Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-05-18T19:21:41.665Z Has data issue: false hasContentIssue false

Investigation of the effectiveness of measles vaccination in children in Kenya

Published online by Cambridge University Press:  19 October 2009

T. M. Bell
Affiliation:
Department of Virology, University of Newcastle upon Tyne, NE1 7RU, England
P. M. Tukei
Affiliation:
Virus Research Centre, Kenya Medical Research Institute, P.O. Box 54628, Nairobi, Kenya
G. R. Ademba
Affiliation:
Virus Research Centre, Kenya Medical Research Institute, P.O. Box 54628, Nairobi, Kenya
F. M. Mbugua
Affiliation:
Virus Research Centre, Kenya Medical Research Institute, P.O. Box 54628, Nairobi, Kenya
G. W. Gathara
Affiliation:
Virus Research Centre, Kenya Medical Research Institute, P.O. Box 54628, Nairobi, Kenya
J. M. Magana
Affiliation:
Virus Research Centre, Kenya Medical Research Institute, P.O. Box 54628, Nairobi, Kenya
P. Kinyanjui
Affiliation:
Virus Research Centre, Kenya Medical Research Institute, P.O. Box 54628, Nairobi, Kenya
J. Muli
Affiliation:
Virus Research Centre, Kenya Medical Research Institute, P.O. Box 54628, Nairobi, Kenya
D. T. G. Hazlett
Affiliation:
Virus Research Centre, Kenya Medical Research Institute, P.O. Box 54628, Nairobi, Kenya
J. E. A. Alwar
Affiliation:
Infectious Diseases Hospital, Kenyatta National Hospital, P.O. Box 20723, Nairobi and Department of Paediatrics, University of Nairobi, P.O. Box 30588, Nairobi, Kenya
P. C. Kiptoon
Affiliation:
Infectious Diseases Hospital, Kenyatta National Hospital, P.O. Box 20723, Nairobi and Department of Paediatrics, University of Nairobi, P.O. Box 30588, Nairobi, Kenya
V. N. M. Kireti
Affiliation:
Infectious Diseases Hospital, Kenyatta National Hospital, P.O. Box 20723, Nairobi and Department of Paediatrics, University of Nairobi, P.O. Box 30588, Nairobi, Kenya
A. Waweru
Affiliation:
Rural Health Training Centre, P.O. Box 72, Maragua, Central Province, Kenya
R. Mwavuo
Affiliation:
Rural Health Training Centre, P.O. Box 72, Maragua, Central Province, Kenya
M. Mbogo
Affiliation:
Rural Health Training Centre, P.O. Box 72, Maragua, Central Province, Kenya
B. Thiongo
Affiliation:
Rural Health Training Centre, P.O. Box 72, Maragua, Central Province, Kenya
D. Kamande
Affiliation:
Rural Health Training Centre, P.O. Box 72, Maragua, Central Province, Kenya
T. Munyeti
Affiliation:
Rural Health Training Centre, P.O. Box 72, Maragua, Central Province, Kenya
J. Ortega
Affiliation:
Ministry of Health, P.O. Box 30016, Nairobi, Kenya
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Laboratory studies were performed on 128 children clinically diagnosed as measles when seen at the Infectious Diseases Hospital, Kenyatta National Hospital (IDH), Nairobi (86 cases) and the Rural Health Training Centre, Maragua, Central Province (42 cases) between 9 July and 31 August 1984. A concurrent measles infection was confirmed in 95% of the children seen at IDH and in 85% of those seen at Maragua, with similar proportions of confirmations in children who had, and who had not, received measles vaccine. No differences in the number of sero-conversions nor in the absolute levels of acute or convalescent HI antibody titres could be detected between vaccinated and unvaccinated children. Analysis of the cases seen at Maragua indicates that about two thirds of the children who had received vaccine were protected. A pilot study of vaccinating children at 8 months and again at 12–13 months is suggested in an attempt to eradicate measles.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1985

References

REFERENCES

Centre for Disease Control (1984). Measles outbreak among vaccinated high school students – Illinois. Morbidity and Mortality Weekly Report 33, 349351.Google Scholar
Gardner, P. S. & McQuillin, J. (1980). Rapid Virus Diagnosis. Application of Immunofluorescence, 2nd ed.London: Buttervvorth & Co.Google Scholar
Heyman, D. L., Mayben, G. K., Murphy, K. R., Guyer, B. & Foster, S. O. (1983). Measles control in Yaounde: justification of a one dose, nine month minimum age vaccination policy in Tropical Africa. Lancet ii, 14701472.CrossRefGoogle Scholar
Kenya, P. R. & Tukei, P. M. (1980). The epidemiology and natural history of measles in Kenya. In Proceedings of the First Annual Medical Scientific Conference of the Kenya Medical Research Institute and the Kenya Trypanosomiasis Research Institute (ed. Njogu, A. R., Tukei, P. M. and Roberts, J. M. D.), pp. 407419. Nairobi.Google Scholar
Leeuwenburg, J. & Muller, A. S. (1980). The optimum age for measles vaccination. In Proceedings of the First Annual Medical Scientific Conference of the Kenya Medical Research Institute and the Kenya Trypanosomiasis Research Institute (ed. Njogu, A. R., Tukei, P. M. and Roberts, J. M. D.), pp. 439443. Nairobi.Google Scholar
McQuillin, J., Bell, T. M., Gardner, P. S. & Downham, M. A. P. S. (1976). Application of immunofluorescence to a study of measles. Archives of Diseases in Childhood 51, 411419.CrossRefGoogle ScholarPubMed
Mitchell, C. D. & Balfour, H. H. (1985). Measles control: So near and yet so far. Progress in Medical Virology 31, 142.Google ScholarPubMed
Munube, G. M. R. (1979). Measles sero-immunity in rural non-vaccinated children at Busoga District, Uganda. East African Medical Journal 56, 335338.Google ScholarPubMed
Remme, J., Mandara, M. P. & Leeuwenburg, J. (1984). The force of measles infection in East Africa. International Journal of Epidemiology 13, 332339.CrossRefGoogle ScholarPubMed
Wafula, E. M., Tukei, P. M., Bell, T. M.Nzanze, H., Pamba, A., Ndinya-Achola, J. O., Hazlett, D. T. G. & Ademba, G. R. (1984). How should primary health care workers diagnose and treat acute respiratory infections (ARI). East African Medical Journal, 61, 736744.Google Scholar
World Health Organization (1983). Measles surveillance: Feasibility of measles elimination in Europe. Weekly Epidemiological Revue 58, 229230.Google Scholar