The provision of measles vaccine for an urban population

The implications of the unavailability of free measles vaccine for an urban community are examined. Measles mortality and morbidity statistics for Cape Town are reviewed, and the Coloureds and Blacks are shown to be the population groups at highest risk. A case is made for vaccination of those members of the population between 9 months and 5 years of age who are at risk, and for including measles vaccination in the third visit of a modified immunisation schedule. A simple cost benefit analysis strongly favours vaccination.