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Resumen de Evolution of Surveillance of Measles, Mumps, and Rubella in England and Wales: Providing the Platform for Evidence-based Vaccination Policy

A. J. Vyse, N. J. Gay

  • Vaccination is one of the most cost-effective measures for preventing morbidity and mortality that modern medicine has to offer (1). Measles, mumps, and rubella are three viral infections causing significant morbidity for which an effective vaccine is available. Otitis media (5 percent of cases), pneumonia or bronchitis (4 percent), and neurologic complications (1 percent), including subacute sclerosing panencephalitis, are associated with cases of measles (2), while mumps is recognized as a common cause of aseptic meningitis and can cause orchitis in adult males (3). Rubella infection in pregnancy, especially during the first trimester, can cause miscarriage or congenital rubella syndrome, which is characterized by a pattern of congenital abnormalities including nerve deafness, cataracts, cardiac abnormalities, and mental retardation


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