Measles case fatality among the under-fives: a multivariate analysis of risk factors in a rural area of Bangladesh |
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| Authors: | A Bhuiya B Wojtyniak S D'Souza L Nahar K Shaikh |
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| Institution: | 1. University of Kiel, Faculty of Engineering, Chair of Functional Nano-Materials, Kaiserstr. 2, 24143 Kiel, Germany;2. Formerly with Max Planck Institute of Microstructure Physics, former Department 2, Weinberg 2, 06120 Halle (Saale), Germany;3. CELLOscan GbR, Gravelottestr. 5, 24116 Kiel, Germany;1. Université de Carthage, Institut National Agronomique de Tunisie (INAT), Laboratoire GREEN-TEAM (LR17AGR01), 43 avenue Charles Nicolle, 1082 Tunis, Tunisia;2. Department of Chemical Sciences, Complesso Universitario di Monte S. Angelo, University Federico II, Via Cintia 4, 80126, Naples, Italy;3. Department of Science and Technology, Università del Sannio, Via de Sanctis, 1, Benevento, Italy;4. FERTISTAR- BP 42 Cité Chaker Borj Touil - Ariana, Tunis, Tunisia;1. Division of Pediatric Stem Cell Transplantation and Immunology, Department of Child and Adolescent Medicine, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany;2. German Red Cross Blood Service, Baden-Württemberg-Hessen, Institute Frankfurt, Frankfurt, Germany;3. Department of Child and Adolescent Medicine, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany;4. Institute for Medical Virology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany;5. Institute for Transfusion Medicine and Immunohematology of Goethe University and German Red Cross Blood Service, Baden-Württemberg-Hessen, Frankfurt am Main, Germany;6. Department of Medicine/Hematology, University of Washington, Seattle, Washington |
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| Abstract: | This study investigated the relationship of measles case fatality among the under-fives with age, case type, complications, sex, mother's education, and household economic condition in a rural area of Bangladesh. A total of 3465 measles cases were detected during 1980 and 61 of them died of measles associated complications within 45 days of rash onset. Case type, sex, mother's education and household economic condition were found to have statistically significant impact on case fatality. Risk of death among the secondary cases was 1.87 times higher than in the primary cases, girls had 2.73 times higher risk of death than boys. Children of mothers without any formal schooling and those from the poorest households experienced 1.83 and 2.18 times higher risk of death than their counterparts whose mothers had at least one year of schooling and from economically better off households respectively. |
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