Miles T A, Merrell W H
NSW Health Department, Newcastle.
Aust J Public Health. 1992 Sep;16(3):302-4. doi: 10.1111/j.1753-6405.1992.tb00070.x.
An outbreak of measles occurred in 1990 in the Port Stephens Shire of New South Wales. The incidence of confirmed cases of measles and associated histories of immunisation are detailed by age for the period 24 June 1990 to 31 December 1990. Data were obtained from health and education professionals and from interviews with parents. Among the 158 cases were 116 school pupils, 82 of whom attended two large primary schools which had attack rates of 9.4 per cent and 4.1 per cent. The cases also included 29 persons who had been appropriately immunised. Inadequate immunisation coverage was seen as the principal cause of the outbreak in the Port Stephens Shire. Observance of institutional protocol was regarded as a principal impediment to disease counter-measures in a neighbouring measles-affected area. Regulated immunisation of young children and cooperative interaction among service providers could ultimately lead to the control of this serious disease in New South Wales.
1990年，新南威尔士州斯蒂芬斯港郡爆发了麻疹疫情。本文详细列出了1990年6月24日至12月31日期间按年龄划分的确诊麻疹病例发病率及相关免疫史。数据来自卫生和教育专业人员以及对家长的访谈。158例病例中有116名学生，其中82名就读于两所大型小学，这两所学校的发病率分别为9.4%和4.1%。病例中还包括29名已接受适当免疫接种的人。免疫接种覆盖率不足被视为斯蒂芬斯港郡此次疫情爆发的主要原因。在邻近的麻疹感染地区，遵守机构规程被视为疾病应对措施的主要障碍。对幼儿进行规范免疫接种以及服务提供者之间的合作互动最终可能会在新南威尔士州控制住这种严重疾病。
