Epidemic investigation of diphtheria in the Republic of Armenia, 1990-1996

被引:3
作者
Balasanian, M
McNabb, SJN
机构
[1] Ctr Dis Control & Prevent, Epidemiol Program Off, Div Int Hlth, Capac Dev Branch, Atlanta, GA 30341 USA
[2] Armenian Minist Hlth, Yerevan, Armenia
关键词
D O I
10.1086/315542
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
While incidence rates of diphtheria steadily declined in Armenia after World War II, reemergence of the disease in 1990 brought about changes in public health practices and identified resource needs. The Armenian Ministry of Health (MOH) routinely collected diphtheria case reports, as a reportable health outcome. Diphtheria incidence rates increased from 0.02/100,000 in 1993 to 1/100,000 (36 cases) in 1994. The distribution of cases showed that the greatest number of illnesses and deaths occurred among persons 5-14 years old, yet incidence rates among persons 1-4 and 5-14 years old were similar (4.4 cases/ and 4.3 cases/100,000, respectively). During 1990-1996, 9 (75%) of 12 cases who died and 18 (21%) of 84 cases who survived had not been vaccinated. The diphtheria epidemic in Armenia was an important, serious, and signal public health event. The Armenian MOH responded by revising immunization practices (1994), improving epidemic control measures (1995), and soliciting international resources (1992-1996).
引用
收藏
页码:S69 / S72
页数:4
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