Annu Rev Med. 1992;43:451-63.

The resurgence of measles in the United States, 1989-1990.

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Division of Immunization, Centers for Disease Control, Atlanta, Georgia 30333.

Abstract

After almost a decade of relatively few reported cases, a major resurgence of measles occurred in the United States in 1989-1990. The increase primarily involved unvaccinated racial and ethnic minority children less than five years of age residing in inner-city areas. Outbreaks of measles among vaccinated school-aged children continued to occur but had less impact than outbreaks among preschool-aged children. Efforts to prevent measles must be aimed at improving age-specific measles vaccination coverage among preschool-aged children, and implementation of a two-dose measles strategy among school-aged children.

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