The Central African journal of medicine · 1997
Measles complications: the importance of their management in reducing mortality attributed to measles.
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Marufu T, Siziya S, Murugasampillay S, Mason E, Manyame B, Tshimanga M
Аннотация
OBJECTIVE: To determine the effect of rates of complications among cases and management of complicated cases on measles case fatality rates.
DESIGN: Measles disease surveillance.
SETTING: City of Gweru, Department of Health.
SUBJECTS: Children aged zero to 15 years.
MAIN OUTCOME MEASURES: Case fatality rates.
RESULTS: Measles case fatality rates declined from 47.6 in 1967 to zero in 1989. Between 1967 and 1978 respiratory infections were the predominant complications (66.5%), while after 1979 diarrhoea was the predominant complications (60.6%). A significant partial correlation coefficient was observed between rates of mortality among complicated cases and case fatality rates (r = 0.89, df = 20, p < 0.001).
CONCLUSION: Good management of complicated cases may have contributed towards the decline in measles case fatality rates.
DESIGN: Measles disease surveillance.
SETTING: City of Gweru, Department of Health.
SUBJECTS: Children aged zero to 15 years.
MAIN OUTCOME MEASURES: Case fatality rates.
RESULTS: Measles case fatality rates declined from 47.6 in 1967 to zero in 1989. Between 1967 and 1978 respiratory infections were the predominant complications (66.5%), while after 1979 diarrhoea was the predominant complications (60.6%). A significant partial correlation coefficient was observed between rates of mortality among complicated cases and case fatality rates (r = 0.89, df = 20, p < 0.001).
CONCLUSION: Good management of complicated cases may have contributed towards the decline in measles case fatality rates.