TACTICS OF MEASLES EPIDEMIOLOGIC SURVEILLANCE DURING ELIMINATION PERIOD

Aim. Evaluation of effectiveness of new tactics of measles epidemiologic control in measles elimina- tion in Russian Federation. Materials and meth- ods. Analysis of active search of measles patients among patients with fever and maculopapular rash is presented. Range of primary diagnosis and rate of detection of measles cases is studied. 45 cards of measles patients were analyzed, that were actively detected by taking age and measles anamnesis into account. Results. A reasonable evidence of absence of measles cases in most of the territories of Russian Federation was obtained by active search of measles patients among patients with fever and maculopapular rash. Moreover, active epidemiologic control increases the results of routine epidemiologic control, significance of which increases by many times during measles elimination, and this requires strict adherence to principles of the control. Conclusion. By using the tactics of active epidemiologic control a true number of measles cases may be determined, and absence of measles in the region may be confirmed. Results of active epidemiologic control are reason- able evidence of achievement of elimination phase in the country.

epidemiologic control, maculopapular rash, fever