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ARTICLE |

Measles Immunization-Reply FREE

COL Marvin S. Krober, MC; Carl E. Stracener, MD
JAMA. 1991;266(8):1078-1078. doi:10.1001/jama.1991.03470080047016
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In Reply.  —The number of cases of measles in the United States has risen from 15 000 in 1983 to a provisional total of 27600 in 1990.1 Age, race, and geographic location are important variables in determining the likelihood of developing measles. In 1989, for example, over 96% of measles cases in this country occurred in just 23 of the 50 states.2 The spotty distribution of measles makes observations from a single practice of limited value. Dr Robinson states that he has not seen cases of measles in his practice in spite of having given the MMR vaccine to many children who had colds. Since he offers no information as to whether or not these children were in fact ever exposed to measles, many of them may be susceptible.Robinson questions whether or not lack of seroconversion correlates with susceptibility to infection. Our own studies do not address

REFERENCES

 Centers for Disease Control. Measles—United States, 1988. MMWR . 1989;;38:601-605.
Orenstein WA, Markowitz LE, Hersh BS, Preblud SR, Hinman AR.  The elusiveness of measles elimination.  In: Centers for Disease Control Proceedings of the 23rd National Immunization Conference . Atlanta, Ga: Centers for Disease Control; 1989;:67-73.
Chen RT, Markowitz LE, Albrecht P, et al.  Measles antibody: reevaluation of protective titers. J Infect Dis . 1990;;162:1036-1042.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

 Centers for Disease Control. Measles—United States, 1988. MMWR . 1989;;38:601-605.
Orenstein WA, Markowitz LE, Hersh BS, Preblud SR, Hinman AR.  The elusiveness of measles elimination.  In: Centers for Disease Control Proceedings of the 23rd National Immunization Conference . Atlanta, Ga: Centers for Disease Control; 1989;:67-73.
Chen RT, Markowitz LE, Albrecht P, et al.  Measles antibody: reevaluation of protective titers. J Infect Dis . 1990;;162:1036-1042.
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To understand the clinical management of acute heart failure syndromes.
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