Kettles A N
S Afr Med J. 1987 Sep 5;72(5):317-20.
Measles remains a major health problem in the Cape Western Region of the Department of National Health and Population Development. During the 5-year period 1982-1986, 5,089 notifications were received and analysed for the Cape Town Metropolitan area and for the rest of the region. Of the 3,682 notifications for Cape Town, 60.6% of the patients were under 2 years old, compared with 15.4% of the 1,407 notifications for the rest of the region. The black population in Cape Town accounted for 58.3% of the notifications, and the coloured population in the rest of the region for 51.5%. White notifications for both areas were low, except in the latter half of 1986, when widespread outbreaks affected mainly the white population. Age-adjusted notification rates varied between the two areas, the highest being for blacks in Cape Town, ranging up to 302.3/100,000, and the lowest being for whites, at 1.6/100,000 in the rest of the region. The implications of these different trends are discussed, and a possible reason for the outbreaks in whites is postulated. The most effective way of dealing with the problem is for every effort and available resource to be put into immunising every child at 9 months of age, and any older children who have not yet been immunised.
在国家卫生与人口发展部的西开普地区，麻疹仍然是一个主要的健康问题。在1982年至1986年的5年期间，收集并分析了开普敦都会区及该地区其他地方的5089份疫情通报。在开普敦的3682份通报中，60.6%的患者年龄在2岁以下，而该地区其他地方1407份通报中的这一比例为15.4%。开普敦的黑人占通报病例的58.3%，该地区其他地方的有色人种占51.5%。两个地区的白人通报病例数都很低，不过在1986年下半年除外，当时广泛的疫情主要影响了白人人口。两个地区的年龄调整通报率有所不同，最高的是开普敦的黑人，高达302.3/10万，最低的是该地区其他地方的白人，为1.6/10万。讨论了这些不同趋势的影响，并推测了白人中爆发疫情的一个可能原因。解决这个问题最有效的方法是尽一切努力并利用所有可用资源为每个9个月大的儿童以及所有尚未接种疫苗的大龄儿童接种疫苗。
