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Exploring the time to intervene with a reactive mass vaccination campaign in measles epidemics | Journal Article / Research | MSF Science Portal
Journal Article
|Research

Exploring the time to intervene with a reactive mass vaccination campaign in measles epidemics

Grais RF, De Radiguès X, Dubray C, Fermon F, Guerin PJ
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Abstract
The current WHO policy during measles outbreaks focuses on case management rather than reactive vaccination campaigns in urban areas of resource-poor countries having low vaccine coverage. Vaccination campaigns may be costly, or not timely enough to impact significantly on morbidity and mortality. We explored the time available for intervention during two recent epidemics. Our analysis suggests that the spread of measles in African urban settings may not be as fast as expected. Examining measles epidemic spread in Kinshasa (DRC), and Niamey (Niger) reveals a progression of smaller epidemics. Intervening with a mass campaign or in areas where cases have not yet been reported could slow the epidemic spread. The results of this preliminary analysis illustrate the importance of revisiting outbreak response plans.

Subject Area

vaccination

Languages

English
DOI
10.1017/S0950268805005716
Published Date
01 Aug 2006
PubMed ID
16438743
Journal
Epidemiology and Infection
Volume | Issue | Pages
Volume 134, Issue 4, Pages 845-849
Issue Date
2006-01-26
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