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Volume 19, Number 3—March 2013

Perspective

Measles Elimination Efforts and 2008–2011 Outbreak, France

Denise AntonaComments to Author , Daniel Lévy-Bruhl, Claire Baudon, François Freymuth, Mathieu Lamy, Catherine Maine, Daniel Floret, and Isabelle Parent du Chatelet
Author affiliations: Author affiliations: Institut de Veille Sanitaire, Saint-Maurice, France (D. Antona, D. Lévy-Bruhl, C. Baudon, M. Lamy, C. Maine, I. Parent du Chatelet); National Reference Centre for Measles and Respiratory Paramyxoviridae, CHU Caen, France (F. Freymuth); Université Claude Bernard Lyon 1, Lyon, France (D. Floret)

Main Article

Table

Measles-related complications among 4,968 hospitalized patients, by age group, France, January 2008–December 2011*

Complications No. (%) patients, by age group, y
p value†
<1, n = 470 1–14, n = 1,150 15–29, n = 2,290 >30, n = 1,058 Total, n = 4,968
All complications
130 (27.7)
373 (32.4)
669 (29.2)
441 (41.7)
1,613 (32.5)
<0.001
Pulmonary
Pneumonia 75 (15.9) 227 (19.7) 416 (18.2) 305 (28.8) 1,023 (20.6) <0.001
Other‡
1 (0.2)
21 (1.8)
32 (1.4)
15 (1.4)
69 (1.4)
NS
Ear, nose, throat
Otitis media 24 (5.1) 27 (2.3) 11 (0.5) 2 (0.2) 64 (1.3) <0.001
Other‡
6 (1.3)
12 (1.0)
11 (0.5)
5 (0.5)
34 (0.7)
NS
Digestive tract
Diarrhea/dehydration 3 (0.6) 26 (2.3) 30 (1.3) 19 (1.8) 78 (1.5) NS
Liver or pancreas disorder 1 (0.2) 5 (0.4) 105 (4.6) 70 (6.6) 181 (3.6) <0.001
Other‡
11 (2.3)
18 (1.6)
19 (0.8)
5 (0.5)
53 (1.1)
NS
Neurologic
Encephalitis or myelitis 0 10 (1.1) 13 (0.6) 4 (0.4) 27 (0.5) NS
Other‡
2 (0.4)
10 (0.9)
8 (0.3)
1 (0.1)
21 (0.4)
NT
Keratitis
0
1 (0.1)
9 (0.4)
6 (0.6)
16 (0.3)

Other‡ 10 (0.2) 21 (1.8) 32 (1.4) 17 (1.6) 80 (1.6) NS
Death 0 2 (0.2) 6 (0.3) 2 (0.2) 10 (0.2) NT

*Total excludes 12 patients with unknown date of birth. NS, not significant; NT, not tested (expected value <5).
†By χ2 test.
‡Other complications (numbers in brackets indicate no. cases of that complication identified): pulmonary (e.g., bronchitis, pleurisy); ear, nose, throat (e.g., tonsillitis, sinusitis); digestive tract (e.g., vomiting, dysphagia, abdominal ache); neurologic (e.g., Guillain-Barré syndrome [1], meningitis); other (e.g., miscarriage [5], premature delivery [3], neonatal infection [4], myocarditis/pericarditis [8], general state impairment [42], thrombocytopenia [18]).

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