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本来可能更糟:2017 年明尼苏达州麻疹疫情。

It could have been much worse: The Minnesota measles outbreak of 2017.

机构信息

Department of Geography and Geoinformation Science, George Mason University, Fairfax, VA, USA.

Department of Geography, University of North Carolina, Chapel Hill, NC, USA.

出版信息

Vaccine. 2018 Mar 27;36(14):1808-1810. doi: 10.1016/j.vaccine.2018.02.086. Epub 2018 Feb 26.

DOI:10.1016/j.vaccine.2018.02.086
PMID:29496348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6626669/
Abstract

In 2017, Minnesota battled its largest measles outbreak in nearly 30 years, with 79 cases, most of them Somali-American children. In this study, we gathered vaccination and enrollment data for incoming kindergarteners in Minnesota over fall 2012-2016 from the Minnesota Department of Health. We also gathered the number of measles cases by county in 2017. We found that MMR coverage has substantial variation across districts and district types. The minimum MMR coverage is 58.3% and the maximum is 100%. Private schools, which represent approximately six percent of Minnesota's kindergarten enrollment, have a substantially lower coverage rate, with an overall coverage of 83.00%. The 2017 outbreak was relatively isolated. However, the MMR coverage data suggests that other communities could have been at risk given their geographic proximity to the outbreak and modest coverage rates.

摘要

2017 年,明尼苏达州遭遇了近 30 年来最大的麻疹疫情,共有 79 例病例,其中大多数是索马里裔美国儿童。在这项研究中,我们从明尼苏达州卫生部收集了 2012 年至 2016 年秋季入学的幼儿园新生的疫苗接种和入学数据。我们还收集了 2017 年各县的麻疹病例数。我们发现,MMR 覆盖率在不同地区和地区类型之间存在很大差异。最低的 MMR 覆盖率为 58.3%,最高的为 100%。私立学校约占明尼苏达州幼儿园入学人数的 6%,其覆盖率要低得多,总体覆盖率为 83.00%。2017 年的疫情相对孤立。然而,MMR 覆盖率数据表明,鉴于这些社区与疫情的地理位置接近以及适度的覆盖率,其他社区可能也存在风险。

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