Measles vaccination effectiveness among children under 5 years of age in Kampala, Uganda

被引:22
作者
Mupere, Ezekiel
Karamagi, Charles
Zirembuzi, George
Grabowsky, Mark
de Swart, Rik L.
Nanyunja, Miriam
Mayanja, Harriet
机构
[1] Makerere Univ, Dept Paediat & Child Hlth, Fac Med, Kampala, Uganda
[2] Mulago Hosp, Dept Paediat & Child Hlth, Kampala, Uganda
[3] WHO Country Off, Kampala, Uganda
[4] Erasmus MC, Dept Virol, Rotterdam, Netherlands
[5] Uganda Virus Res Inst, Minist Hlth, Entebbe, Uganda
[6] Makerere Univ, Dept Med, Kampala, Uganda
关键词
measles vaccination effectiveness; attack rates; filter paper blood samples;
D O I
10.1016/j.vaccine.2006.02.038
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Measles control remains a great challenge in Uganda. We conducted a prospective study among household contacts aged 9-59 months to assess measles vaccination effectiveness. Index cases were measles patients seen in Kampala hospitals in 1999, Measles was diagnosed in 37/43 (86%) of unvaccinated and in 33/145 (23%) of vaccinated exposed contacts, respectively. Vaccination effectiveness was 74% (95% Cl; 64-81), which was lower than expected. This may indicate the need for strengthening of the cold chain and/or introduction of a second opportunity for measles vaccination, either as part of the routine immunization program or in the form of supplementary immunization activities. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:4111 / 4115
页数:5
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