title: [Major measles epidemic in the region of Quebec despite a 99% vaccine coverage].
abstract: The 1989 measles outbreak in the province of Quebec has been largely attributed to an incomplete vaccination coverage. In the Quebec City area (pop. 600,000) 1,363 confirmed cases of measles did occur. A case-control study conducted to evaluate risk factors for measles allowed us to estimate vaccination coverage. It was measured in classes where cases did occur during the outbreak. This population included 8,931 students aged 5 to 19 years old. The 563 cases and a random sample of two controls per case selected in the case's class were kept for analysis. The vaccination coverage among cases was at least 84.5%. Vaccination coverage for the total population was 99.0%. Incomplete vaccination coverage is not a valid explanation for the Quebec City measles outbreak.
authors.affiliation: Département de santé communautaire, Centre Hospitalier de l'Université Laval.
authors.forename: N
authors.initials: N
authors.lastname: Boulianne
authors.forename: G
authors.initials: G
authors.lastname: De Serres
authors.forename: B
authors.initials: B
authors.lastname: Duval
authors.forename: J R
authors.initials: JR
authors.lastname: Joly
authors.forename: F
authors.initials: F
authors.lastname: Meyer
authors.forename: P
authors.initials: P
authors.lastname: Déry
authors.forename: M
authors.initials: M
authors.lastname: Alary
authors.forename: D
authors.initials: D
authors.lastname: Le Hénaff
authors.forename: N
authors.initials: N
authors.lastname: Thériault
mesh_terms: D000293:Adolescent; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D006801:Humans; D007114:Immunization / Q000592:standards* / Q000706:statistics & numerical data; D008457:Measles / Q000453:epidemiology* / Q000517:prevention & control; D011792:Quebec / Q000453:epidemiology; D012307:Risk Factors
vernacular_title: Epidémie majeure de rougeole dans la région de Québec malgré une couverture vaccinale de 99%.