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[Epidemiological study and cost evaluation of measles in Lyons hospitals over a 5-year period]
I Loras-Duclaux1, L David, D Peyramond
1Hôpital Edouard-Herriot, Lyon, France.
Insights
Measles poses a significant burden, with frequent complications and fatalities in children. Improving vaccination rates in France is crucial for effective measles prevention and control.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Context:
- Analysis of 414 pediatric measles cases in the Lyons area.
- Highlights the substantial clinical and potential economic burden of measles.
- Identifies a high rate of complications (56%) in hospitalized children.
Purpose:
- To underscore the importance of enhancing preventive measures against measles.
- To evaluate the impact of measles complications, including encephalitis and death.
- To address the insufficient immunization levels in France.
Summary:
- Measles hospitalization in children leads to severe complications in over half of cases, including encephalitis and fatalities.
- Current measles vaccination coverage in France is inadequate.
- Preventive strategies, such as intensified awareness campaigns or mandatory vaccination for school entry, are necessary.
Impact:
- Emphasizes the urgent need for improved measles prevention strategies.
- Highlights the critical role of vaccination in reducing measles morbidity and mortality.
- Suggests policy interventions to increase measles immunization coverage in France.
Abstract:
The study of 414 measles cases, admitted in several childrens' hospitals in the Lyons area, underlines the important cost of this disease. Moreover, the occurrence of complications (in 56% of children hospitalized with measles), some of which as severe as encephalitis (n = 9) and/or death (n = 4), shows that an improvement of preventive measures is indispensable. Vaccination appears to be the most effective way, but the actual immunization level remains insufficient in France. This situation could be optimized either by intensifying the sensibilization fields or by rendering vaccination compulsory before entrance to school and collectivities.