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The effectiveness of prophylaxis for measles contacts in NSW
Vicky Sheppeard1, Bradley Forssman, Mark J Ferson
1Centre for Health Protection, NSW Department of Health, Australia. vicky.sheppeard@swah.health.nsw.gov.au
Objectives:
As international estimates of the effectiveness of post-exposure prophylaxis of measles vary, we sought to determine the effectiveness of post-exposure prophylaxis with either vaccine or immunoglobulin in susceptible persons with known measles contact.
Methods:
Data were obtained on all cases of measles notified in NSW between 1 March and 31 May 2006 and their contacts. The effectiveness of prophylaxis was calculated using the cohort method.
Results:
During March to May 2006, 57 cases of measles were notified and 1760 measles contacts were identified, of which 553 were classified as susceptible. The calculated effectiveness of post-exposure prophylaxis with vaccine or immunoglobulin in preventing measles was 83.3% (95% CI: 27-96%).
Conclusion:
Post-exposure immunisation remains an effective tool for preventing secondary cases of measles.
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