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Cited by 91Virology and Viral DiseasesVaccine Coverage and HesitancyBacterial Infections and Vaccines

The DOI matches its Crossref record; 33 of the 35 references it cites were found in a registry or an index.

Measles Transmission and Vaccine Effectiveness during a Large Outbreak on a Densely Populated Island: Implications for Vaccination Policy

Marin, M., Nguyen, H. Q., Langidrik, J. R., Edwards, R., Briand, K., Papania, M. J., Seward, J. F., LeBaron, C. W.·2006·Clinical Infectious Diseases
DOI 10.1086/498902
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Abstract

BACKGROUND: The Republic of the Marshall Islands (RMI) is a South Pacific nation freely associated with the United States. In 2003, the RMI experienced the largest measles outbreak within the United States or its associated areas for more than a decade, although the reported coverage of 1-dose measles-mumps-rubella (MMR) vaccine was 80%-93%. The outbreak ended only after vaccination of >35,000 persons among a population of 51,000. Of outbreak cases, 41% were reported to have been previously vaccinated. We studied measles attack rates in RMI households to assess vaccine effectiveness and patterns of disease transmission. METHODS: For the household secondary attack rate study, households were selected by convenience sampling of outbreak measles cases. The primary case was defined as the first person with measles in a household. Secondary cases were household members with measles onset 7-18 days after the primary case's rash onset. Vaccine effectiveness analysis was limited to children aged 6 months to 14 years, with vaccination status verified against written records. RESULTS: Seventy-two households were included in the study. The median household size was 11 persons, and the median number of persons per room was 5.5. Secondary cases were more likely than primary cases to be infants (46% vs. 13%; P=.03). MMR vaccine effectiveness was 92% (95% confidence interval [CI], 67%-98%) for 1 dose and 95% (95% CI, 82%-98%) for 2 doses. CONCLUSIONS: Measles vaccine effectiveness was high; thus, diminished effectiveness was not the main cause of the outbreak. In communities with high population density and household crowding, very high population immunity is needed to prevent measles outbreaks and to protect infants below the age of vaccination. This may require excellent implementation of a routine 2-dose measles vaccination strategy.

Overview

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Registry

Crossref · 10.1086/498902

Cites

33 of 33 references verified0 citation errors · 0 not checkable

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Citations

Cites

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Research works printed but not linked: 6

  1. 2002, MMWR. Morbidity and mortality weekly report, 51, 1
  2. Orenstein, 1985, Bulletin of the World Health Organization, 63, 1055
  3. 2003, MMWR. Morbidity and mortality weekly report, 52, 1
  4. Schlenker, 1992, JAMA, 267, 823, 10.1001/jama.1992.03480060069032 · doi:10.1001/jama.1992.03480060069032
  5. 1997, 15, 620
  6. Maldonado, 1995, Pediatrics, 96, 447

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Metadata

Authors
Marin, M., Nguyen, H. Q., Langidrik, J. R., Edwards, R., Briand, K., Papania, M. J., Seward, J. F., & LeBaron, C. W.
Affiliations
Centers for Disease Control and Prevention (US)
Corresponding author
Marin, M.
ORCID
Venue
Clinical Infectious Diseases
Publisher
Oxford University Press (OUP)
Published
2006-02-01
Volume
42
Issue
3
Pages
315-319
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
DOI
10.1086/498902
OpenAlex
W2140400241
Cited by
91
References
35
Citations by year
2026: 4 · 2025: 1 · 2024: 4 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 8 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 1 · 2013: 4 · 2012: 4
FWCI
4.64
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Infectious Diseases (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Centers for Disease Control and Prevention
  • Oak Ridge Institute for Science and Education
Topics
  • Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
  • Social Sciences › Health › Vaccine Coverage and Hesitancy
  • Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
Keywords
measles, measles outbreak, measles vaccine effectiveness, MMR vaccine, measles transmission, vaccination policy, herd immunity, household crowding, Marshall Islands, infants
MeSH terms
Adolescent, Child, Child, Preschool, Disease Outbreaks, Drug Administration Schedule, Health Policy, Housing, Humans, Infant, Measles, Micronesia, Population Density, Risk Factors, Vaccination, Measles-Mumps-Rubella Vaccine

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CoChat. (2026). Citation check: Measles Transmission and Vaccine Effectiveness during a Large Outbreak on a Densely Populated Island: Implications for Vaccination Policy. https://app.cochat.ai/papers/10.1086/498902
The paper
Marin, M., Nguyen, H. Q., Langidrik, J. R., Edwards, R., Briand, K., Papania, M. J., Seward, J. F., & LeBaron, C. W. (2006). Measles Transmission and Vaccine Effectiveness during a Large Outbreak on a Densely Populated Island: Implications for Vaccination Policy. Clinical Infectious Diseases. https://doi.org/10.1086/498902

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.