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  • Title: Update: measles in the Americas.
    Journal: EPI Newsl; 1999 Feb; 21(1):5. PubMed ID: 12322125.
    Abstract:
    For the first 6 weeks of 1999, 114 confirmed measles cases have been reported from Argentina, Bolivia, Chile, Colombia, Dominican Republic, Uruguay, and the US. Dominican Republic had reported 34% of all cases up to February 13. Although this outbreak was first detected in December 1998, the first cases seem to have occurred early in November 1998. The outbreak is currently being investigated to identify possible sources of infection. Preliminary findings are that most of the 39 confirmed cases occurred among nonvaccinated individuals eligible for vaccination. Measles vaccination efforts have been slow in Bolivia's Cochabamba department. All countries in the region need to monitor the build-up of susceptibles as a result of either low vaccination coverage in routine programs or an inadequate coverage in follow-up campaigns. A sensitive surveillance system must also be maintained and cases aggressively investigated. These measures should prevent the re-establishment of measles virus circulation in the region.
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