Abstract：
BACKGROUND:Measles vaccination at ages 12-15 months is a routine part of standard health care in developed countries. Nonetheless, the prevention and control of measles outbreaks remain a challenge, owing to incomplete or variable compliance with immunization programs and primary vaccine failure (approximately 5%). In Israel, vaccination coverage against measles is high, yet sero-epidemiological studies conducted in the early 1990s showed that 15% of 18-year-olds were unprotected. METHODS:1994 there was a countrywide epidemic of measles, which spread to the military. The Israel Defense Forces Medical Corps immediately launched a wide-scale vaccination campaign, targeting primarily field units and training bases, where crowded living conditions are the rule. RESULTS:The immunization campaign led to an abrupt cessation of morbidity in the military. In the civilian sector, where no intervention was undertaken, the epidemic continued for another 4 months. CONCLUSIONS:Institutional measles outbreaks, especially in the presence of crowded conditions or high contact rates, may be effectively controlled by mass vaccination.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Gdalevich M,Ephros M,Mimouni D,Grotto I,Shpilberg O,Eldad A,Ashkenazi Idoi
10.1006/pmed.2000.0757subject
Has Abstractpub_date
2000-12-01 00:00:00pages
649-51issue
6eissn
0091-7435issn
1096-0260pii
S0091-7435(00)90757-6journal_volume
31pub_type
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