Background To analyse progress in measles control it is recommended that immunization programmes be evaluated by means of specific epidemiological disease surveillance.
The aim of the study was to analyse a series of measles cases in Catalonia in the light of vaccination records.
Methods Cases were detected by means of the epidemiological surveillance system and then surveyed for information on : age, sex, clinical symptoms, laboratory confirmation, record of vaccination, place of infection and possible outbreak-related links.
The relationship between'record of vaccination'and the remaining variables was determined using the adjusted odds ratio (OR) and its 95% confidence interval (CI).
Results The epidemiological survey confirmed that 82.2% of patients (171/208) fulfilled the case criteria.
In the multivariate analysis, lack of record of vaccination was associated with age groups<5 years (OR=4.0 ; 95% CI : 1.4-11.8) and>14 years (OR=19.2 ; 95% CI : 5.1-220.5).
Conclusions Improvement in vaccination coverage at 15 months and the introduction of vaccination-status monitoring at school-entry age and among those aged>14 years on entry into the job market, university or military service could contribute to the elimination of measles.
Mots-clés Pascal : Rougeole, Virose, Infection, Vaccination, Programme sanitaire, Epidémiologie, Evaluation, Incidence, Enfant, Homme, Espagne, Europe
Mots-clés Pascal anglais : Measles, Viral disease, Infection, Vaccination, Sanitary program, Epidemiology, Evaluation, Incidence, Child, Human, Spain, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0339923
Code Inist : 002B05A02. Création : 14/12/1999.