Résumé :
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[BDSP. Notice produite par INIST R0xa7y1n. Diffusion soumise à autorisation]. Background To analyse progress in measles control it is recommended that immunization programmes be evaluated by means of specific epidemiological disease surveillance. The aim of the study was to analyse a series of measles cases in Catalonia in the light of vaccination records. Methods Cases were detected by means of the epidemiological surveillance system and then surveyed for information on : age, sex, clinical symptoms, laboratory confirmation, record of vaccination, place of infection and possible outbreak-related links. The relationship between'record of vaccination'and the remaining variables was determined using the adjusted odds ratio (OR) and its 95% confidence interval (CI). Results The epidemiological survey confirmed that 82.2% of patients (171/208) fulfilled the case criteria. In the multivariate analysis, lack of record of vaccination was associated with age groups14 years (OR=19.2 ; 95% CI : 5.1-220.5). Conclusions Improvement in vaccination coverage at 15 months and the introduction of vaccination-status monitoring at school-entry age and among those aged>14 years on entry into the job market, university or military service could contribute to the elimination of measles.
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