Sinha D P
Trop Geogr Med. 1977 Jun;29(2):125-34.
The occurrence of measles over a five year period (1970-1974) was observed in a West Bengal village. Measles occurred every year between May and August and remained confined each year to small clusters or play groups. Restricted movement of the children within their own playgroup limited the spread of the disease. Most of the cases occurred in children between 2-6 yrs and 91.5% were in children below 7 yrs of age. The disease was not very severe in spite of the widespread prevalence of protein-calorie malnutrition and mortality was low compared to rates from Africa. Of the 181 cases only two children, who had kwashiorkor and who also had measles, died. There was no mortality among the marasmic children, nor were there any serious complications among them. The incedence of clinically diagnosed measles was significantly lower in severely malnourished children than well nourished children. Comparatively, low severity of this disease in India, as against high mortality rates in parts of Africa, amy be due to relative prevalence of marasmic and kwashiorkor type of malnutrition in these geographic areas.
在西孟加拉邦的一个村庄观察了五年期间（1970 - 1974年）麻疹的发病情况。麻疹在每年5月至8月间出现，且每年都局限于小群体或玩伴群体中。儿童在自己的玩伴群体内活动受限，限制了疾病的传播。大多数病例发生在2至6岁的儿童中，91.5%的病例是7岁以下的儿童。尽管蛋白质 - 热量营养不良普遍存在，但该疾病并不十分严重，与非洲的死亡率相比很低。在181例病例中，只有两名患有夸希奥科病且同时患有麻疹的儿童死亡。消瘦型儿童中没有死亡病例，他们也没有任何严重并发症。临床诊断的麻疹发病率在严重营养不良的儿童中明显低于营养良好的儿童。与非洲部分地区的高死亡率相比，这种疾病在印度的严重程度相对较低，这可能是由于这些地理区域相对普遍存在消瘦型和夸希奥科病型营养不良。
