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Submitted: 16 May 2007 Modified: 26 March 2019
HERDIN Record #: PCHRDHE923388

Risk factors for measles mortality among children in Western Samar.

 Roces MC,
 White ME,
 Bautista N,
 Pascual ML

A total of 179 children who contracted measles from January 1990 - May 1991 were included in the study. These children came from 90 households in the selected municipalities and city. Forty children died, giving a case fatality rate of 22%. The average duration from onset of the rash to death was 10 days (range 3-38 days). The ages of the cases ranged from four months to nine years. Ninety-seven (54%) were males. Ninety-two (51%) came from rural barangays. Most 86 (48%) came from families with low middle socioeconomic status. The average number of children in the family was 5 (range 3-12) while the average number of children in the family was 5 (range 1-8). Most of the children came from families with poor nutritional status 127 (71%), only 45 (25%) had good nutritional status while the nutritional status of 7 (4%) were unknown. Most of the children's mothers or guardians had some elementary education 129 (72%) while 12 (7%) mothers/guardians had no formal education. The majority of the mothers/guardians were unemployed 129 (72%). The vaccine failure rate in this group was 17% (30/174). Thirty (17%) children had been given measles immunization, 144 (80%) were immunized while the immunization status of five (3%) is unknown. The three most common reasons for non-immunization were unawareness of the expanded program on immunization (EPI) or its schedule (22%), lack of access to health facilities (20%) and fear of sidereactions (14%). Ninety-nine (55%) children were brought for medical consultation. Forty-four (44%) of whom were hospitalized. (Abstract)

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