Can a Minimum Rate of Investigation of Measleslike Illnesses Serve as a Standard for Evaluating Measles Surveillance?
Open Access
- 1 May 2004
- journal article
- Published by Oxford University Press (OUP) in The Journal of Infectious Diseases
- Vol. 189 (Supplement), S204-S209
- https://doi.org/10.1086/378776
Abstract
To determine whether measles case finding is sensitive, we developed a standard by which to evaluate measles surveillance. We compiled data on the incidence of measleslike illnesses (MLIs) from multiple, diverse sources and used the distribution of these values to determine the minimum level of measles case-finding activity that could be expected in a given region. Among surveillance programs in the United States, other countries in the Americas, and other World Health Organization regions, the median annual rates for rash investigations that were ruled out for measles were 4.3, 4.1, and 1.8/100,000 population, respectively. The annual rates of measles IgM testing in the United States in public laboratories and commercial laboratories were 1.6 and 9.2/ 100,000 population, respectively. In total, we collected data on annual MLI incidence from >80 sources. Values ranged from 0.1 to 22.6 cases of MLI per 100,000 population, and 90% of values were ⩾1.0/100,000 population. On the basis of these findings, we propose that programs attempting measles ehmination consider evaluating surveillance by comparing the annual rate of suspected measles investigations against a minimum standard of 1/100,000 population.Keywords
This publication has 9 references indexed in Scilit:
- Syndromic Surveillance for Measleslike Illnesses in a Managed Care SettingThe Journal of Infectious Diseases, 2004
- Has Surveillance Been Adequate to Detect Endemic Measles in the United States?The Journal of Infectious Diseases, 2004
- National Inventory of Clinical Laboratory Testing Services (NICLTS)Archives Of Pathology & Laboratory Medicine, 2000
- Assessment of Guillain-Barre Syndrome Mortality and Morbidity in the United States: Implications for Acute Flaccid Paralysis SurveillanceThe Journal of Infectious Diseases, 1997
- Epidemiologic Study of Guillain-Barre Syndrome in Children <15 Years of Age in Latin AmericaThe Journal of Infectious Diseases, 1997
- Eradication of Wild Poliovirus from the Americas: Acute Flaccid Paralysis Surveillance, 1988-1995The Journal of Infectious Diseases, 1997
- Poliomyelitis Surveillance: The Compass for EradicationThe Journal of Infectious Diseases, 1997
- Eradication of poliomyelitisThe Pediatric Infectious Disease Journal, 1991
- The epidemiology of Guillain-Barr syndromeAnnals of Neurology, 1990