The impact of Australia's measles control programme over the past decade.

作者: H. F. GIDDING

DOI: 10.1017/S0950268804003073

关键词: Measles eliminationDemographyMMR vaccineChildhood vaccinationViral diseaseTransmission (medicine)MeaslesEpidemiologyOutbreakImmunologyMedicine

摘要: We reviewed measles surveillance data for 1993-2002 to determine the impact of Australia's control initiatives. The introduction a second dose measles-mumps-rubella (MMR) vaccine 10- 16-year-olds in 1993 was followed by marked reductions notifications and hospitalizations, especially targeted age group. Further rate were achieved following Measles Control Campaign (MCC) 1998, which involved catch-up campaign primary-school-aged children lowering MMR 4 years. Since MCC, outbreaks have continued occur, but most had source case who infected overseas, suggests that indigenous transmission has been interrupted. In addition, greater proportion cases adults although infants aged < 5 years still highest rates. conclusion, Australia is making good progress towards elimination. However, as other countries, this can be sustained only maintaining high vaccination coverage with routine childhood schedule.

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