title: Measles among under-9-month-olds in rural Bangladesh: its significance for age at immunization.
abstract: Any decision to modify measles immunization strategies away from the use of the conventional vaccine given to children at 9 months of age to the adoption of recently proposed vaccine strains that can be given to 4-6-month-olds will depend on the age distribution of severe cases of measles in the community. Reported are the results of an analysis of two community-based measles surveillance systems in rural Bangladesh, which found that 17% of all measles cases reported for under-5-year-olds in a nonvaccinated population involved infants aged less than 9 months. In a vaccinated population from the same area, 31% of all measles cases reported for under-5-year-olds occurred among under-9-month-olds. Using a rather restrictive definition for measles-related deaths (those occurring within 6 weeks of the onset of the rash), the proportion of measles-related deaths that occurred before 9 months of age was 13% of all such deaths that were reported.
authors.affiliation: International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B).
authors.forename: V
authors.initials: V
authors.lastname: Fauveau
authors.forename: J
authors.initials: J
authors.lastname: Chakraborty
authors.forename: A M
authors.initials: AM
authors.lastname: Sarder
authors.forename: M A
authors.initials: MA
authors.lastname: Khan
authors.forename: M A
authors.initials: MA
authors.lastname: Koenig
mesh_terms: D000367:Age Factors; D001459:Bangladesh / Q000453:epidemiology; D002675:Child, Preschool; D006801:Humans; D007115:Immunization Schedule; D007223:Infant; D008457:Measles / Q000453:epidemiology* / Q000401:mortality / Q000517:prevention & control; D008458:Measles Vaccine / Q000008:administration & dosage; D011159:Population Surveillance
chemical_list: D008458:Measles Vaccine