MEASLES CONTROL IN YAOUNDE: JUSTIFICATION OF A ONE DOSE, NINE MONTH MINIMUM AGE VACCINATION POLICY IN TROPICAL AFRICA

DavidL Heymann, KevinR Murphy, Georges Kesseng Mayben, Bernard Guyer, StanleyO Foster

Research output: Contribution to journalArticle

Abstract

For tropical countries the World Health Organisation recommends a single dose of measles vaccine, administered at a minimum age of 9 months. In some African nations, however, up to 26% of all reported measles occurs before the age of 9 months, and many African nations have been reluctant to follow the WHO recommendation. In 1974 the Ministry of Health of the United Republic of Cameroon made several changes in the existing measles control strategy, including increasing the minimum age for measles vaccination from 6 to 9 months. Surveillance of measles in Yaounde, the capital city, during the five years after the increase in age at vaccination did not reveal a need to return to the minimum age of 6 months. In fact, by 1979, with measles vaccination coverage among children 12-23 months of age at 40%, there had been a 44% decrease in reported measles among children of all ages, including a 64% decrease in the measles attack rate among children under the age of 9 months. These observations support the one dose, 9 month minimum age measles vaccination policy in tropical Africa.

Original languageEnglish (US)
Pages (from-to)1470-1472
Number of pages3
JournalThe Lancet
Volume322
Issue number8365-8366
DOIs
StatePublished - Dec 31 1983
Externally publishedYes

Fingerprint

Measles
Vaccination
Measles Vaccine
Cameroon
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

MEASLES CONTROL IN YAOUNDE : JUSTIFICATION OF A ONE DOSE, NINE MONTH MINIMUM AGE VACCINATION POLICY IN TROPICAL AFRICA. / Heymann, DavidL; Murphy, KevinR; Kesseng Mayben, Georges; Guyer, Bernard; Foster, StanleyO.

In: The Lancet, Vol. 322, No. 8365-8366, 31.12.1983, p. 1470-1472.

Research output: Contribution to journalArticle

Heymann, DavidL ; Murphy, KevinR ; Kesseng Mayben, Georges ; Guyer, Bernard ; Foster, StanleyO. / MEASLES CONTROL IN YAOUNDE : JUSTIFICATION OF A ONE DOSE, NINE MONTH MINIMUM AGE VACCINATION POLICY IN TROPICAL AFRICA. In: The Lancet. 1983 ; Vol. 322, No. 8365-8366. pp. 1470-1472.
@article{1b4b467eb551436cb3e01abb9e6281ad,
title = "MEASLES CONTROL IN YAOUNDE: JUSTIFICATION OF A ONE DOSE, NINE MONTH MINIMUM AGE VACCINATION POLICY IN TROPICAL AFRICA",
abstract = "For tropical countries the World Health Organisation recommends a single dose of measles vaccine, administered at a minimum age of 9 months. In some African nations, however, up to 26{\%} of all reported measles occurs before the age of 9 months, and many African nations have been reluctant to follow the WHO recommendation. In 1974 the Ministry of Health of the United Republic of Cameroon made several changes in the existing measles control strategy, including increasing the minimum age for measles vaccination from 6 to 9 months. Surveillance of measles in Yaounde, the capital city, during the five years after the increase in age at vaccination did not reveal a need to return to the minimum age of 6 months. In fact, by 1979, with measles vaccination coverage among children 12-23 months of age at 40{\%}, there had been a 44{\%} decrease in reported measles among children of all ages, including a 64{\%} decrease in the measles attack rate among children under the age of 9 months. These observations support the one dose, 9 month minimum age measles vaccination policy in tropical Africa.",
author = "DavidL Heymann and KevinR Murphy and {Kesseng Mayben}, Georges and Bernard Guyer and StanleyO Foster",
year = "1983",
month = "12",
day = "31",
doi = "10.1016/S0140-6736(83)90813-9",
language = "English (US)",
volume = "322",
pages = "1470--1472",
journal = "The Lancet",
issn = "0140-6736",
publisher = "Elsevier Limited",
number = "8365-8366",

}

TY - JOUR

T1 - MEASLES CONTROL IN YAOUNDE

T2 - JUSTIFICATION OF A ONE DOSE, NINE MONTH MINIMUM AGE VACCINATION POLICY IN TROPICAL AFRICA

AU - Heymann, DavidL

AU - Murphy, KevinR

AU - Kesseng Mayben, Georges

AU - Guyer, Bernard

AU - Foster, StanleyO

PY - 1983/12/31

Y1 - 1983/12/31

N2 - For tropical countries the World Health Organisation recommends a single dose of measles vaccine, administered at a minimum age of 9 months. In some African nations, however, up to 26% of all reported measles occurs before the age of 9 months, and many African nations have been reluctant to follow the WHO recommendation. In 1974 the Ministry of Health of the United Republic of Cameroon made several changes in the existing measles control strategy, including increasing the minimum age for measles vaccination from 6 to 9 months. Surveillance of measles in Yaounde, the capital city, during the five years after the increase in age at vaccination did not reveal a need to return to the minimum age of 6 months. In fact, by 1979, with measles vaccination coverage among children 12-23 months of age at 40%, there had been a 44% decrease in reported measles among children of all ages, including a 64% decrease in the measles attack rate among children under the age of 9 months. These observations support the one dose, 9 month minimum age measles vaccination policy in tropical Africa.

AB - For tropical countries the World Health Organisation recommends a single dose of measles vaccine, administered at a minimum age of 9 months. In some African nations, however, up to 26% of all reported measles occurs before the age of 9 months, and many African nations have been reluctant to follow the WHO recommendation. In 1974 the Ministry of Health of the United Republic of Cameroon made several changes in the existing measles control strategy, including increasing the minimum age for measles vaccination from 6 to 9 months. Surveillance of measles in Yaounde, the capital city, during the five years after the increase in age at vaccination did not reveal a need to return to the minimum age of 6 months. In fact, by 1979, with measles vaccination coverage among children 12-23 months of age at 40%, there had been a 44% decrease in reported measles among children of all ages, including a 64% decrease in the measles attack rate among children under the age of 9 months. These observations support the one dose, 9 month minimum age measles vaccination policy in tropical Africa.

UR - http://www.scopus.com/inward/record.url?scp=0021083122&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021083122&partnerID=8YFLogxK

U2 - 10.1016/S0140-6736(83)90813-9

DO - 10.1016/S0140-6736(83)90813-9

M3 - Article

C2 - 6140558

AN - SCOPUS:0021083122

VL - 322

SP - 1470

EP - 1472

JO - The Lancet

JF - The Lancet

SN - 0140-6736

IS - 8365-8366

ER -