PMID: 16501727Feb 28, 2006Paper

Measles surveillance in Victoria, Australia

Bulletin of the World Health Organization
Yung-Hsuan J WangS B Lambert

Abstract

Many countries are implementing measles elimination strategies. In Australia, the State of Victoria has conducted enhanced measles surveillance since 1997 using case interviews and home-based specimen collection for laboratory confirmation. We attempted to identify features of notified cases that would better target surveillance resources. We retrospectively classified notifications received from 1998 to 2003 as having been received in an epidemic (one or more laboratory-confirmed cases) or an interepidemic period (no laboratory-confirmed cases). We labelled the first case notified in any epidemic period that was not laboratory-confirmed at the time of notification as a "sentinel case". To maximize detection of sentinel cases while minimizing the follow-up of eventually discarded notifications, we generated algorithms using sentinel cases and interepidemic notifications. We identified 10 sentinel cases with 422 interepidemic notifications from 1281 Victorian notifications. Sentinel cases were more likely to report fever at rash onset (odds ratio (OR) 15.7, 95% confidence interval (CI) CI: 2.1-688.9), cough (OR 10.4, 95% CI: 1.4-456.7), conjunctivitis (OR 7.9, 95% CI: 1.8-39.1), or year of birth between 1968 and 1981 (OR 31.8, 9...Continue Reading

Citations

Sep 20, 2011·International Journal of Biometeorology·Akinyemi Gabriel OmonijoClement Olabinjo Adeofun
May 21, 2016·Australian and New Zealand Journal of Public Health·Katherine BondBrett Sutton
Nov 5, 2019·European Journal of Epidemiology·Luojun YangMichael J Mina
Apr 30, 2015·BMJ Case Reports·Andrew HuynhLouise M Burrell
Aug 8, 2007·The Medical Journal of Australia·David N DurrheimDavid Featherstone

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