Abstract:
:Among primary health care programs, one of those that has the highest benefit/cost ratio is measles immunization. An estimate of cases, complicated cases and deaths that could have occurred if such immunization program would not have been run, and costs of medical care (hospitalization, physician's visits, medical treatment and rehabilitation), were calculated. Since population at risk has a steady-state given by those who enter -births- and releave it -when they are 15 years old-, if the program did not exist more than 2 million cases and at least 60,000 deaths from measles would have occurred annually. This hypothetical situation is compared with the actual situation of measles in Mexico during the 80's; 1) no more than 100,000 cases could have been estimated to occur in the very extreme case of notifying only one out of 10 cases. 2) The proportions of vaccinated and immune children under five reach 70 percent; this situation has produced 3) a fade out of epidemicity and has increased the critical size of community population for epidemics and doubled the interepidemic interval with the corollary of 4) increasing the average age of infection. The average cost of vaccinating a child was estimated near 1.25 dollars (US). Estimated costs of disease are related to individual losses. Taking into account these factors, benefit/cost ratio of measles immunization in Mexico is, at least, 100:1. Measles transmission patterns in Mexico are discussed since they lead to increase the benefit/cost ratio as compared to countries where the age of infection was put up before the immunization era. To expand investments on measles immunization is recommended.
journal_name
Salud Publica Mexjournal_title
Salud publica de Mexicoauthors
Cárdenas Ayala VM,Ruiz Matus C,Cabrera Coello L,Montesano Castellanos R,Garrido Lozada MT,Olvera Castillo R,Díaz Ortega JLsubject
Has Abstractpub_date
1989-11-01 00:00:00pages
735-44issue
6eissn
0036-3634issn
1606-7916journal_volume
31pub_type
杂志文章abstract:OBJECTIVE:To contribute to the knowledge on the impact of human productive activities on the environment, human health, and the survival of animal species. MATERIAL AND METHODS:A study case of water bodies in the south of Sonora was conducted in 1996. The software Decision Support System for Industrial Pollution Contr...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVE:To introduce the Hospital Standardized Mortality Ratio (HSMR) as an alternative to assess the quality of hospital care in Mexico. MATERIAL AND METHODS:Data-sets of public hospital discharges were used as source of information. The analyses were based in a logistic model to estimate the risk of hospital death...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::In view of the lack of information regarding abortion attitudes in Mexico, an abortion opinion survey was conducted in Mexico City among 387 women and 338 men. Respondents were asked if they agreed with a woman's abortion decision under seven different circumstances. Affirmative responses were analyzed by respondents'...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::Violence against women by partners (VAWP) has been systematically studied in Mexico in the past 15 years. The aim of this paper is to reflect on the contributions on this topic in Mexico. The discussion focuses on the magnitude of this phenomenon, stressing its theoretical, methodological, and technical implications; ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章,评审
doi:10.1590/s0036-36342006000800012
更新日期:2006-01-01 00:00:00
abstract::Over 85,000 hectares in the Mezquital Valley of central Mexico are irrigated with wastewater. The main crops are fodder and cereal crops. A two cross-sectional survey was carried out to test the impact of exposure to raw wastewater and from storage of that wastewater in reservoirs. The main outcomes were diarrhoeal di...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVE:To describe the prevalence of abnormal eating behaviors in a population-based nationwide survey. MATERIAL AND METHODS:A stratified, probabilistic, multistage design sampling process was used. The Brief Questionnaire for Risky Eating Behaviors was included in the Mexican Health and Nutrition Survey 2006 (ENSA...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342009001000019
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To describe spirometric function and adjustment to foreign prediction equations in Mexican workers claiming work related disability. MATERIAL AND METHODS:We reviewed 5771 spirometries done at the Mexican National Institute of Respiratory Diseases performed with equipment and methods proposed by the American ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2001-03-01 00:00:00
abstract::The Mexican Ministry of Health requested the National Institute of Public Health to constitute a group of independent, free of conflict-of-interest academic experts on front-of-pack labelling (FOP). This group was instructed to created a positioning paper to contribute to the development of a FOP system for industrial...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/9615
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:To identify a valid cutoff point associated with Center for Epidemiologic Studies, Depression Scale (CES-D) of seven items, which allows the classification of older adults according to presence/absence of clinically significant depressive symptoms. MATERIALS AND METHODS:Screening study with 229 older adults ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2014-05-01 00:00:00
abstract::Cervical cancer is a major public health problem, as it is the second most common cancer in women world-wide after breast cancer. About 80% of the half a million cases estimated to occur annually in the world, occur in developing countries. The epidemiological evidence linking human papillomavirus (HPV) to cervical ca...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36341997000400005
更新日期:1997-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the genetic variability of domain III of envelope (E) protein and to estimate phylogenetic relationships of dengue 4 (Den-4) viruses isolated in Mexico and from other endemic areas of the world. MATERIAL AND METHODS:A phylogenetic study of domain III of envelope (E) protein of Den-4 viruses was c...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342002000300006
更新日期:2002-05-01 00:00:00
abstract::The Social Functioning Scale (SFS) is described, together with its rationale and development. The instrument consists of 35 items, and was administered to a sample of 320 adult patients of a health center. Social functioning is assessed in a semistructured, 30 minute interview. The patient reports the level of satisfa...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::In this paper, an overview of the quality of care activities undertaken at the General Direction of Medical Services of the Federal District Department is presented. The current standing of the medical services is briefly described, as well as the prevailing Reorientation Program, aimed at improving the quality of the...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:To establish indicators for food security (FS) in two Colombian municipalities. MATERIAL AND METHODS:In 1999-2000, a descriptive study was carried out in two municipalities of the department of Santander, Colombia, that determined the cost of basic food baskets (BFB), to estimate price indices (PI), their va...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:To describe the magnitude and distribution of folate and vitamin B12 deficiency in Mexican children. MATERIALS AND METHODS:Folate and vitamin B12 serum concentrations were measured in a probabilistic sample of 2 099 children. Adjusted prevalence, mean concentrations and relevant associations were calculated ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342012000200007
更新日期:2012-03-01 00:00:00
abstract::The effectiveness of vaccines and immunization in the prevention of infectious diseases is one of the greatest successes in medicine. In recent years, with access to cutting edge genomic and proteomic technology, it is possible to accelerate the development of new and improved vaccines with better immunogenicity and s...
journal_title:Salud publica de Mexico
pub_type: 杂志文章,评审
doi:10.1590/s0036-36342009000900012
更新日期:2009-01-01 00:00:00
abstract::This article discusses recent evidence pointing to an infectious etiology of premature rupture of the membranes and preterm labor. We conclude that antepartum infection is strongly related to preterm labor, premature rupture of the membranes and perinatal morbidity and mortality. ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章,meta分析
doi:
更新日期:1990-05-01 00:00:00
abstract:UNLABELLED:OBJECTIVO: To identify tobacco industry's strategies aimed at containing the full adoption of public health policies established by the Framework Convention on Tobacco Control. DISCUSSION:Tobacco industry interference in the design, adoption and implementation of tobacco control policies has intensified sin...
journal_title:Salud publica de Mexico
pub_type: 杂志文章,评审
doi:10.1590/s0036-36342012000300014
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:The primary purpose of this study was to determine the impact of two exercise dosages on reducing adiposity in minority girls. MATERIALS AND METHODS:Sixty-two overweight Hispanic and African-American girls participated in one of two intense summer interventions in Houston, TX: Intervention A (exposure to abo...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/spm.v55s3.5142
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To compare cancer mortality rates in Mexico from two national death registries that independently code and attribute cause of death. MATERIALS AND METHODS:We compared 5-year age-standardized total cancer and sitespecific cancer mortality rates (2010-2014) from Mexico's official death registry with a death re...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/10635
更新日期:2020-03-01 00:00:00
abstract::In this report the organization and performance of the IMSS-Solidaridad Program of Mexico is described. This program is managed by the Mexican Institute for Social Security, which services 10.5 million inhabitants of the rural underserved areas, with federal government resources in 18 states. This study compares the s...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVES:To describe knowledge,attitudes and practices in oral health of parents and caregivers. MATERIAL AND METHODS:A total of 333 parents and eight caregivers in children's homes in Colombia in 2010 completed questionnaires and participated in focus group interviews.The data was analyzed for frequency using the χ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342011000300009
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:To estimate the percentage of Mexican adults that may require lipid-lowering treatment according to National Cholesterol Education Program-III guidelines, using data from the National Health and Nutrition Survey 2006 (ENSANut 2006). MATERIAL AND METHODS:Information was obtained from 4 040 subjects aged 20 to...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342010000700009
更新日期:2010-01-01 00:00:00
abstract::The main objective of a hospital-acquired infections control program is to decrease the risk of acquisition and the morbidity and costs associated. The organization of a team with technical and humanistic leadership is essential. Every infection control program must also develop strategies that allow: a) identificatio...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:To establish the blood lead concentration and associated risk factors in schoolchildren during 1998 and 2008. MATERIALS AND METHODS:A blood lead screening was conducted in schoolchildren of 6-12 years of age, enrolled in 17 elementary schools of the metropolitan area of Monterrey, México, during 1998 and 200...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:To analyze the evidence on the relationship between air pollution and an increased risk of morbidity and mortality from Covid-19. MATERIALS AND METHODS:An adaptation of the Cochrane rapid review methodology was used. The search was performed in PubMed and MedRxiv and was limited until April 28 and 26, respec...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/11481
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:Establish provider delay for breast cancer and related factors. MATERIAL AND METHODS:1,106 women with breast cancer were approached in health care institutions of Bogota, Colombia. According to the history of first consultation, we established diagnostic and treatment incidence rates, which were compared for...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To determinate the prevalence of hearing loss (HL) and visual impairment (VI) among adult population from Tlaxcala, Mexico. MATERIALS AND METHODS:A populationbased cross-sectional study comprising persons 50 years and older was conducted in 2013. Self-reported HL was measured using the Hearing Impairment Inv...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/10086
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:To approach the cost analysis of the health services for eight tracer conditions, in three institutions of the public sector and in five of the private sector. MATERIAL AND METHODS:First, production functions and inputs required for standard case-management of each tracer condition were identified. Subsequen...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVE:To analyze the characteristics of problems in the health system that present barriers to maternal care, according to their representation and rating by officials in different positions and social contexts. MATERIAL AND METHODS:Workshops were held with state health system officials from Mexican states with hi...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342011000100008
更新日期:2011-01-01 00:00:00