MMWR Morb Mortal Wkly Rep. 1991 Jan 18;40(2):36-9.
In 1989 and 1990, the incidence of measles increased dramatically among preschool-aged children in inner cities. The largest outbreaks occurred primarily among unvaccinated black and Hispanic children in large cities (e.g., Chicago [2], Dallas, Houston, Los Angeles, Milwaukee, and New York). However, measles outbreaks have not occurred in all large U.S. cities; differences in vaccine coverage could account for these variations. This report describes surveys of vaccination levels among nonrandomly selected first- and fifth-grade students in Boston, part of New York City (Bronx), Cleveland, Houston, Jersey City, Philadelphia, Pittsburgh, and Seattle.
1989年和1990年,美国内陆城市学龄前儿童的麻疹发病率急剧上升。最大规模的疫情主要发生在大城市中未接种疫苗的黑人和西班牙裔儿童中(如芝加哥[2]、达拉斯、休斯顿、洛杉矶、密尔沃基和纽约)。然而,并非美国所有大城市都出现了麻疹疫情;疫苗接种覆盖率的差异可能解释了这些差异。本报告描述了对波士顿、纽约市(布朗克斯区)部分地区、克利夫兰、休斯顿、泽西城、费城、匹兹堡和西雅图非随机抽取的一年级和五年级学生的疫苗接种水平调查。