Comparative measles incidence among exposed military and nonmilitary persons in Anchorage, Alaska.
An outbreak of measles that occurred in Anchorage, Alaska, in 1998 resulted in 33 diagnosed cases: 26 were laboratory confirmed and 7 were clinically confirmed. Twenty-nine (88%) of 33 cases occurred in individuals who had not been immunized with at least two measles-mumps-rubella (MMR) vaccinations; 25 (76%) of 33 occurred in school-age children, 0 to 19 years of age. This study identifies the difference in the incidence of measles between the civilian school-age population, who was not completely immunized (two MMR vaccinations given at least 30 days apart), and the military dependent population who had been completely immunized. All cases occurred among civilians, and most (25 of 33 confirmed cases) were associated with school attendance. The authors conclude that a two-dose regimen of MMR vaccine is required to adequately protect individuals against measles.
School of Public Health, University of Texas Health Science Center, Mail Code 7676, 7703 Floyd Curl, San Antonio, TX 78229-3900, USA.
Danny J
DJ
Glover
Jeffrey
J
DeMain
John R
JR
Herbold
Paula J
PJ
Schneider
Michel
M
Bunning
D000293:Adolescent; D000328:Adult; D000413:Alaska / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D004198:Disease Susceptibility; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008457:Measles / Q000453:epidemiology* / Q000276:immunology / Q000517:prevention & control; D022542:Measles-Mumps-Rubella Vaccine / Q000008:administration & dosage; D008889:Military Personnel / Q000706:statistics & numerical data*; D012307:Risk Factors; D014481:United States / Q000453:epidemiology
D022542:Measles-Mumps-Rubella Vaccine