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Measles-Mumps-Rubella Vaccine in the Italian Armed Forces
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To the Editor: Because vaccination of children and members of the armed forces was not mandatory in Italy until 1998, measles, mumps, and rubella (MMR) diseases have imposed a significant burden on the Italian military. The recent (April 1998) introduction of mandatory vaccination of military recruits provided an opportunity to examine the effectiveness and adverse effects of MMR vaccine (containing Schwarz measles, Urabe Am9 mumps, and Wistar RA 27/3 rubella strains) in a military setting.
Methods
In the Italian military, MMR diseases are generally diagnosed on the basis of clinical criteria. These cases are reported to the Director General for Military Health, in the context of the military surveillance system for communicable diseases. Vaccination status is ascertained by chart reviews, in which date of vaccination, type, and lot of vaccine as well as possible adverse effects are reported. To assess the efficacy of the MMR vaccine and the Urabe Am9–related reactogenicity, . . . [Full Text of this Article]
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RELATED LETTER
Molecular Analysis of Early Postvaccine Mumps-like Disease in Italian Military Recruits
Florigio Lista, Giovanni Faggioni, Mario Stefano Peragallo, Francesco Tontoli, Antonio Stella, Piero Salvatori, Michele Pusino, Marlo Alberto Germani, Vito Contreas, and Raffaele D'Amelio
JAMA. 2002;287(9):1114-1115.
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Molecular Analysis of Early Postvaccine Mumps-like Disease in Italian Military Recruits
Lista et al.
JAMA 2002;287:1114-1115.
FULL TEXT
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