Measles Outbreak in a Highly Vaccinated Population, San Diego, 2008: Role of the Intentionally Undervaccinated

@article{Sugerman2010MeaslesOI,
  title={Measles Outbreak in a Highly Vaccinated Population, San Diego, 2008: Role of the Intentionally Undervaccinated},
  author={David Sugerman and Albert E. Barskey and Maryann G. Delea and Ismael R. Ortega-Sánchez and Daoling Bi and Kimberly Ralston and Paul A. Rota and Karen Waters-Montijo and Charles W Lebaron},
  journal={Pediatrics},
  year={2010},
  volume={125},
  pages={747 - 755}
}
OBJECTIVE: In January 2008, an intentionally unvaccinated 7-year-old boy who was unknowingly infected with measles returned from Switzerland, resulting in the largest outbreak in San Diego, California, since 1991. We investigated the outbreak with the objective of understanding the effect of intentional undervaccination on measles transmission and its potential threat to measles elimination. METHODS: We mapped vaccination-refusal rates according to school and school district, analyzed measles… 
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