Poland G A, Nichol K L
Veterans Administration Medical Center/University of Minnesota, Minneapolis.
Arch Intern Med. 1990 Jan;150(1):44-6.
Medical students demonstrate a high degree of susceptibility to rubella and measles, and hence are at risk for infection and transmission of these viruses. The purpose of our study was to examine the role medical students play as sources or vectors in rubella and measles outbreaks. We conducted a survey of all US and Canadian public health departments to determine how often students were implicated in outbreaks (response rate, 88.7%). We also performed a literature search to identify any cases not reported to health departments, as well as examined the medical, social, and economic consequences of such outbreaks in the medical setting. Since 1981, 9% of health departments have recorded at least one outbreak of rubella or measles in which medical students were specifically implicated as sources or vectors. Increased morbidity, mortality, and adverse economic consequences resulted from these outbreaks. Our data confirm that medical students are important sources/vectors in rubella and measles outbreaks. We recommend that all medical students be immune to these viruses.
医学生对风疹和麻疹表现出高度易感性，因此有感染和传播这些病毒的风险。我们研究的目的是调查医学生在风疹和麻疹暴发中作为传染源或传播媒介所起的作用。我们对美国和加拿大所有公共卫生部门进行了一项调查，以确定学生在暴发中被牵连的频率（回复率为88.7%）。我们还进行了文献检索，以识别未向卫生部门报告的任何病例，并研究了此类暴发在医疗环境中的医学、社会和经济后果。自1981年以来，9%的卫生部门记录了至少一次风疹或麻疹暴发，其中医学生被明确认定为传染源或传播媒介。这些暴发导致发病率、死亡率上升以及不良经济后果。我们的数据证实医学生是风疹和麻疹暴发中的重要传染源/传播媒介。我们建议所有医学生对这些病毒具有免疫力。
