：2013-2014 年荷兰大规模疫情期间麻疹报告的不完整性
DOI：
10.1017/s0950268818002698
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发表时间：
2018
影响因子：
4.2
通讯作者：
J. Wallinga
中科院分区：
文献类型：
--
作者：
T. Woudenberg;F. Woonink;J. Kerkhof;K. Cox;W. Ruijs;R. V. Binnendijk;H. D. Melker;S J M Hahne;J. Wallinga
麻疹是一种法定疾病，但并不是每个感染者都寻求治疗，也不是每一次咨询报告。我们估计了2013-2014年荷兰麻疹暴发期间报告的完整性。在疫苗接种覆盖率低的社区（n = 3422）， 15岁以下儿童收到了一份问卷，以确定麻疹病例。将调查中发现的病例与应通报疾病登记册相匹配，以估计报告的完整性。第二，通过将暴发前易感个体的数量与调查社区和国家一级报告的病例数量进行比较，评估报告的完整性。我们在2077份返回的问卷（61%）中发现307例（15%）自我识别的麻疹病例，其中27例可与报告给国家登记册的病例相匹配；报告的完整性为8.8%。根据调查社区和国家层面的易感个体数和报告病例数，报告的完整性估计分别为9.1%和8.6%。对报告完整性的估计得出了几乎相同的估计，这支持了两种方法的可信性和有效性。2013-2014年疫情的规模约为3400例麻疹感染。
Abstract Measles is a notifiable disease, but not everyone infected seeks care, nor is every consultation reported. We estimated the completeness of reporting during a measles outbreak in The Netherlands in 2013–2014. Children below 15 years of age in a low vaccination coverage community (n = 3422) received a questionnaire to identify measles cases. Cases found in the survey were matched with the register of notifiable diseases to estimate the completeness of reporting. Second, completeness of reporting was assessed by comparing the number of susceptible individuals prior to the outbreak with the number of reported cases in the surveyed community and on a national level. We found 307 (15%) self-identified measles cases among 2077 returned questionnaires (61%), of which 27 could be matched to a case reported to the national register; completeness of reporting was 8.8%. Based on the number of susceptible individuals and number of reported cases in the surveyed community and on national level, the completeness of reporting was estimated to be 9.1% and 8.6%, respectively. Estimating the completeness of reporting gave almost identical estimates, which lends support to the credibility and validity of both approaches. The size of the 2013–2014 outbreak approximated 31 400 measles infections.