Measles outbreak in the Republic of the Marshall Islands, 2003

Background Measles is a highly contagious viral infection. Measles transmission can be prevented through high population immunity (≥95%) achieved by measles vaccination. In the Republic of the Marshall Islands (RMI), no measles cases were reported during 1989–2002; however, a large measles outbreak...

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Bibliographic Details
Published in:International journal of epidemiology 2006-04, Vol.35 (2), p.299-306
Main Authors: Hyde, Terri B, Dayan, Gustavo H, Langidrik, Justina R, Nandy, Robin, Edwards, Russell, Briand, Kennar, Konelios, Mailynn, Marin, Mona, Nguyen, Huong Q, Khalifah, Anthony P, O'Leary, Michael J, Williams, Nobia J, Bellini, William J, Bi, Daoling, Brown, Cedric J, Seward, Jane F, Papania, Mark J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Distribution
Biological and medical sciences
Child
Child, Preschool
Disease Outbreaks
Disease Susceptibility
Hospitalization - statistics & numerical data
Human viral diseases
Humans
Immunity, Herd
Infant
Infant, Newborn
Infectious diseases
Measles
Measles - complications
Measles - epidemiology
Measles - immunology
Measles - prevention & control
measles vaccine
Measles Vaccine - administration & dosage
Measles virus
Medical sciences
Middle Aged
MMR
Pacific Islands - epidemiology
Schools
Transportation
Vaccination - statistics & numerical data
vaccination campaign
Viral diseases
Viral diseases of the respiratory system and ent viral diseases
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Summary:Background Measles is a highly contagious viral infection. Measles transmission can be prevented through high population immunity (≥95%) achieved by measles vaccination. In the Republic of the Marshall Islands (RMI), no measles cases were reported during 1989–2002; however, a large measles outbreak occurred in 2003. Reported 1-dose measles vaccine coverage among children aged 12–23 months varied widely (52–94%) between 1990 and 2000. Methods RMI is a Pacific island nation (1999 population: 50 840). A measles case was defined as fever, rash, and cough, or coryza, or conjunctivitis, in an RMI resident between July 13 and November 7, 2003. A vaccination campaign was used for outbreak control. Results Of the 826 reported measles cases, 766 (92%) occurred in the capital (Majuro). There were 186 (23%) cases in infants aged
ISSN:0300-5771
1464-3685
DOI:10.1093/ije/dyi222