2004
DOI: 10.1086/381126
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Has Surveillance Been Adequate to Detect Endemic Measles in the United States?

Abstract: Evidence that endemic measles has been eliminated in the United States rests on the performance of the surveillance system. Information from national surveillance data allows us to evaluate the adequacy of national surveillance to detect the circulation of endemic measles. Sources of data include measles report dates, international importation status, and the size of chains of measles transmission. The proportion of chains of measles transmission that can be epidemiologically linked to international importatio… Show more

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Cited by 20 publications
(16 citation statements)
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“…In contrast, the completeness of the reporting of imported cases in the United States from 1997 to 2001 was only 40%. 26 It is likely that the R values calculated using method 1 in our study provided accurate estimates for Australia because the surveillance system is sensitive and the data on place of acquisition were complete.…”
Section: Research Estimation Of R To Track Measles Elimination In Ausmentioning
confidence: 87%
“…In contrast, the completeness of the reporting of imported cases in the United States from 1997 to 2001 was only 40%. 26 It is likely that the R values calculated using method 1 in our study provided accurate estimates for Australia because the surveillance system is sensitive and the data on place of acquisition were complete.…”
Section: Research Estimation Of R To Track Measles Elimination In Ausmentioning
confidence: 87%
“…High quality coverage data are essential, at sub-national, district and even community levels, to guide decision-making. Clearly the quality of epidemiological data is dependent on the quality of surveillance and specifically the early investigation and confirmation of suspected measles cases [40].…”
Section: Discussionmentioning
confidence: 99%
“…If measles virus is no longer endemic and thus not continuously circulating in the United States, all chains of measles transmission must derive from infections acquired elsewhere. The proportion of reported cases determined to have an imported source reflects the completeness of case ascertainment as well as the thoroughness of the subsequent case investigations [7,8]. During their investigations of suspected measles cases, health departments collect detailed information relating to travel history and to potential sources of infection.…”
Section: Methodsmentioning
confidence: 99%