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Measles Continued strategy should be revised but does show a need for intensive application of the basic approach: achieving and maintaining high immunization levels, effective surveillance, and aggressive response to cases.

Of the 1984 measles patients, 38.1% had been adequately vaccinated. This is within expected limits, given the high vaccine coverage in the United States (2). The increased occurrence of measles in 1984 does not appear to be due to poor vaccine efficacy.

A substantial proportion of cases remains preventable. Greatest emphasis should be given to ensuring that school-aged individuals at all grade levels have evidence of measles immunity. In addition, assuring age-appropriate immunization of preschoolers remains important. Measles vaccine is indicated for all children 15 months of age or older unless there are contraindications. Measles immunity should also be a high priority in college-aged and other easily identifiable age groups. References 1. CDC. Classification of measles cases and categorization of measles elimination programs. MMWR

1982;31:707-11. 2. CDC. Measles surveillance. Report no. 11, 1977-1981. September 1982.

(Continued on page 681)

TABLE I. Summary-cases of specified notifiable diseases, United States

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Anthrax
Botulism. Foodborne (Calif. 2)

Infant (Calit 4)

Other
Brucellosis (Mo 1, Nebr. 2. Tex. 1. Idaho 1)
Cholera
Congenital rubella syndrome
Diphtheria (Colo 1)
Leptospirosis (Tex 1)

1 19 89

6 116

Plague
Poliomyelitis: Total

Paralytic
Psittacosis (Hawaii 1)
Rabies, human
Tetanus (Mass. 1, NY. City 1, W. Va 1. Calif. 1)
Trichinosis
Typhus fever, flea-borne (endemic, murine) (Tex 1)

30 3 3 83

3 63 61 35

oona

4 2 30

*The 1983 reports which appear in this table were collected betore AIDS became a notifiable condition. **Two of the 90 reported cases for this week were imported from a foreign country or can be directly traceable to a known internationally imported case within two generations

TABLE III. Cases of specified notifiable diseases, United States, weeks ending

December 1, 1984 and December 3, 1983 (48th Week)

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TABLE III. (Cont'd.) Cases of specified notifiable diseases, United States, weeks ending

December 1, 1984 and December 3, 1983 (48th Week)

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TABLE III. (Cont'd.) Cases of specified notifiable diseases, United States, weeks ending

December 1, 1984 and December 3, 1983 (48th Week)

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. Mortality data in this table are voluntarily reported from 121 cities in the United States, most of which have populations of 100,000 or more A death is reported by the place of its occurrence and by the week that the death certificate was filed Fetal deaths are not

included
* Pneumonia and influenza
+ Because of changes in reporting methods in these 4 Pennsylvania cities, these numbers are partial counts for the current week com-

plete counts will be available in 4 to 6 weeks 11 Total includes unknown ages $ Data not available Figures are estimates based on average of past 4 weeks

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