Epidemic Measles in an Isolated Unvaccinated Population, India
Narain J P (Division of Epidemiology, National Institute of Communicable Diseases, Delhi—110054, India), Khare S, Rana S R S and Banerjee K B. Epidemic measles in an isolated unvaccinated population, India. International Journal of Epidemiology 1989, 18: 952–958. Between June and September, 1986, an...
Gespeichert in:
| Veröffentlicht in: | International journal of epidemiology 1989-12, Vol.18 (4), p.952-958 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 958 |
|---|---|
| container_issue | 4 |
| container_start_page | 952 |
| container_title | International journal of epidemiology |
| container_volume | 18 |
| creator | NARAIN, JAI P KHARE, SHASHI RANA, S R S BANERJEE, K B |
| description | Narain J P (Division of Epidemiology, National Institute of Communicable Diseases, Delhi—110054, India), Khare S, Rana S R S and Banerjee K B. Epidemic measles in an isolated unvaccinated population, India. International Journal of Epidemiology 1989, 18: 952–958. Between June and September, 1986, an outbreak of measles occurred in Pilkhi Primary Health Centre area (population 56 000) in Tehri Garhwal district, Uttar Pradesh, India. Overall, 1092 cases were identified and 62 died; case-fatality ratio was 5.7%. Illness was restricted primarily to children below 15 years of age; 38% cases were in children under 5 and 58% between 5–14 years of age. To better characterize the outbreak, a survey was conducted in 13 affected villages. The age of the cases ranged from 5 months to 19 years (median = 7.0 years). The age-specific attack rates were 22.4%, 54.5%, 46.2% and 35.3% for children under 1, 1–4, 5–9, 10–14 years of age respectively. In as many as four villages, the attack rate in children below ten was 80% or more. Secondary attack rate among family members was 70%. Overall, 82% of children with measles developed complications which consisted mainly of pneumonia, diarrhoea and dysentery. The age-specific case-fatality ratios in infants and children 1–4 years of age were 23.1% and 11.5% respectively; thereafter the rates tended to decline with increasing age and was higher in females than in males ( |
| doi_str_mv | 10.1093/ije/18.4.952 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79469455</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>79469455</sourcerecordid><originalsourceid>FETCH-LOGICAL-c354t-b9478890d3cf702a2295d1cc0b1e6598d00790c624d5a1d80f65c4ff18f0e04f3</originalsourceid><addsrcrecordid>eNpFkMlKA0EURQtRNA47t0JvdGXHV13zRpAQNagoDhDcFJUaoGIPsasj-ve2Jujqcd893MVB6BDDEIMiZ3Huz7Ac0qFixQYaYMppTrhkm2gABCBnQuAdtJvSHABTStU22i54gYEUA3Q-XkTnq2izO29S6VMW68zU2SQ1pem8y17qD2NtrH_DQ7NY9u_Y1KfZpHbR7KOtYMrkD9Z3D71cjp9H1_nt_dVkdHGbW8Jol88UFVIqcMQGAYUpCsUcthZm2HOmpAMQCiwvqGMGOwmBM0tDwDKABxrIHjpZ7S7a5n3pU6ermKwvS1P7Zpm0UJQrylgPnq5A2zYptT7oRRsr035pDPpHl-51aSw11b2uHj9a7y5nlXd_8NpP3x-ve5OsKUNrahvT_6ZiGCQWPZevuJg6__nXm_ZNc0EE09fTV_0MTzccHqeakm-JnIA5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79469455</pqid></control><display><type>article</type><title>Epidemic Measles in an Isolated Unvaccinated Population, India</title><source>MEDLINE</source><source>Oxford University Press Archive</source><creator>NARAIN, JAI P ; KHARE, SHASHI ; RANA, S R S ; BANERJEE, K B</creator><creatorcontrib>NARAIN, JAI P ; KHARE, SHASHI ; RANA, S R S ; BANERJEE, K B</creatorcontrib><description>Narain J P (Division of Epidemiology, National Institute of Communicable Diseases, Delhi—110054, India), Khare S, Rana S R S and Banerjee K B. Epidemic measles in an isolated unvaccinated population, India. International Journal of Epidemiology 1989, 18: 952–958. Between June and September, 1986, an outbreak of measles occurred in Pilkhi Primary Health Centre area (population 56 000) in Tehri Garhwal district, Uttar Pradesh, India. Overall, 1092 cases were identified and 62 died; case-fatality ratio was 5.7%. Illness was restricted primarily to children below 15 years of age; 38% cases were in children under 5 and 58% between 5–14 years of age. To better characterize the outbreak, a survey was conducted in 13 affected villages. The age of the cases ranged from 5 months to 19 years (median = 7.0 years). The age-specific attack rates were 22.4%, 54.5%, 46.2% and 35.3% for children under 1, 1–4, 5–9, 10–14 years of age respectively. In as many as four villages, the attack rate in children below ten was 80% or more. Secondary attack rate among family members was 70%. Overall, 82% of children with measles developed complications which consisted mainly of pneumonia, diarrhoea and dysentery. The age-specific case-fatality ratios in infants and children 1–4 years of age were 23.1% and 11.5% respectively; thereafter the rates tended to decline with increasing age and was higher in females than in males (<0.05). Pneumonia which was a complication in 39% of measles cases contributed to 56% of deaths. Traditional beliefs and customs in the area were strong and did not encourage treatment of measles cases. Although a measles vaccination programme has been launched in India since 1985, only 30 districts could be covered during the first year and another 90 during 1986. The programme is being implemented in a phased manner such that by 1990, all 550 districts (average population 1.8 million) are expected to be brought into the programme. At the time of the epidemic, measles vaccination was not available in the outbreak area.</description><identifier>ISSN: 0300-5771</identifier><identifier>EISSN: 1464-3685</identifier><identifier>DOI: 10.1093/ije/18.4.952</identifier><identifier>PMID: 2621032</identifier><identifier>CODEN: IJEPBF</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adolescent ; Biological and medical sciences ; Cause of Death ; Child ; Child, Preschool ; Diarrhea - etiology ; Disease Outbreaks - statistics & numerical data ; Female ; Human viral diseases ; Humans ; India - epidemiology ; Infant ; Infectious diseases ; Male ; Measles - complications ; Measles - epidemiology ; Measles - mortality ; Measles Vaccine - supply & distribution ; Medical sciences ; Pneumonia - etiology ; Rural Population - statistics & numerical data ; Tropical medicine ; Viral diseases ; Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye</subject><ispartof>International journal of epidemiology, 1989-12, Vol.18 (4), p.952-958</ispartof><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-b9478890d3cf702a2295d1cc0b1e6598d00790c624d5a1d80f65c4ff18f0e04f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19510817$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2621032$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NARAIN, JAI P</creatorcontrib><creatorcontrib>KHARE, SHASHI</creatorcontrib><creatorcontrib>RANA, S R S</creatorcontrib><creatorcontrib>BANERJEE, K B</creatorcontrib><title>Epidemic Measles in an Isolated Unvaccinated Population, India</title><title>International journal of epidemiology</title><addtitle>Int J Epidemiol</addtitle><description>Narain J P (Division of Epidemiology, National Institute of Communicable Diseases, Delhi—110054, India), Khare S, Rana S R S and Banerjee K B. Epidemic measles in an isolated unvaccinated population, India. International Journal of Epidemiology 1989, 18: 952–958. Between June and September, 1986, an outbreak of measles occurred in Pilkhi Primary Health Centre area (population 56 000) in Tehri Garhwal district, Uttar Pradesh, India. Overall, 1092 cases were identified and 62 died; case-fatality ratio was 5.7%. Illness was restricted primarily to children below 15 years of age; 38% cases were in children under 5 and 58% between 5–14 years of age. To better characterize the outbreak, a survey was conducted in 13 affected villages. The age of the cases ranged from 5 months to 19 years (median = 7.0 years). The age-specific attack rates were 22.4%, 54.5%, 46.2% and 35.3% for children under 1, 1–4, 5–9, 10–14 years of age respectively. In as many as four villages, the attack rate in children below ten was 80% or more. Secondary attack rate among family members was 70%. Overall, 82% of children with measles developed complications which consisted mainly of pneumonia, diarrhoea and dysentery. The age-specific case-fatality ratios in infants and children 1–4 years of age were 23.1% and 11.5% respectively; thereafter the rates tended to decline with increasing age and was higher in females than in males (<0.05). Pneumonia which was a complication in 39% of measles cases contributed to 56% of deaths. Traditional beliefs and customs in the area were strong and did not encourage treatment of measles cases. Although a measles vaccination programme has been launched in India since 1985, only 30 districts could be covered during the first year and another 90 during 1986. The programme is being implemented in a phased manner such that by 1990, all 550 districts (average population 1.8 million) are expected to be brought into the programme. At the time of the epidemic, measles vaccination was not available in the outbreak area.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Cause of Death</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diarrhea - etiology</subject><subject>Disease Outbreaks - statistics & numerical data</subject><subject>Female</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>India - epidemiology</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Measles - complications</subject><subject>Measles - epidemiology</subject><subject>Measles - mortality</subject><subject>Measles Vaccine - supply & distribution</subject><subject>Medical sciences</subject><subject>Pneumonia - etiology</subject><subject>Rural Population - statistics & numerical data</subject><subject>Tropical medicine</subject><subject>Viral diseases</subject><subject>Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye</subject><issn>0300-5771</issn><issn>1464-3685</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMlKA0EURQtRNA47t0JvdGXHV13zRpAQNagoDhDcFJUaoGIPsasj-ve2Jujqcd893MVB6BDDEIMiZ3Huz7Ac0qFixQYaYMppTrhkm2gABCBnQuAdtJvSHABTStU22i54gYEUA3Q-XkTnq2izO29S6VMW68zU2SQ1pem8y17qD2NtrH_DQ7NY9u_Y1KfZpHbR7KOtYMrkD9Z3D71cjp9H1_nt_dVkdHGbW8Jol88UFVIqcMQGAYUpCsUcthZm2HOmpAMQCiwvqGMGOwmBM0tDwDKABxrIHjpZ7S7a5n3pU6ermKwvS1P7Zpm0UJQrylgPnq5A2zYptT7oRRsr035pDPpHl-51aSw11b2uHj9a7y5nlXd_8NpP3x-ve5OsKUNrahvT_6ZiGCQWPZevuJg6__nXm_ZNc0EE09fTV_0MTzccHqeakm-JnIA5</recordid><startdate>19891201</startdate><enddate>19891201</enddate><creator>NARAIN, JAI P</creator><creator>KHARE, SHASHI</creator><creator>RANA, S R S</creator><creator>BANERJEE, K B</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19891201</creationdate><title>Epidemic Measles in an Isolated Unvaccinated Population, India</title><author>NARAIN, JAI P ; KHARE, SHASHI ; RANA, S R S ; BANERJEE, K B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-b9478890d3cf702a2295d1cc0b1e6598d00790c624d5a1d80f65c4ff18f0e04f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Cause of Death</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diarrhea - etiology</topic><topic>Disease Outbreaks - statistics & numerical data</topic><topic>Female</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>India - epidemiology</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Measles - complications</topic><topic>Measles - epidemiology</topic><topic>Measles - mortality</topic><topic>Measles Vaccine - supply & distribution</topic><topic>Medical sciences</topic><topic>Pneumonia - etiology</topic><topic>Rural Population - statistics & numerical data</topic><topic>Tropical medicine</topic><topic>Viral diseases</topic><topic>Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NARAIN, JAI P</creatorcontrib><creatorcontrib>KHARE, SHASHI</creatorcontrib><creatorcontrib>RANA, S R S</creatorcontrib><creatorcontrib>BANERJEE, K B</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NARAIN, JAI P</au><au>KHARE, SHASHI</au><au>RANA, S R S</au><au>BANERJEE, K B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemic Measles in an Isolated Unvaccinated Population, India</atitle><jtitle>International journal of epidemiology</jtitle><addtitle>Int J Epidemiol</addtitle><date>1989-12-01</date><risdate>1989</risdate><volume>18</volume><issue>4</issue><spage>952</spage><epage>958</epage><pages>952-958</pages><issn>0300-5771</issn><eissn>1464-3685</eissn><coden>IJEPBF</coden><abstract>Narain J P (Division of Epidemiology, National Institute of Communicable Diseases, Delhi—110054, India), Khare S, Rana S R S and Banerjee K B. Epidemic measles in an isolated unvaccinated population, India. International Journal of Epidemiology 1989, 18: 952–958. Between June and September, 1986, an outbreak of measles occurred in Pilkhi Primary Health Centre area (population 56 000) in Tehri Garhwal district, Uttar Pradesh, India. Overall, 1092 cases were identified and 62 died; case-fatality ratio was 5.7%. Illness was restricted primarily to children below 15 years of age; 38% cases were in children under 5 and 58% between 5–14 years of age. To better characterize the outbreak, a survey was conducted in 13 affected villages. The age of the cases ranged from 5 months to 19 years (median = 7.0 years). The age-specific attack rates were 22.4%, 54.5%, 46.2% and 35.3% for children under 1, 1–4, 5–9, 10–14 years of age respectively. In as many as four villages, the attack rate in children below ten was 80% or more. Secondary attack rate among family members was 70%. Overall, 82% of children with measles developed complications which consisted mainly of pneumonia, diarrhoea and dysentery. The age-specific case-fatality ratios in infants and children 1–4 years of age were 23.1% and 11.5% respectively; thereafter the rates tended to decline with increasing age and was higher in females than in males (<0.05). Pneumonia which was a complication in 39% of measles cases contributed to 56% of deaths. Traditional beliefs and customs in the area were strong and did not encourage treatment of measles cases. Although a measles vaccination programme has been launched in India since 1985, only 30 districts could be covered during the first year and another 90 during 1986. The programme is being implemented in a phased manner such that by 1990, all 550 districts (average population 1.8 million) are expected to be brought into the programme. At the time of the epidemic, measles vaccination was not available in the outbreak area.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>2621032</pmid><doi>10.1093/ije/18.4.952</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0300-5771 |
| ispartof | International journal of epidemiology, 1989-12, Vol.18 (4), p.952-958 |
| issn | 0300-5771 1464-3685 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79469455 |
| source | MEDLINE; Oxford University Press Archive |
| subjects | Adolescent Biological and medical sciences Cause of Death Child Child, Preschool Diarrhea - etiology Disease Outbreaks - statistics & numerical data Female Human viral diseases Humans India - epidemiology Infant Infectious diseases Male Measles - complications Measles - epidemiology Measles - mortality Measles Vaccine - supply & distribution Medical sciences Pneumonia - etiology Rural Population - statistics & numerical data Tropical medicine Viral diseases Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye |
| title | Epidemic Measles in an Isolated Unvaccinated Population, India |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T08%3A38%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Epidemic%20Measles%20in%20an%20Isolated%20Unvaccinated%20Population,%20India&rft.jtitle=International%20journal%20of%20epidemiology&rft.au=NARAIN,%20JAI%20P&rft.date=1989-12-01&rft.volume=18&rft.issue=4&rft.spage=952&rft.epage=958&rft.pages=952-958&rft.issn=0300-5771&rft.eissn=1464-3685&rft.coden=IJEPBF&rft_id=info:doi/10.1093/ije/18.4.952&rft_dat=%3Cproquest_cross%3E79469455%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=79469455&rft_id=info:pmid/2621032&rfr_iscdi=true |