Measles outbreak in Bulgaria: poor maternal educational attainment as a risk factor for medical complications
Author(s) -
T.-A. Lim,
Lena Marinova,
Mira Kojouharova,
Svetla Tsolova,
Jan C. Semenza
Publication year - 2013
Publication title -
european journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 91
eISSN - 1464-360X
pISSN - 1101-1262
DOI - 10.1093/eurpub/cks182
Subject(s) - measles , outbreak , medicine , risk factor , environmental health , educational attainment , pediatrics , protective factor , vaccination , virology , economic growth , economics
An 8-year era of interrupted indigenous measles transmission in Bulgaria came to an end in April 2009 when a large epidemic occurred that would eventually claim 24,253 cases and 24 deaths; infants, children and young adults of the Roma community were disproportionally affected. Compared with Western Europe, case-fatality rate and proportion of medical complications were uncharacteristically high.
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