Scott, H. D. (CDC, Atlanta, Ga. 30333). The elusiveness of measles eradication: insights gained from three years of intensive surveillance in Rhode Island. Amer J Epidem 94: 37–42, 1971.—.Immunization programs in Rhode Island have sharply reduced but not eradicated measles. During 3 years of intensive surveillance, the disease has periodically reappeared. The most impressive event of this period occurred when epidemic measles broke out in two urban communities where Portuguese immigrants had concentrated to form ethnic islands amidst the general population. During the last 3� months of 1968, 91 children became ill. In 7 elementary schools with measles cases, 1300 pupils of Portuguese and 1000 of non-Portuguese background had the opportunity to mingle and to disseminate measles virus. However, only 3 of the 91 children with measles were of non-Portuguese background. The data provided by this outbreak and other smaller clusters of cases associated with prolonged periods during which no measles cases were detected support the hypothesis that much and perhaps all of the indigenous population no longer will sustain endemic measles.
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