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Risk factors for measles in children younger than age 8 months: A case-control study during an outbreak in Guangxi, China, 2013.

Abstract：

BACKGROUND:Following a period (2009-2012) during which zero measles cases were reported, a measles outbreak occurred in 2013 in Bama County, Guangxi, China, that involved more than 100 children younger than age 8 months. We aimed to identify the pitfalls and risk factors while implementing the control measures. METHODS:An outbreak investigation and a case-control study was conducted among children younger than age 8 months. The serum specimens of the study subjects and their mothers were tested for measles immunoglobulin M and immunoglobulin G. RESULTS:The attack rate was 2.3/1,000 population. The median (interquartile range) age was 18.6 months (7.9-52.8 months). The coverage of 2-dose measles-containing vaccine was only 34%. The case-control study revealed 2 independent risk factors: low education level of main caregiver (odds ratio [OR], 2.86; 95% confidence interval [CI], 1.31-6.22) and visiting a hospital 7-21 days before the date of symptoms onset (OR, 9.84; 95% CI, 4.27-22.67). The population attributable fraction of the latter was 52.8%. The mothers of the cases had nonsignificantly higher levels of immunoglobulin M and were significantly more likely to have protective levels of immunoglobulin G than those of the controls. This suggests a reactive rather than protective role of the antibody to the child's infection. CONCLUSIONS:In a near-elimination but low measles-containing vaccine coverage community, supplementary immunization activities should be emphasized for children and women who are potential future mothers. The minimum age of measles-containing vaccine should be further reduced. Hospital measles transmission must also be strictly prevented.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Tang ZZ,Xie YH,Jiraphongsa C,Liu XH,Li ZY,Chongsuvivatwong V

doi

10.1016/j.ajic.2015.11.005

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

e51-8

issue

4

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(15)01155-4

journal_volume

44

pub_type

杂志文章

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