САСЛУШАНА АНТИВАКЦИНАШИЦА Ево шта је Јелена Карлеуша рекла полицији о својој кампањи против MMR вакцине
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Measles, the need for a paradigm shift
Notably, the countries with MCV2 coverage above 95% experienced similar or even higher incidence rates than areas with MCV2 coverage below 50%, such as Albania, Israel, Kyrgyzstan, Malaysia, Kazakhstan, Thailand, Slovakia, Bhutan, Tajikistan, Saudi Arabia, the former Yugoslav Republic of Macedonia, Bangladesh, the United Arab Emirates, Belarus, the Russian Federation, and Portugal. Thus, MCV2 coverage is not strongly correlated with the risk of local outbreaks and has some limit to guarantee measles elimination.
Nevertheless, the paradox of concurrent improving trends in immunization rates and increasing measles incidences questions whether targeting and maintaining high vaccination coverage is a sufficient approach.
Measles outbreaks in the United States, 1987 through 1990
Results: There were 815 outbreaks, accounting for 94% of the 52,846 cases reported. Similar to 1985 and 1986, 3 patterns of measles transmission during outbreaks were identified:
(1) predominantly among unvaccinated pre-school age children < 5 years of age (38% of outbreaks);
(2) predominantly among vaccinated school age children 5 to 17 years of age (40%); and
(3) predominantly among unvaccinated and vaccinated post-school age persons > or = 18 years of age (22%).
Most outbreaks were small (median, 12 cases), but very large outbreaks occurred (maximum size, 10,670). Although school age outbreaks (58%) predominated during 1987 and 1988, preschool age (40%) and post-school age (23%) outbreaks were more important during 1989 and 1990.
