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- Publisher
- American Medical Association
- Copyright
- Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
- ISSN
- 2168-6203
- eISSN
- 2168-6211
- DOI
- 10.1001/jamapediatrics.2015.1527
- pmid
- 26348860
- Publisher site
- See Article on Publisher Site
Abstract
Letters cated. Now is the time for US Centers for Disease Control and We think that the estimates of the effective reproduction Prevention to act. number in the Majumder et al letter are likely to be significantly overestimatedand,thus,vaccinecoveragesunderestimated(com- Raymond Leung, MBBS pared with the much higher rates reported by the US Centers for Maya Munoz, DO Disease Control and Prevention). More accurate estimates of the effective reproduction number can be obtained by giving more Author Affiliations: Meadville Pediatrics, Meadville, Pennsylvania. attentiontohistoricaldataanddifferentiatingtransmissionwithin 6,7 Corresponding Author: Raymond Leung, MBBS, Meadville Pediatrics, Disneyland to transmission outside Disneyland. None of this 765 Liberty St, Ste 111, Meadville, PA 16335 (rleung1@msn.com). is to downplay the very real importance of declining vaccination Conflict of Interest Disclosures: None reported. rates.MeasleswaseliminatedintheUnitedStatesbyvaccination; 1. Majumder MS, Cohn EL, Mekaru SR, Huston JE, Brownstein JS. Substandard as long as worldwide eradication has not occurred, if vaccination vaccination compliance and the 2015 measles outbreak. JAMA Pediatr. 2015;169 ratesfalltoolow,measleswillreturn.Giventheoccurrenceofrela- (5):494-495. tively large outbreaks, we need to be concerned that in some ven- 2. Fisman DN, Hauck TS, Tuite AR, Greer AL. An IDEA for short term outbreak ues,theeffectivereproductionnumberisgreaterthan1and,thus, projection: nearcasting using the basic reproduction number. PLoS One.2013;8 (12):e83622. less than ideal vaccination
Journal
JAMA Pediatrics – American Medical Association
Published: Sep 1, 2015