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Objective To study clinical aspects of the 1999 outbreak of measles. Design A prospective study of suspected cases of measles admitted to 2 paediatric units from October 1999 to January 2000. Setting Lady Ridgeway Hospital for Children, Colombo. Method From each suspected case of measles blood was sent to the Medical Research Institute to detect lgM antibodies. The age, sex, clinical features, vaccination status, complications, treatment and duration in hospital was noted in each child. Chest xrays were taken when there was clinical evidence of pneumonia. Results 157 children suspected of measles were admitted to the 2 paediatric units during the study period. 7 (4.5%) were under 6 months of age, 37 (23.5%) were 6-9 months of age, 10 (6.4%) were 10- 12 months of age, 34 (21.6%) were 13-60 months of age, 48 (30.6%) were 61-108 months of age and 21 (13.4%) were 109-144 months of age. 52 (33%) children received no prior measles vaccination. Of these, 7 (13.5%) were under 6 months of age, 37 (71.2%) were 6-9 months of age, 2 (3.8%) were 10- 12 months of age, 4 (7.7%) were 13-60 months of age, l (l.9%) was 61-108 months of age and l (l.9%) was 109-144 months of age. 2 children developed bronchopneumonia. There were no other complications. IgM antibodies were present in 148 patients. Conclusions 1. 94% clinically suspected measles patients had positive measles serology. Thus serological confirmation of measles is probably a waste of scarce resources. 2. 28% children who developed measles were under 10 months of age and 23.6% were in the 6-9 month age group. There is a case for bringing forward the recommended age for measles immunisation to 6 months. Sri Lanka Joumal of Child Health, 2000; 29: 112-3 ( Key words : Measles, children) Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */  table.MsoNormalTable  {mso-style-name:"Table Normal";  mso-tstyle-rowband-size:0;  mso-tstyle-colband-size:0;  mso-style-noshow:yes;  mso-style-priority:99;  mso-style-qformat:yes;  mso-style-parent:"";  mso-padding-alt:0in 5.4pt 0in 5.4pt;  mso-para-margin:0in;  mso-para-margin-bottom:.0001pt;  mso-pagination:widow-orphan;  font-size:11.0pt;  font-family:"Calibri","sans-serif";  mso-ascii-font-family:Calibri;  mso-ascii-theme-font:minor-latin;  mso-fareast-font-family:"Times New Roman";  mso-fareast-theme-font:minor-fareast;  mso-hansi-font-family:Calibri;  mso-hansi-theme-font:minor-latin;  mso-bidi-font-family:"Times New Roman";  mso-bidi-theme-font:minor-bidi;}  doi: 10.4038/sljch.v29i4.749

A study of measles at the Lady Ridgeway Hospital