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Measles: how many hospitalised cases are we missing?

Lawrence, Glenda, Lambert, Stephen, Kelly, Heath and Andrews, Ross M. (2001). Measles: how many hospitalised cases are we missing?. Communicable Diseases Intelligence,25(3):137-140.

Document type: Journal Article
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Title Measles: how many hospitalised cases are we missing?
Author Lawrence, Glenda
Lambert, Stephen
Kelly, Heath
Andrews, Ross M.
Journal Name Communicable Diseases Intelligence
Publication Date 2001
Volume Number 25
Issue Number 3
ISSN 1447-4514   (check CDU catalogue open catalogue search in new window)
Start Page 137
End Page 140
Total Pages 4
Place of Publication Canberra, ACT, Australia
Publisher Surveillance Branch, Office of Health Protection, Dept. of Health and Ageing
Language English
Field of Research 320000 Medical and Health Sciences
Abstract We aimed to determine whether the Victorian measles surveillance system had missed hospitalised cases of measles during an inter-epidemic period. We searched the Victorian Inpatient Minimum Dataset (VIMD) for the period 1 January 1997 to 30 June 1998 to identify patients with ICD-9 discharge codes for measles (055). The data were compared with that held in the Victorian measles surveillance dataset. The hospital case notes of patients identified in the VIMD but not in the measles surveillance dataset were reviewed systematically to determine whether the patients met case definitions for laboratory-confirmed or clinically compatible measles. Sixteen admissions (15 patients) were identified with a measles ICD-9 code. Eight patients were not identified in the measles surveillance dataset. Of these, one was a laboratory confirmed case of measles and two met a clinical case definition but all should have been notified to the Department of Human Services as suspected cases. While the small number of missed notifications is encouraging in terms of overall measles surveillance, it highlights important deficiencies in the awareness of hospital staff of their role in the control of measles, particularly as Australia moves towards the elimination of measles.
Keywords Hospitals
Additional Notes Current title: Communicable Diseases Intelligence Quarterly Report (ISSN: 1447-4514 (print) 1445-4866 (online))
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