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http://www.journals.uchicago.edu/JID/journal/issues/v187nS1/020447/brief/020447.abstract.html
The Journal of Infectious Diseases 2003;187:S127-S132
© 2003 by the Infectious Diseases Society of America. All rights reserved.
0022-1899/2003/18710S-0020$15.00
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| SUPPLEMENT ARTICLE |
Measles Eradication in the Americas: Experience in Haiti
Linda Venczel,1,a James Dobbins,2 Jean André,2 Fernando Laender,2 Héctor Izurieta,1 Patrick Delorme,3 and Henri-Claude Voltaire3
1Pan American
Health Organization, Washington, DC;
2Pan American Health Organization
and 3Ministry of Public Health
and Population, Port au
Prince, Haiti
| On 8 March 2000 a case of
laboratory-confirmed measles was detected in Haiti. Over
the ensuing months, an explosive epidemic occurred
that spread to 8 of the 9 departments of
Haiti, including the nation's capital, Port au
Prince. After peaking in the last half of
November 2000, the epidemic began a rapid
decline. The date of onset for the last
confirmed case was 26 September 2001. During
the 18 months of the epidemic, 1149 cases were
confirmed. To control the epidemic, various
strategies were employed, including vaccination campaigns
that used fixed posts and door-to-door
activities. Critical factors in the success of these
campaigns were thorough training and supervision of
field staff; a high-quality door-to-door
vaccination strategy; multiple visits to homes; and
monitoring of vaccine coverage by household
during the course of the campaigns.
|
a Present affiliation:
Pan American Health Organization, La Paz, Bolivia.
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LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.