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Journal of Tropical Pediatrics 1984 30(3):164-168; doi:10.1093/tropej/30.3.164
© 1984 by Oxford University Press
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Determinants of Measles Mortality in a Rural Area of Guinea-Bissau: Crowding, Age, and Malnutrition

Peter Aaby, MSc*,, Jette Bukh, MSc*, Ida Maria Lisse, MD*, Arjon J. Smits, MSc*, Joaquim Gomes{dagger}, Manuel Adriano Fernandes{dagger}, Francisco Indi{dagger} and Mariano Soares{dagger}

*Institute of Ethnology and Anthropology, University of Copenhagen Denmark
{dagger}Nutritional Assistants, The Mobile Nutrition and Health Team, Ministry of Health Guinea-Bissau

Correspondence to: Peter Aaby, Institute of Ethnology and Anthropology, Frederiksholms Kanal 4, DK.-1220 Copenhagen K, Denmark.

Malnutrition has been considered the major determinant of high measles mortality. Data from a rural area of Guinea-Bissau suggest that overcrowding and age may be more important as determinants than nutritional status. Case fatality rate was significantly higher in houses with several cases than in homes with only a single case. Measles vaccination may contribute to increased survival rates by limiting the number of infections, raising the mean age of attack, and by impeding clustering of cases.


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