Measles: effect of a two-dose vaccination programme in Catalonia, Spain

Bull World Health Organ. 1999;77(2):132-7.

Abstract

The study reports incidences of measles in Catalonia, Spain, as detected by surveillance, and analyses the specific characteristics of the outbreaks reported for the period 1986-95. Incidences per 100,000 inhabitants were calculated for the period 1971-95. The following variables were studied: year of presentation, number of cases, median age, transmission setting, cases with a record of vaccination and preventable cases. Associations between variables were determined using odds ratios (OR). The incidence of measles declined from 306.3 cases in 1971 to 30.9 in 1995. A total of 50 outbreaks were investigated. The outbreaks that occurred in the last two years of the study had a higher likelihood of having a transmission setting other than primary school (OR = 3.9); a median case age > 10 years (OR = 7.2); and fewer than 6 cases (OR = 2.3). The characteristics of recent outbreaks, marked by a rise both in transmission outside the primary-school setting and in median age, indicate the need for the introduction of a specific vaccination programme at the end of adolescence in addition to control of school-related outbreaks.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Cohort Studies
  • Disease Outbreaks*
  • Humans
  • Immunization Programs*
  • Infant
  • Infant, Newborn
  • Measles / epidemiology*
  • Measles / prevention & control
  • Measles / transmission
  • Measles Vaccine / administration & dosage*
  • Odds Ratio
  • Spain / epidemiology
  • Vaccination*

Substances

  • Measles Vaccine