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Measles containment in Israel.

P E Slater1

  • 1Department of Epidemiology, Ministry of Health, Jerusalem, Israel.

Israel Journal of Medical Sciences
|January 1, 1991
PubMed
Summary

Measles outbreaks in Israel persist due to unvaccinated children. Public health efforts must prioritize vaccinating unvaccinated children aged 16 months to 5 years to reduce disease incidence and mortality.

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Area of Science:

  • Public Health
  • Epidemiology
  • Vaccinology

Background:

  • Measles outbreaks continue to occur in Israel despite the availability of an effective measles vaccine for over 20 years.
  • A significant number of children remain unvaccinated, contributing to ongoing disease transmission.
  • Recent years have seen major measles outbreaks, with future occurrences anticipated.

Purpose of the Study:

  • To identify the primary public health challenge in controlling measles outbreaks in Israel.
  • To determine the most effective strategy for preventing future measles outbreaks.
  • To highlight the critical age group for vaccination interventions.

Main Methods:

  • Analysis of measles vaccination status in the Israeli population.
  • Identification of age groups with the highest incidence, complications, and mortality rates.
  • Evaluation of the impact of routine measles vaccination programs.

Main Results:

  • Large populations of children have never received the measles vaccine.
  • Children aged 16 months to 5 years represent the highest-risk group for measles incidence, complications, and mortality.
  • While a second routine measles vaccination for schoolchildren can reduce susceptible individuals, it will not eliminate outbreaks.

Conclusions:

  • The primary public health challenge is to locate and vaccinate unvaccinated children aged 16 months to 5 years.
  • This targeted vaccination strategy is essential for reducing measles incidence, complications, and mortality.
  • Efforts to vaccinate schoolchildren should not detract from the critical need to reach the unvaccinated preschool-aged population.

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