ArticleBMC infectious diseases2015
Spatial clustering of measles cases during endemic (1998-2002) and epidemic (2010) periods in Lusaka, Zambia.
Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Electronic data collection, management and analysis tools used for outbreak response in low- and middle-income countries: a systematic review and stakeholder survey.BMC public health · 2021Pooled it
- Measles immunity gap among reproductive-age women participating in a simulated HIV vaccine efficacy trial in Zambia.Human vaccines & immunotherapeutics · 2022Trial
- Insights into Clustering Patterns in Romania's 2020-2024 Measles Cases.Epidemiologia (Basel, Switzerland) · 2026Article
- Spatio-temporal patterns and determinants of measles incidence in Ethiopia between 2018 and 2024.Frontiers in public health · 2026Article
- Epidemiology: Temporal and spatial patterns of measles in Amhara Region, Ethiopia, 2019-2024: implications for targeted intervention.BMC infectious diseases · 2025Article
- FiSH: fair spatial hot spots.Data mining and knowledge discovery · 2022Article
- The characteristics of spatial-temporal distribution and cluster of tuberculosis in Yunnan Province, China, 2005-2018.BMC public health · 2019Article
- Measles vaccination in an increasingly immunized and developed world.Human vaccines & immunotherapeutics · 2019Review
- Spatial clustering of measles vaccination coverage among children in sub-Saharan Africa.BMC public health · 2017Article
- Aspects on the history of transmission and favor of distribution of viruses by iatrogenic action: perhaps an example of a paradigm of the worldwide spread of HIV.Medical microbiology and immunology · 2017Review
- The geography of measles vaccination in the African Great Lakes region.Nature communications · 2017Article
- A report of outbreaks of measles on the southern coast of Iran from 2009 to 2015.Electronic physician · 2017Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMeasles cases may cluster in densely populated urban centers in sub-Saharan Africa as susceptible individuals share spatially dependent risk factors and may cluster among human immunodeficiency virus (HIV)-infected children despite high vaccination coverage.
methodsChildren hospitalized with measles at the University Teaching Hospital (UTH) in Lusaka, Zambia were enrolled in the study. The township of residence was recorded on the questionnaire and mapped; SaTScan software was used for cluster detection. A spatial-temporal scan statistic was used to investigate clustering of measles in children hospitalized during an endemic period (1998 to 2002) and during the 2010 measles outbreak in Lusaka, Zambia.
resultsThree sequential and spatially contiguous clusters of measles cases were identified during the 2010 outbreak but no clustering among HIV-infected children was identified. In contrast, a space-time cluster among HIV-infected children was identified during the endemic period. This cluster occurred prior to the introduction of intensive measles control efforts and during a period between seasonal peaks in measles incidence.
conclusionsPrediction and early identification of spatial clusters of measles will be critical to achieving measles elimination. HIV infection may contribute to spatial clustering of measles cases in some epidemiological settings.
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