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Measles in India.

K H Dave

    Reviews of Infectious Diseases
    |May 1, 1983
    PubMed
    Summary

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

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    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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