© 1988 Oxford University Press
research-article |
The Epidemiology of a Measles Outbreak on a Remote Offshore Island near Taiwan

*Field Epidemiology Training Program, Department of Health, Executive Yuan Taiwan, Republic of China.
Emory University, Department of Community Medicine, and the US Centers for Disease Control, International Health Program Office, Global EIS Division Atlanta, GA, 30333, USA.
Gao J P (Field Epidemiology Training Program, Department of Health, Taiwan, Republic of China) and Malison M D. The epidemiology of a measles outbreak on a remote offshore island near Taiwan. International Journal of Epidemiology 1988, 17: 894898.
In September-October 1985, a measles outbreak occurred among elementary school students on a small offshore island near Taiwan. The outbreak began with nosocomial transmission of measles in a hospital emergency room on the main island of Taiwan. Four distinct generations of transmission ocurred among elementary school children and their household contacts. Elementary school children were susceptible to measles because they were bom after the last major outbreak, but before measles vaccine was locally available. Low immunization rates and low vaccine efficacy contributed to the spread of measles among preschool-age household contacts.
Received 1 August 1987