1. Measles case fatality rate in Bihar, India, 2011-12.
- Author
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Manoj V Murhekar, Mohammad Ahmad, Hemant Shukla, Kunwar Abhishek, Robert T Perry, Anindya S Bose, Rahul Shimpi, Arun Kumar, Kanagasabai Kaliaperumal, Raman Sethi, Vadivoo Selvaraj, Pattabi Kamaraj, Satyabrata Routray, Vidya Nand Das, Nata Menabde, and Sunil Bahl
- Subjects
Medicine ,Science - Abstract
Updated estimates of measles case fatality rates (CFR) are critical for monitoring progress towards measles elimination goals. India accounted for 36% of total measles deaths occurred globally in 2011. We conducted a retrospective cohort study to estimate measles CFR and identify the risk factors for measles death in Bihar-one of the north Indian states historically known for its low vaccination coverage.We systematically selected 16 of the 31 laboratory-confirmed measles outbreaks occurring in Bihar during 1 October 2011 to 30 April 2012. All households of the villages/urban localities affected by these outbreaks were visited to identify measles cases and deaths. We calculated CFR and used multivariate analysis to identify risk factors for measles death.The survey found 3670 measles cases and 28 deaths (CFR: 0.78, 95% confidence interval: 0.47-1.30). CFR was higher among under-five children (1.22%) and children belonging to scheduled castes/tribes (SC/ST, 1.72%). On multivariate analysis, independent risk factors associated with measles death were age
- Published
- 2014
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