Rey J L, Trolet C, Soro B, Cunin P, Merouze F
Institut National de la Santé Publique, Abidjan, Côte d'Ivoire.
Ann Soc Belg Med Trop. 1991 Jun;71(2):115-21.
In tropical areas measles cases often are under-reported but the authors comment here two epidemics which had at first been considered as outbreaks of measles but were not. The first epidemic resembled a Chikungunya virus outbreak with important rashes, hyperthermia and pain attacks and was due to Igbo-Ora arbovirus. In the second epidemic children were having rashes with hyperthermia and adenopathy evoking rubella. The authors consider the possibility of over-reporting in view of the surveillance of measles, the target-disease in EPI (Expanded Programme on Immunization). This hypothesis is confirmed by the distribution of reported cases at national level with a high rate of out-season cases and among adults.
在热带地区，麻疹病例常常报告不足，但作者在此评论了两起起初被认为是麻疹暴发但实际并非如此的疫情。第一起疫情类似基孔肯雅病毒暴发，伴有严重皮疹、高热和疼痛发作，是由伊博奥拉虫媒病毒引起的。在第二起疫情中，儿童出现皮疹、高热和淋巴结病，疑似风疹。鉴于麻疹作为扩大免疫规划（EPI）中的目标疾病受到监测，作者考虑了报告过度的可能性。国家层面报告病例的分布情况证实了这一假设，即非流行季节病例和成人病例的报告率很高。
