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Measles in India

K H Dave

    Reviews of Infectious Diseases
    |May 1, 1983
    PubMed

    Insights

    Measles causes significant illness and death in Indian children, yet is underestimated. Immunization is crucial, as vaccines are effective and prevent measles cases.

    Area of Science:

    • Pediatrics
    • Public Health
    • Epidemiology

    Background:

    • Measles is a major contributor to child morbidity and mortality in India.
    • The severity of measles in India is underestimated by health authorities, with few cases reported.
    • Hospital records do not accurately reflect the true burden of measles due to underreporting and hospitalization criteria.

    Purpose of the Study:

    • To evaluate the morbidity and mortality associated with measles in India.
    • To highlight the discrepancy between the presumed prevalence of measles and reported cases.
    • To emphasize the urgent need for measles immunization programs in India.

    Main Methods:

    • Review of existing hospital-based studies and community surveys on measles complications and mortality.
    • Analysis of available data to estimate measles incidence and impact.
    • Assessment of measles vaccine efficacy based on limited Indian experience.

    Main Results:

    • An estimated 90-100% of Indian children contract measles before age 10.
    • Complications affect 20-70% of children with measles.
    • Mortality rates range from 3-15%, varying with healthcare access.

    Conclusions:

    • Measles poses a significant public health threat in India, necessitating urgent attention.
    • Measles immunization is highly effective, with excellent seroconversion rates and minimal cases in vaccinated children.
    • Logistical and economic barriers hinder the integration of measles vaccination into national immunization programs, requiring focused awareness campaigns.

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