Manifestations of the Epidemic Process of Measles and Rubella at the Present Stage

Relevance. Measles and rubella have been known to humanity for centuries. These two infections have a number of similarities. However, despite all the similarities and a single elimination program, it is not possible to achieve the same results by the level of the incidence of these infections. Goal...

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Main Authors: A. A. Pozdnyakov, O. P. Chernyavskaya
Format: Article
Language:Russian
Published: Numikom LLC 2018-10-01
Series:Эпидемиология и вакцинопрофилактика
Subjects:
Online Access:https://www.epidemvac.ru/jour/article/view/576
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author A. A. Pozdnyakov
O. P. Chernyavskaya
author_facet A. A. Pozdnyakov
O. P. Chernyavskaya
author_sort A. A. Pozdnyakov
collection DOAJ
description Relevance. Measles and rubella have been known to humanity for centuries. These two infections have a number of similarities. However, despite all the similarities and a single elimination program, it is not possible to achieve the same results by the level of the incidence of these infections. Goal. Identify common features and differences in the manifestations of the epidemic process of measles and rubella at the present stage and formulate a hypothesis on their explanation.Materials and methods. Methods of retrospective epidemiological analysis of morbidity were used: Evaluation of the statistical significance of the differences in indicators with the Student’s test. To compare the rate of decrease in the incidence of measles and rubella their exponential approximations using the method of least squares were used. To process the research data, the Microsoft Excel program was used.Results. In the pre-vaccination period, the incidence of measles was 4.6 times higher than rubella. For major infections in this period characterized by a pronounced cyclic morbidity, while the intervals between cyclical rises for measles are shorter, and the amplitude of cycles is higher. As the population was vaccinated, the incidence of these infections decreased, while the rate of decline in the incidence of rubella was higher than that of measles. Also, a faster decrease in morbidity and smoothing of the cyclicity, a transition to older age groups, a gradual exit from the incidence of younger age groups confirm that the rubella has a contact number less then measles.Conclusion. The current level of population immunity is sufficient to eliminate rubella in a relatively short time. For measles, which has greater contagiousness and a contact number, and is more demanding for population immunity, this level is not enough. As a consequence, rubella shows better «manageability» in immunization than measles.
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spelling doaj.art-bd9e5426e0044fb2ae3d5f115584a4912023-03-13T07:43:16ZrusNumikom LLCЭпидемиология и вакцинопрофилактика2073-30462619-04942018-10-01175455310.31631/2073-3046-2018-17-5-45-53467Manifestations of the Epidemic Process of Measles and Rubella at the Present StageA. A. Pozdnyakov0O. P. Chernyavskaya1ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Минздрава РоссииФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Минздрава РоссииRelevance. Measles and rubella have been known to humanity for centuries. These two infections have a number of similarities. However, despite all the similarities and a single elimination program, it is not possible to achieve the same results by the level of the incidence of these infections. Goal. Identify common features and differences in the manifestations of the epidemic process of measles and rubella at the present stage and formulate a hypothesis on their explanation.Materials and methods. Methods of retrospective epidemiological analysis of morbidity were used: Evaluation of the statistical significance of the differences in indicators with the Student’s test. To compare the rate of decrease in the incidence of measles and rubella their exponential approximations using the method of least squares were used. To process the research data, the Microsoft Excel program was used.Results. In the pre-vaccination period, the incidence of measles was 4.6 times higher than rubella. For major infections in this period characterized by a pronounced cyclic morbidity, while the intervals between cyclical rises for measles are shorter, and the amplitude of cycles is higher. As the population was vaccinated, the incidence of these infections decreased, while the rate of decline in the incidence of rubella was higher than that of measles. Also, a faster decrease in morbidity and smoothing of the cyclicity, a transition to older age groups, a gradual exit from the incidence of younger age groups confirm that the rubella has a contact number less then measles.Conclusion. The current level of population immunity is sufficient to eliminate rubella in a relatively short time. For measles, which has greater contagiousness and a contact number, and is more demanding for population immunity, this level is not enough. As a consequence, rubella shows better «manageability» in immunization than measles.https://www.epidemvac.ru/jour/article/view/576корькраснухаиммунопрофилактика
spellingShingle A. A. Pozdnyakov
O. P. Chernyavskaya
Manifestations of the Epidemic Process of Measles and Rubella at the Present Stage
Эпидемиология и вакцинопрофилактика
корь
краснуха
иммунопрофилактика
title Manifestations of the Epidemic Process of Measles and Rubella at the Present Stage
title_full Manifestations of the Epidemic Process of Measles and Rubella at the Present Stage
title_fullStr Manifestations of the Epidemic Process of Measles and Rubella at the Present Stage
title_full_unstemmed Manifestations of the Epidemic Process of Measles and Rubella at the Present Stage
title_short Manifestations of the Epidemic Process of Measles and Rubella at the Present Stage
title_sort manifestations of the epidemic process of measles and rubella at the present stage
topic корь
краснуха
иммунопрофилактика
url https://www.epidemvac.ru/jour/article/view/576
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