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Measles in Mexico.

J Fernandez de Castro

    Reviews of Infectious Diseases
    |May 1, 1983
    PubMed
    Summary
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    Measles reporting in Mexico improved significantly from the 1960s to 1980. Widespread measles vaccination sharply reduced mortality between 1973-1980, with continued immunization efforts expected to lower incidence.

    Area of Science:

    • Epidemiology
    • Public Health
    • Immunization Programs

    Background:

    • Historical measles morbidity data in Mexico is challenging to interpret due to varying case reporting rates.
    • Reporting accuracy increased from approximately 3% in the 1960s to 20% by 1980.

    Purpose of the Study:

    • To analyze trends in measles morbidity and mortality in Mexico.
    • To evaluate the impact of measles vaccination on disease incidence and mortality.
    • To assess the effectiveness of immunization coverage and vaccine distribution.

    Main Methods:

    • Analysis of historical measles case reporting figures.
    • Examination of mortality data trends.
    • Correlation of vaccine dose distribution with morbidity rates.
    • Projection of future incidence based on immunization coverage.
    Keywords:
    AmericasCentral AmericaChild Health ServicesCommunicable Disease ControlDelivery Of Health CareDeveloped CountriesDeveloping CountriesHealthHealth ServicesImmunizationLatin AmericaMaternal-child Health ServicesMedicineMexicoNorth AmericaPreventive MedicinePrimary Health CarePublic HealthVaccination

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    Main Results:

    • Measles mortality experienced a sharp decline between 1973 and 1980, directly linked to extensive measles vaccine use.
    • A strong mathematical relationship exists between measles morbidity and the number of vaccine doses distributed.
    • Approximately four million vaccine doses were administered in 1981, with plans for another four million in 1982, targeting 70% of the susceptible population.

    Conclusions:

    • Extensive measles vaccination campaigns have been highly effective in reducing mortality.
    • Continued immunization is expected to decrease measles incidence to levels seen in 1974-1975.
    • While significant progress has been made, complete measles eradication in Mexico is unlikely in the immediate future.