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Published on: February 17, 2014
[Measles and its complications in Hamburg from 1960 to 1973 (author's transl)]
Abstract:
A study of measles was undertaken from the case histories of 3 093 children under 15 years of age, treated in the children's clinics of Hamburg between 1960 to 1973. 562 children were suffering from pneumonia (18,2%), 230 had otitis (7,4%) and 229 (7,4%) showed neural affections (143 cases with fits and 86 patients with encephalopathy or encephalitis), Various parameters were analysed: age, sex, seasonal distribution, fatality, age disposition to convulsions and measles encephalitis, "incubation period" of neural affections, sequelae. Permanent sequelae due to measles encephalitis were seen in 14% of the cases. A plea is made for an universal immunisation against measles.
Insights
This study analyzed 3,093 measles cases in children, finding pneumonia and neurological complications like measles encephalitis were common. Universal measles immunization is urged to prevent severe outcomes and sequelae.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Context:
- A retrospective analysis of measles cases in children under 15 treated in Hamburg between 1960-1973.
- Involves a dataset of 3,093 pediatric patients diagnosed with measles.
Purpose:
- To investigate the clinical presentation and complications of measles in a pediatric population.
- To analyze various epidemiological parameters including age, sex, seasonality, and fatality rates.
- To assess the incidence and impact of neurological affections and sequelae associated with measles.
Summary:
- Pneumonia affected 18.2% of cases, while otitis and neurological affections occurred in 7.4% each.
- Neurological complications included 143 cases of fits and 86 cases of encephalopathy or encephalitis.
- Permanent sequelae from measles encephalitis were observed in 14% of affected children.
Impact:
- Highlights the significant burden of measles complications, particularly pneumonia and neurological issues.
- Provides data on the prevalence of measles-related neurological affections and their long-term consequences.
- Underscores the critical need for universal measles immunization programs to mitigate disease severity and prevent sequelae.
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