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Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

A 60-year review on the changing epidemiology of measles in capital Beijing, China, 1951-2011

Authors: Juan Li, Li Lu, Xinghuo Pang, Meiping Sun, Rui Ma, Donglei Liu, Jiang Wu

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

China pledged to join the global effort to eliminate measles by 2012. To improve measles control strategy, the epidemic trend and population immunity of measles were investigated in 1951–2011 in Beijing.

Methods

The changing trend of measles since 1951 was described based on measles surveillance data from Beijing Centre of Disease Control and Prevention (CDC). The measles vaccination coverage and antibody level were assessed by routinely reported measles vaccination data and twenty-one sero-epidemiological surveys.

Results

The incidence of measles has decreased significantly from 593.5/100,000 in 1951 (peaked at 2721.0/100,000 in 1955), to 0.5/100,000 in 2011 due to increasing vaccination coverage of 95%-99%. Incidence rebounded from 6.6/100,000 to 24.5/100,000 since 2005 and decreased after measles vaccine (MV) supplementary immunization activities (SIAs) in 2010. Measles antibody positive rate was 85%-95% in most of years since 1981. High-risk districts were spotted in Chaoyang, Fengtai and Changping districts in recent 15 years. Age-specific incidence and proportion of measles varied over time. The most affected population were younger children of 1–4 years before 1978, older children of 5–14 years in 1978–1996, infant of <1 years and adults of ≥15 years in period of aim to measles elimination.

Conclusion

Strategies at different stages had a prevailing effect on the epidemic dynamics of measles in recent 60 years in Beijing. It will be essential to validate reported vaccination coverage, improve vaccination coverage in adults and strengthen measles surveillance in the anticipated elimination campaign for measles.
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Literature
1.
CDC: Global measles control and regional elimination, 1998–1999. MMWR. 1999, 48 (49): 1124-1130.
2.
Guo JY: Beijing historical materials of health and epidemic prevention- in commemoration of the 50 anniversary of the founding of the People's Republic of China. 1999, Beijing: Beijing Press, 1
3.
Ma JQ: Effect of development of Interneton infectious disease reporting system. Chin.J of PHM. 2003, 19 (3): 245-247.
4.
Pan EC: Analysis on present reporting system from the prevalence of SARS. Chin J Dis Control Prev. 2004, 5 (8): 435-437.
5.
Ze WY, Diao LD, Xu AQ: Expanded program on immunization. 2001, Shanghai: Shanghai Publishing House of Scientific and Technological Literature, 2
6.
WHO: Progress towards the 2012 measles elimination goal in WHO's Western Pacific Region, 1990–2008. Wkly Epidemiol Rec. 2009, 84 (27): 271-279.
7.
Guris D: Module on best practices for measles surveillance: Department of Vaccines and Biologicals. 2001, : World Health Organization,
8.
Li X, Kang D, Zhang Y, Wei G, Liu W, Fang L, Yang H, Cao W: Epidemic trend of measles in Shandong Province, China, 1963–2005. Public Health. 2012, 126 (12): 1017-1023.CrossRefPubMed
9.
Ma C, An Z, Hao L, Cairns KL, Zhang Y, Ma J, Cao L, Wen N, Xu W, Liang X, et al: Progress toward measles elimination in the People's Republic of China, 2000–2009. J Infect Dis. 2011, 204 (Suppl 1): S447-S454.CrossRefPubMed
10.
Rota JS, Heath JL, Rota PA, King GE, Celma ML, Carabana J, Fernandez-Munoz R, Brown D, Jin L, Bellini WJ: Molecular epidemiology of measles virus: identification of pathways of transmission and implications for measles elimination. J Infect Dis. 1996, 173 (1): 32-37.CrossRefPubMed
11.
CDC: Rubella Laboratory Network, January 2004-June 2005. MMWR. 2005, 54: 1100-1104.
12.
WHO: Global measles and rubella strategic plan, 2012–2020. Geneva (Switzerland). 2012, 1-44.
13.
Papania MJ, Seward JF, Redd SB, Lievano F, Harpaz R, Wharton ME: Epidemiology of measles in the United States, 1997–2001. J Infect Dis. 2004, 189 (Suppl 1): S61-S68.CrossRefPubMed
14.
WHO: WHO-recommended standards for surveillance of selected vaccine-preventable diseases. 2003, Department of Vaccines and Biologicals, Health Technology and Pharmaceuticals, World Health Organization
15.
Sniadack DH, Mendoza-Aldana J, Jee Y, Bayutas B, Lorenzo-Mariano KM: Progress and challenges for measles elimination by 2012 in the Western Pacific Region. J Infect Dis. 2011, 204 (suppl 1): S439-S446.CrossRefPubMed
16.
Edmunds WJ, Gay NJ, Kretzschmar M, Pebody RG, Wachmann H: The pre-vaccination epidemiology of measles, mumps and rubella in Europe: implications for modelling studies. Epidemiol Infect. 2000, 125 (3): 635-650.CrossRefPubMedPubMedCentral
17.
18.
Dabis F, Waldman RJ, Sow A, Jones TS, Madzou G: Measles control in Africa. Lancet. 1986, 2 (8499): 162-163.CrossRefPubMed
19.
Diao LD, Xu AQ, Feng ZJ, Wang H: Measles. 2001, Shanghai: Shanghai Press of Science and Technology Document, 1
20.
Chen ZH, Ren XG, Yang HY, Wu T, Xun WQ, Han MM, Hu FJ, Xu BX, Chen HJ, Chu BL: Study on the Sero-Epidemiologic Efficacy of Shanghai 191 Measles Live Vaccine after 16 Years since Primary Immunization. Chinese Journal of Biologicals. 1989, 2 (7): 5-9.
21.
Yang P, Duan W, Lv M, Shi W, Peng X, Wang X, Lu Y, Liang H, Seale H, Pang X, et al: Review of an influenza surveillance system, Beijing, People's Republic of China. Emerg Infect Dis. 2009, 15 (10): 1603-1608.CrossRefPubMedPubMedCentral
22.
Cherry JD: The 'new' epidemiology of measles and rubella. Hosp Pract. 1980, 15 (7): 49-57.PubMed
23.
Duclos P, Redd SC, Varughese P, Hersh BS: Measles in adults in Canada and the United States: implications for measles elimination and eradication. Int J Epidemiol. 1999, 28 (1): 141-146.CrossRefPubMed
24.
Goodson JL, Masresha BG, Wannemuehler K, Uzicanin A, Cochi S: Changing epidemiology of measles in Africa. J Infect Dis. 2011, 204 (Suppl 1): S205-S214.CrossRefPubMed
25.
Chen RT, Weierbach R, Bisoffi Z, Cutts F, Rhodes P, Ramaroson S, Ntembagara C, Bizimana F: A 'post-honeymoon period' measles outbreak in Muyinga sector, Burundi. Int J Epidemiol. 1994, 23 (1): 185-193.CrossRefPubMed
26.
Hersh BS, Tambini G, Nogueira AC, Carrasco P, de Quadros CA: Review of regional measles surveillance data in the Americas, 1996–99. Lancet. 2000, 355 (9219): 1943-1948.CrossRefPubMed
27.
de Quadros CA, Izurieta H, Venczel L, Carrasco P: Measles eradication in the Americas: progress to date. J Infect Dis. 2004, 189 (Suppl 1): S227-S235.CrossRefPubMed
28.
Li J, Lu L, Liu DL, Ma R, Wu J, Pang XH: Measles epidemiology and elimination measure evaluation in Beijing, 2005–2010. Disease Surveilance. 2012, 5 (27): 353-357.
29.
Sniadack DH, Mendoza-Aldana J, Huyen DT, Van TT, Cuong NV, Olive JM, Toda K, Hien NT: Epidemiology of a measles epidemic in Vietnam 2008–2010. J Infect Dis. 2011, 204 (Suppl 1): S476-S482.CrossRefPubMed
30.
Ferrari MJ, Grais RF, Bharti N, Conlan AJ, Bjornstad ON, Wolfson LJ, Guerin PJ, Djibo A, Grenfell BT: The dynamics of measles in sub-Saharan Africa. Nature. 2008, 451 (7179): 679-684.CrossRefPubMed
31.
Cutts FT, Markowitz LE: Successes and failures in measles control. J Infect Dis. 1994, 170 (Suppl 1): S32-S41.CrossRefPubMed
32.
Leuridan E, Hens N, Hutse V, Ieven M, Aerts M, Van Damme P: Early waning of maternal measles antibodies in era of measles elimination: longitudinal study. BMJ. 2010, 340: 1626-1633.CrossRef
33.
Champion AG: A Changing Demographic Regime and Evolving Poly centric Urban Regions: Consequences for the Size, Composition and Distribution of City Populations. Urban Studies. 2001, 38 (4): 657-677.CrossRef
34.
Feng J, Zhou Y: The growth and distribution of population in Beijing metropolitan area (1982–2000). ACTA GEOGRAPHICA SINICA-CHINESE EDITION-. 2003, 58 (6): 903-916.
35.
Yoshikura H: Negative impacts of large population size and high population density on the progress of measles elimination. Jpn J Infect Dis. 2012, 65 (5): 450-454.CrossRefPubMed
36.
Anderson RM, May RM: Vaccination and herd immunity to infectious diseases. Nature. 1985, 318 (6044): 323-329.CrossRefPubMed
37.
de Quadros CA, Olive JM, Hersh BS, Strassburg MA, Henderson DA, Brandling-Bennett D, Alleyne GA: Measles elimination in the Americas. Evolving strategies. JAMA. 1996, 275 (3): 224-229.CrossRefPubMed
38.
Biellik R, Madema S, Taole A, Kutsulukuta A, Allies E, Eggers R, Ngcobo N, Nxumalo M, Shearley A, Mabuzane E, et al: First 5 years of measles elimination in southern Africa: 1996–2000. Lancet. 2002, 359 (9317): 1564-1568.CrossRefPubMed
39.
Liu AH, Gu YH, Xu SX: Investigation on Immunization Coverage Rate of Floating Children in Beijing. Chinese Journal of Vaccines and Immunization. 2000, 5 (6): 263-266.
40.
Sun MP, Liu DW, Liu AH, Liu DL, Fan CY, Miao L, Lu L, Zhang XC, Da-we i LIU, Ai-hua LIU, et al: (Beijing Munici ple Center for Disease Prevention and Control, Beijing 100013, China); Investigation of Immunization Coverage Rate of Children Living in Floating Population Area and the Affecting Factors [J]. Chinese Journal of Vaccines and Immunization. 2002, 2 (8): 91-94.
41.
LIU DW, SUN MP, LIU WX, Fan CH, Lu L, Liu DL: Comparative Study on Immunization Coverage Rates of Nine Vaccines Between Local and Floating Children [J]. Chinese Journal of Vaccines and Immunization. 2007, 2 (13): 165-169.
42.
Yu X, Lu X, Wu B: Management on EPI in Floating Children. Chinese Journal of Vaccines and Immunization. 2005, 1: 38-42.
43.
SUN MP, MA R, ZENG Y, Lu L, Liu DL, Wang LY, Liu WX: Effect Evaluation of Supplementary Immunization Activities Among Migrant Children Under 7 Years Old in Beijing. Chinese Journal of Vaccines and Immunization. 2008, 6 (14): 543-545.
44.
MA R, SUN MP, ZENG Y, Lu L, Liu DL, Wang LY, Liu WX, Zhang Q, Xu RH, Huang ST, et al: Implementing and Effect Evaluation of Supplementary Immunization Activities Among Migrant Children Under 7 Years Old in Beijing in 2007 [J]. Chinese Journal of Vaccines and Immunization. 2007, 6 (13): 581-585.
45.
Zuo SY, Wang XJ, Cao L, Zhang LX, Zhang RZ: Quality of reports of routine immunization coverage and its affecting factors. Chinese Journal of Vaccines and Immunization. 2002, 6 (8): 337-340.
46.
47.
Onta SR, Sabroe S, Hansen EH: The quality of immunization data from routine primary health care reports: a case from Nepal. Health Policy Plann. 1998, 13 (2): 131-139.CrossRef
Metadata
Title
A 60-year review on the changing epidemiology of measles in capital Beijing, China, 1951-2011
Authors
Juan Li
Li Lu
Xinghuo Pang
Meiping Sun
Rui Ma
Donglei Liu
Jiang Wu
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-986

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