ArticleThe Journal of infectious diseases2019
Increase in Infant Measles Deaths During a Nationwide Measles Outbreak-Mongolia, 2015-2016.
Article in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 25 citations in OpenAlex.
- Age-stratified epidemiological and clinical predictors of laboratory-confirmed measles among suspected cases in Diyarbakır, Türkiye (2012-2024): a test-negative case-control study.BMC infectious diseases · 2026Article
- Review
- Respiratory Syncytial Virus and Influenza Infections in Children in Ulaanbaatar, Mongolia, 2015-2021.Influenza and other respiratory viruses · 2024Article
- Review
- Article
- Measles outbreak in the Philippines: epidemiological and clinical characteristics of hospitalized children, 2016-2019.The Lancet regional health. Western Pacific · 2022Article
- Exploring the Possible Cause of the Dramatic Increase in Measles Mortality During the 2015-2016 Mongolian Outbreak.The Journal of infectious diseases · 2021Article
- Evaluation of the impact of childhood 13-valent pneumococcal conjugate vaccine introduction on adult pneumonia in Ulaanbaatar, Mongolia: study protocol for an observational study.BMC public health · 2021Article
- Measles outbreak in Western Uganda: a case-control study.BMC infectious diseases · 2021Article
- Risk factors for measles deaths among children during a Nationwide measles outbreak - Romania, 2016-2018.BMC infectious diseases · 2021Article
- Estimation of the unvaccinated among those aged less than 25 years according to aimag and its association with incidence of measles outbreak 2015-2016 in Mongolia.Nagoya journal of medical science · 2020Article
- Identifying and Interrupting Superspreading Events-Implications for Control of Severe Acute Respiratory Syndrome Coronavirus 2.Emerging infectious diseases · 2020Article
- An evaluation of the clinical features of measles virus infection for diagnosis in children within a limited resources setting.BMC pediatrics · 2020Article
- Recent setbacks in measles elimination: the importance of investing in innovations for immunizations.The Pan African medical journal · 2020Article
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Authors and funding
18 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundSurveillance data from a large measles outbreak in Mongolia suggested increased case fatality ratio (CFR) in the second of 2 waves. To confirm the increase in CFR and identify risk factors for measles death, we enhanced mortality ascertainment and conducted a case-control study among infants hospitalized for measles.
methodsWe linked national vital records with surveillance data of clinically or laboratory-confirmed infant (aged <12 months) measles cases with rash onset during March-September 2015 (wave 1) and October 2015-June 2016 (wave 2). We abstracted medical charts of 95 fatal cases and 273 nonfatal cases hospitalized for measles, matched by age and sex. We calculated adjusted matched odds ratios (amORs) and 95% confidence intervals (CIs) for risk factors.
resultsInfant measles deaths increased from 3 among 2224 cases (CFR: 0.13%) in wave 1 to 113 among 4884 cases (CFR: 2.31%) in wave 2 (P < .001). Inpatient admission, 7-21 days before measles rash onset, for pneumonia or influenza (amOR: 4.5; CI, 2.6-8.0), but not other diagnoses, was significantly associated with death. DISCUSSION: Measles infection among children hospitalized with respiratory infections likely increased deaths due to measles during wave 2. Preventing measles virus nosocomial transmission likely decreases measles mortality.
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