ArticleEmerging infectious diseases2013
Lessons and challenges for measles control from unexpected large outbreak, Malawi.
Article in Emerging infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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37 citing papers in PubMed.
- Measles epidemic in Yakusu Health Zone, Democratic Republic of Congo, 2018-2019: a retrospective observational study.BMC infectious diseases · 2026Observational
- Individual and population level uncertainty interact to determine the performance of outbreak surveillance systems.PLoS computational biology · 2026Article
- Serological survey to determine measles and rubella immunity gaps across age and geographic locations in The Gambia: a study protocol.Global health action · 2025Article
- Prediction of subnational-level vaccination coverage estimates using routine surveillance data and survey data.Vaccine · 2025Article
- Measles Population Immunity in Hunan, China: A Serological Assessment.Open forum infectious diseases · 2025Article
- Optimal Timing Regularly Outperforms Higher Coverage in Preventative Measles Supplementary Immunization Campaigns.Vaccines · 2024Article
- Article
- Leveraging a national biorepository in Zambia to assess measles and rubella immunity gaps across age and space.Scientific reports · 2022Article
- Syndromic surveillance of potentially epidemic infectious diseases: Detection of a measles epidemic in two health centers in Gabon, Central Africa.Infectious disease reports · 2019Article
- Evaluation of measles immunity in Turkey: is it still a threat?Turkish journal of medical sciences · 2019Article
- Measles case, immunization coverage and its determinant factors among 12-23 month children, in Bassona Worena Woreda, Amhara Region, Ethiopia, 2018.BMC research notes · 2019Article
- Revealing Measles Outbreak Risk With a Nested Immunoglobulin G Serosurvey in Madagascar.American journal of epidemiology · 2018Article
- Measles outbreak risk in Pakistan: exploring the potential of combining vaccination coverage and incidence data with novel data-streams to strengthen control.Epidemiology and infection · 2018Article
- Epidemiology of measles in the metropolitan setting, Addis Ababa, Ethiopia, 2005-2014: a retrospective descriptive surveillance data analysis.BMC infectious diseases · 2018Article
- Benefits and Challenges in Using Seroprevalence Data to Inform Models for Measles and Rubella Elimination.The Journal of infectious diseases · 2018Article
- Sub-national variation in measles vaccine coverage and outbreak risk: a case study from a 2010 outbreak in Malawi.BMC public health · 2018Article
- Measles outbreak response decision-making under uncertainty: a retrospective analysis.Journal of the Royal Society, Interface · 2018Article
- Poor quality data challenges conclusion and decision making: timely analysis of measles confirmed and suspected cases line list in Southern Nations Nationalities and People's Region, Ethiopia.BMC infectious diseases · 2018Article
- The geography of measles vaccination in the African Great Lakes region.Nature communications · 2017Article
- Demographic transition and the dynamics of measles in six provinces in China: A modeling study.PLoS medicine · 2017Article
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17 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Despite high reported coverage for routine and supplementary immunization, in 2010 in Malawi, a large measles outbreak occurred that comprised 134,000 cases and 304 deaths. Although the highest attack rates were for young children (2.3%, 7.6%, and 4.5% for children <6, 6-8, and 9-11 months, respectively), persons >15 years of age were highly affected (1.0% and 0.4% for persons 15-19 and >19 years, respectively; 28% of all cases). A survey in 8 districts showed routine coverage of 95.0% for children 12-23 months; 57.9% for children 9-11 months; and 60.7% for children covered during the last supplementary immunization activities in 2008. Vaccine effectiveness was 83.9% for 1 dose and 90.5% for 2 doses. A continuous accumulation of susceptible persons during the past decade probably accounts for this outbreak. Countries en route to measles elimination, such as Malawi, should improve outbreak preparedness. Timeliness and the population chosen are crucial elements for reactive campaigns.
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