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Volume 19, Number 2—February 2013

Synopsis

Lessons and Challenges for Measles Control from Unexpected Large Outbreak, Malawi

Andrea MinettiComments to Author , Matthew Kagoli, Agnes Katsulukuta, Helena Huerga, Amber Featherstone, Hazel Chiotcha, Delphine Noel, Cameron Bopp, Laurent Sury, Renzo Fricke, Marta Iscla, Northan Hurtado, Tanya Ducomble, Sarala Nicholas, Storn Kabuluzi, Rebecca F. Grais, and Francisco J. Luquero
Author affiliations: Author affiliations: Epicentre, Paris, France (A. Minetti, H. Huerga, D. Noel, S. Nicholas, R.F Grais, F.J. Luquero); Ministry of Health, Lilongwe, Malawi (M. Kagoli, A. Katsulukuta, S. Kabuluzi); Médecins Sans Frontières, Lilongwe (A. Featherstone, H. Chiotcha, C. Bopp); Médecins Sans Frontières, Paris, France (L. Sury, N. Hurtado); Médecins Sans Frontières, Brussels, Belgium (R. Fricke, T. Ducomble); Médecins Sans Frontières, Barcelona, Spain (M. Iscla)

Main Article

Table 1

Characteristics of persons reported to have measles, Malawi, 2010

Characteristic No. (%) cases reported Attack rate* No. (%) deaths reported Case-fatality rate†
Total Malawi 134,039 (100) 0.96 304 (100) 0.23
Northern Region 5,054 (4) 0.28 24 (8) 0.47
Central Region 64,688 (48) 1.09 152 (50) 0.23
Southern Region
64,297 (48)
1.03
128 (42)
0.20
Sex 133,834 (100) 304 (100)
M 67,949 (51) 0.97 126 (41) 0.19
F
65,885 (49)
0.94
178 (59)
0.27
Age group 131,725 (100) 292 (100)
0–5 mo 7,243 (6) 2.26 10 (3) 0.14
6–8 mo 10,615 (8) 7.61 27 (9) 0.25
9–11 mo 7,543 (6) 4.5 21 (7) 0.28
12–59 mo 28,737 (22) 1.38 81 (28) 0.28
5–14 y 39,979 (30) 1.02 69 (24) 0.17
15–19 y 13,641 (10) 1.0 14 (5) 0.10
>20 y 23,967 (18) 0.4 70 (24) 0.29

*Per 100 persons.
†Per 100 measles cases.

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