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September 5, 1986

Transmission and Severity of Measles Acquired in Medical Settings

Author Affiliations

Hôpital Claude Bernard Paris

Hôpital Claude Bernard Paris

JAMA. 1986;256(9):1135. doi:10.1001/jama.1986.03380090063010

To the Editor.—  We read with interest the article by R. M. Davis et al1 concerning the transmission of measles in medical settings, published in the March 14, 1986, issue of The Journal. The results of this study show that 241 of 22 384 measles cases in 30 states probably involved transmission in a medical setting. They represent 1% of all reported cases during this period, and the proportion increased from 0.7% for 1980 through 1982 to 3% for 1983 and 1984.We retrospectively studied the records of the 301 cases of measles (15 adults and 286 children younger than 15 years) admitted to Claude Bernard Hospital, Paris, between January 1983 and June 1984. About half the hospitalized cases of measles in the Paris region are referred to this hospital.The average age of the 286 children was 36.5 months; the male to female ratio was 1.3:1. Most admissions were