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Interruption of indigenous measles transmission in Bolivia since October 2000.
Quiroga, Rosario; Barrezueta, Oswaldo; Venczel, Linda; Halkyer, Percy; Gil, Fernando; Machicao, Eric; Landaverde, Mauricio; Quiñonez, Arturo; Izurieta, Héctor.
Afiliação
  • Quiroga R; National Vaccination Program, Ministry of Health, Bolivia. izurieth@paho.org
J Infect Dis ; 187 Suppl 1: S121-6, 2003 May 15.
Article em En | MEDLINE | ID: mdl-12721902
Measles incidence in Bolivia declined after the introduction of campaign strategies in the 1980s. From 1990 to 1993, the peak incidence of measles (59 cases/100,000 population) was in 1992. In 1994, after the goal of interruption of measles transmission was adopted, a national vaccination campaign targeting children <15 years old was conducted and achieved 96% coverage. During 1995-1997, cases declined, although routine coverage was <90% in most years. During 1998-2000, a nationwide epidemic occurred among 2567 case-patients, most of whom were unvaccinated. A national vaccination campaign, with strong supervision, was conducted during November and December 1999 and targeted areas with low coverage. Only 122 cases were confirmed in 2000, with the last confirmed case occurring in October. Crucial to the control of the outbreak were sufficient resources and political support, intensive local planning, door-to-door vaccination with strict supervision, and rapid house-to-house coverage monitoring that improved accountability at the local level and timely and thorough outbreak investigations.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vacina contra Sarampo / Programas de Imunização / Sarampo Tipo de estudo: Incidence_studies / Prognostic_studies / Screening_studies Limite: Adolescent / Child / Child, preschool / Humans / Infant País/Região como assunto: America do sul / Bolivia Idioma: En Revista: J Infect Dis Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Bolívia País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vacina contra Sarampo / Programas de Imunização / Sarampo Tipo de estudo: Incidence_studies / Prognostic_studies / Screening_studies Limite: Adolescent / Child / Child, preschool / Humans / Infant País/Região como assunto: America do sul / Bolivia Idioma: En Revista: J Infect Dis Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Bolívia País de publicação: Estados Unidos