This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

1980 Through 1984

Ronald M. Davis, MD; Walter A. Orenstein, MD; John A. Frank, Jr, MD; Jeffrey J. Sacks, MD; Loring G. Dales, MD; Stephen R. Preblud, MD; Kenneth J. Bart, MD; Neil M. Williams, MD; Alan R. Hinman, MD

JAMA. 1986;255(10):1295-1298.

Abstract
For the five-year period 1980 through 1984, a total of 241 persons with measles in 30 states were identified as probably having acquired their infection in a medical facility. The proportion of all measles cases acquired in medical settings increased from 0.7% for 1980 through 1982 to 2.9% for 1983 and 1984. Seventy-six percent of cases were found in patients or visitors, and 24% in personnel at the medical facility where transmission occurred. The highest proportion of cases occurred in children less than 5 years of age (54.3%), followed by persons 25 to 29 years of age (14.7%). Of 120 cases for whom the pattern of transmission was known, patient-to-patient spread (50.0%) and patient-to-staff spread (36.7%) were most common. Medical personnel rarely transmitted disease to others. More attention needs to be given to methods of preventing spread of measles in medical facilities, such as isolation precautions, postexposure prophylaxis of potential contacts (vaccination or immune globulin), and ensuring that medical personnel are immune to measles.

(JAMA 1986;255:1295-1298)

Author Affiliations
From the Division of Immunization, Center for Prevention Services (Drs Davis, Orenstein, Frank, Preblud, Bart, Williams, and Hinman), and the Division of Field Services, Epidemiology Program Office (Dr Sacks), Centers for Disease Control, Atlanta; the Florida State Department of Health and Rehabilitative Services, Tallahassee (Dr Sacks); and the California Department of Health Services, Berkeley (Dr Dales). Dr Frank is now with the Sterling-Winthrop Research Institute, Rensselaer, NY. Dr Sacks is now with the Georgia Department of Human Resources, Atlanta. Dr Bart is now with the Agency for International Development, Department of State, Washington, DC. Dr Williams is now with the New Jersey State Department of Health, Trenton.

Footnotes
Reprint requests to Technical Information Services, Center for Prevention Services, Centers for Disease Control, Atlanta, GA 30333.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Infection Prevention and Control in Pediatric Ambulatory Settings
Committee on Infectious Diseases
Pediatrics 2007;120:650-665.
ABSTRACT | FULL TEXT  

Infection Control in Physicians' Offices
Committee on Infectious Diseases and Committee on
Pediatrics 2000;105:1361-1369.
ABSTRACT | FULL TEXT  

Measles Vaccination in Pediatric Emergency Departments During a Measles Outbreak
Lindegren et al.
JAMA 1993;270:2185-2189.
ABSTRACT  

Prevalence of Measles Susceptibility in Hospital Staff: Evidence to Support Expanding the Recommendations of the Immunization Practices Advisory Committee
Schwarcz et al.
Arch Intern Med 1992;152:1481-1483.
ABSTRACT  

Screening Hospital Employees for Measles Immunity Is More Cost Effective than Blind Immunization
Sellick et al.
ANN INTERN MED 1992;116:982-984.
ABSTRACT  

Transmission of Infectious Diseases in Outpatient Health Care Settings
Goodman and Solomon
JAMA 1991;265:2377-2381.
ABSTRACT  

Medical Schools and Immunization Policies: Missed Opportunities for Disease Prevention
Poland and Nichol
ANN INTERN MED 1990;113:628-631.
ABSTRACT  

Vaccine-Preventable Diseases and Medical Personnel: Ensure the Immunity of All!
MURRAY
Arch Intern Med 1990;150:25-26.
ABSTRACT  

Medical Students as Sources of Rubella and Measles Outbreaks
Poland and Nichol
Arch Intern Med 1990;150:44-46.
ABSTRACT  

Mumps Transmission in Hospitals
Wharton et al.
Arch Intern Med 1990;150:47-49.
ABSTRACT  

Measles Immunization for International Travelers
von Reyn and Saviteer
ANN INTERN MED 1989;111:766-767.
ABSTRACT  

Measles--Los Angeles County, California, 1988
Arch Dermatol 1989;125:471-472.
ABSTRACT  

Measles--Los Angeles County, California, 1988
JAMA 1989;261:1111-1115.
 

Measles--United States, First 26 Weeks, 1987
Arch Pediatr Adolesc Med 1988;142:493-494.
ABSTRACT  

Building-Associated Risk of Febrile Acute Respiratory Diseases in Army Trainees
Brundage et al.
JAMA 1988;259:2108-2112.
ABSTRACT  

Immunization Policies and Vaccine Coverage Among Adults: The Risk for Missed Opportunities
WILLIAMS et al.
ANN INTERN MED 1988;108:616-625.
ABSTRACT  

Measles--United States, First 26 Weeks, 1987
JAMA 1988;259:1306-1309.
 

Leads From the MMWR
JAMA 1987;258:890-895.
 

Leads from the MMWR
JAMA 1987;257:904-912.
 

Transmission and Severity of Measles Acquired in Medical Settings
Foulon et al.
JAMA 1986;256:1135-1135.
ABSTRACT