2000
DOI: 10.1016/s0140-6736(00)02325-4
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Review of regional measles surveillance data in the Americas, 1996–99

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Cited by 98 publications
(63 citation statements)
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“…High vaccination coverage through routine and supplemental vaccination programs has significantly reduced the circulation of measles virus (MV) in many industrialized nations (14); however, the virus remains endemic in many developing countries, leading to 30 million cases and approximately 454,000 deaths annually (36). The goal of the Global Measles Strategic Plan, sponsored by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF), is to significantly reduce measles mortality in countries where the virus is endemic and to maintain measles-free status in countries that have already interrupted measles transmission (38).…”
mentioning
confidence: 99%
“…High vaccination coverage through routine and supplemental vaccination programs has significantly reduced the circulation of measles virus (MV) in many industrialized nations (14); however, the virus remains endemic in many developing countries, leading to 30 million cases and approximately 454,000 deaths annually (36). The goal of the Global Measles Strategic Plan, sponsored by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF), is to significantly reduce measles mortality in countries where the virus is endemic and to maintain measles-free status in countries that have already interrupted measles transmission (38).…”
mentioning
confidence: 99%
“…In addition, laboratory and epidemiological studies should be conducted to address genetic and antigenic measles virus variability as well as measles virus-specific immune responses. Such studies should examine (i) genetic diversity between measles virus vaccine and wild-type strains to ensure that existing vaccines continue to provide a high degree of protection, (ii) the response to measles vaccine provided at different schedules of vaccination (ages and intervals), and (iii) serological markers at different stages of measles infection to globally understand antibody responses to the infection (12,20,21). Recently, a subclassrestricted response to antigens was demonstrated; however, limited data are available on measles virus-specific immunoglobulin G (IgG) subclass responses (11,14,16,24).…”
mentioning
confidence: 99%
“…In 1997, a large measles outbreak occurred in São Paulo, Brazil, among adults aged 20 to 29 years. 40 The infected adults were primarily unvaccinated, indicating that vaccine failure (primary or secondary) was not a major factor in this outbreak. Transmission among young adults in São Paulo was not sustained after 1997, suggesting that although large outbreaks may occur among adults, adult susceptibility is unlikely to sustain endemic transmission.…”
Section: Transmission Among Adultsmentioning
confidence: 88%
“…After the catch-up campaigns, some countries have increased the measles vaccination age to 12 months to maximize vaccine efficacy. 40 Implementation of the PAHO strategy in the Western Hemisphere resulted in a 99% decrease in reported measles cases, from a high of almost 250000 cases in 1990 to 3018 cases in 1999. As of June 24, 2000, only 500 cases had been reported, the lowest total ever reported for the first 25 weeks of the year.…”
Section: Elimination From a Large Geographic Areamentioning
confidence: 99%