Measles vaccination coverage in high-incidence areas of the Western Cape, following the mass vaccination campaign

dc.contributor.authorBernhardt, G. L.
dc.contributor.authorCameron, N. A.
dc.contributor.authorWillems, B.
dc.contributor.authorBoulle, A.
dc.contributor.authorCoetzee, D.
dc.date.accessioned2013-09-03T07:21:06Z
dc.date.available2013-09-03T07:21:06Z
dc.date.issued2013-03
dc.descriptionThe original publication is available at http://www.samj.org.zaen_ZA
dc.description.abstractBackground. Despite significant advances in measles control, large epidemics occurred in many African countries in 2009 - 2011, including South Africa. South Africa’s control strategy includes mass vaccination campaigns about every 4 years, the last of which was conducted nationally in April 2010 and coincided with the epidemic. Aim. A community survey was conducted in the Western Cape to assess measles vaccination coverage attained by routine and campaign services, in children aged 6 to 59 months at the time of the mass campaign, from high-incidence areas. Methods. Households were consecutively sampled in high-incidence areas identified using measles epidemic surveillance data. A caregiver history of campaign vaccination and routine vaccination status from the child’s Road to Health card were collected. Pre- and post-campaign immunity was estimated by analytical methods. Results. Of 8 332 households visited, there was no response at 3 435 (41.2%); 95.1% (1 711/1 800) of eligible households participated; and 91.2% (1 448/1 587; 95% confidence interval 86 - 94%) of children received a campaign vaccination. Before the campaign, 33.0% (103/312) of 9 - 17-month-olds had not received a measles vaccination, and this was reduced to 4.5% (14/312) after the campaign. Of the 1 587 children, 61.5% were estimated to have measles immunity before the campaign, and this increased to 94.0% after the campaign. Discussion. Routine services had failed to achieve adequate herd immunity in areas with suspected highly mobile populations. Mass campaigns in such areas in the Western Cape significantly increased coverage. Extra vigilance is required to monitor and sustain adequate coverage in these areas.en_ZA
dc.description.versionPublishers' Versionen_ZA
dc.format.extentp. 181-186 : ill.
dc.identifier.citationBernhardt, G.L. et al. 2013. Measles vaccination coverage in high-incidence areas of the Western Cape, following the mass vaccination campaign. South African Medical Journal, 103(3):181-186, doi:10.7196/SAMJ.6196.en_ZA
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.otherdoi:10.7196/SAMJ.6196
dc.identifier.urihttp://hdl.handle.net/10019.1/85394
dc.language.isoen_ZAen_ZA
dc.publisherHealth and Medical Publishing Group (HMPG)en_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectMeasles -- Vaccination -- South Africa -- Western Capeen_ZA
dc.subjectMeasles -- Vaccination -- South Africa -- Western Cape -- Evaluationen_ZA
dc.titleMeasles vaccination coverage in high-incidence areas of the Western Cape, following the mass vaccination campaignen_ZA
dc.typeArticleen_ZA
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