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December 1989

International Notes, Measles—Hungary

Arch Dermatol. 1989;125(12):1617. doi:10.1001/archderm.1989.01670240017002

BETWEEN DECEMBER 1, 1988, and May 14, 1989, 19,080 measles cases in residents of Hungary were reported to Hungary's National Institute of Hygiene; in the previous 3 years, fewer than 25 cases were reported annually.1 The overall incidence rate in this epidemic was 186 cases per 100,000 population. Budapest and all 19 counties in Hungary were affected, with county-specific attack rates ranging from 51 to 358 cases per 100,000 population. Six measles-associated deaths occurred (case-fatality rate: 0.03%).

Age data were available for 11,475 reported case-patients. Seventy-five percent of patients were 16-22 years of age. The highest age-specific attack rates (1723 and 1273 per 100,000) occurred in 17- and 18-year-olds, respectively. Attack rates for persons 2-15 years of age ranged from 35 to 165 per 100,000. The attack rate for infants less than 1 year of age was 351 per 100,000.

Preliminary information on vaccine status indicates that an estimated

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