Measles in Vietnamese refugee children in Hong Kong
AbstractFrom September 1991–January 1992, there was a measles epidemic in an established refugee camp for 7000 Vietnamese ‘Boat People’ living in Hong Kong. This 16 week outbreak occurred against a backdrop of poor uptake of measles vaccination and overcrowded living conditions. Two hundred and sixty-two children were affected (155 boys, 107 girls); 235 children (89·7%) were <2 years old, age range 5–39 months. Children age 6–11 months had the highest crude attack rate (AR) of 54·3%. The highest age specific crude AR was 83·8% in children aged 14 months. Measles complications affected 234 (89·3%) children. Sixty-six children (25·2%) were admitted to hospital. There were two deaths from pneumonia, giving a case fatality rate of 0·76%. Measles control in refugee camps continues to be a public health challenge. (Accepted December 21 1998)Correspondence: c1 Author for correspondence: 26, Pitchford Road, Heath Farm, Shrewsbury, Shropshire, SY1 3HS, UK. Footnotes1 The findings and opinions expressed in this article are my own and do not in any way represent the policy or views of the British Red Cross Society. |