{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T15:46:19Z","timestamp":1791819979665,"version":"4.3.4"},"reference-count":23,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ijidonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Infectious Diseases"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.ijid.2026.108999","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T23:28:52Z","timestamp":1784676532000},"page":"108999","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Age-specific hospitalization dynamics during a measles outbreak in Nyanza District, Southern Province, Rwanda, 2026: A survival analysis with implications for clinical management"],"prefix":"10.1016","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6378-3693","authenticated-orcid":false,"given":"Frederic","family":"Ntirenganya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Itanga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandrine","family":"Uwamahoro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Rwagitinywa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Luc","family":"Benimana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugues Valois","family":"Mucunguzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edouard","family":"Ruseesa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emerance Hirwa","family":"Igihozo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edson","family":"Rwagasore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ijid.2026.108999_bib0001","first-page":"1","article-title":"Measles virus host invasion and pathogenesis","volume":"3","author":"Laksono","year":"2016","journal-title":"Viruses"},{"key":"10.1016\/j.ijid.2026.108999_sbref0002","series-title":"Epidemiology and prevention of vaccine-preventable diseases","author":"Centers for Disease Control and Prevention (CDC)","year":"2021"},{"key":"10.1016\/j.ijid.2026.108999_bib0003","first-page":"1","volume":"19","author":"World Health Organization (WHO)","year":"2025"},{"issue":"45","key":"10.1016\/j.ijid.2026.108999_bib0004","first-page":"1036","article-title":"Progress toward measles elimination\u2014worldwide, 2000 \u20132023","volume":"73","author":"Minta","year":"2024","journal-title":"PubMed"},{"key":"10.1016\/j.ijid.2026.108999_bib0005","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.ijregi.2023.05.003","article-title":"Clinical characteristics and outcomes of patients hospitalized with measles during an outbreak in Somalia","volume":"8","author":"Hassan","year":"2023","journal-title":"IJID Reg"},{"key":"10.1016\/j.ijid.2026.108999_bib0006","series-title":"Weekly epidemiological record relev\u00e9 \u00e9pid\u00e9miologique hebdomadaire","first-page":"145","author":"Bigouette","year":"2023"},{"key":"10.1016\/j.ijid.2026.108999_bib0007","first-page":"1","article-title":"Measles seroprevalence after reactive vaccination campaigns during the 2015 measles outbreak in four health zones of the former Katanga Province, Democratic Republic of Congo","volume":"7","author":"Keating","year":"2019","journal-title":"BMC Public Health"},{"key":"10.1016\/j.ijid.2026.108999_bib0008","article-title":"Weekly bulletin on outbreaks and other emergencies","author":"Bulletin","year":"2025","journal-title":"World Heal Organ"},{"key":"10.1016\/j.ijid.2026.108999_bib0009","first-page":"1","article-title":"Clinical characteristics of adult inpatients with Measles in Beijing from 2010 to 2021\u202f: a retrospective analysis","volume":"14","author":"Zhao","year":"2023","journal-title":"BMC Infect Dis"},{"issue":"9","key":"10.1016\/j.ijid.2026.108999_bib0010","first-page":"63","article-title":"Delivery of multiple child and maternal health interventions during supplementary immunization campaign in Rwanda, 2013\u202f: lessons learnt","volume":"11","author":"Sibomana","year":"2019","journal-title":"Eur PMC Funders Gr"},{"key":"10.1016\/j.ijid.2026.108999_bib0011","first-page":"11","article-title":"Immunization saves lives : maintaining good Immunization coverage to prevent potential outbreaks","volume":"4","author":"Gasana","year":"2023","journal-title":"Rw Public Heal Bul"},{"key":"10.1016\/j.ijid.2026.108999_bib0012","first-page":"1","article-title":"Annual health statistical booklet for fiscal year 2023\u20132024","author":"MOH","year":"2024","journal-title":"MoH WebSite"},{"key":"10.1016\/j.ijid.2026.108999_bib0013","unstructured":"Rwanda Biomedical Centre, \u201cMaternal Child and Community Health Division-Annual Report\u20142022-2023.Pdf,\u201d 2023."},{"key":"10.1016\/j.ijid.2026.108999_bib0014","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.ijid.2014.03.728","article-title":"Measles seroprevalence and outbreak in Rwanda: evidence from measles epidemiological surveillance and control","volume":"21","author":"Kalimba","year":"2014","journal-title":"Int J Infect Dis"},{"issue":"8","key":"10.1016\/j.ijid.2026.108999_bib0015","first-page":"1","article-title":"Measles : an overview of a re-emerging disease in children and immunocompromised patients","volume":"276","author":"Misin","year":"2020","journal-title":"Microorganisms"},{"key":"10.1016\/j.ijid.2026.108999_bib0016","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2026.1816320","article-title":"Preliminary epidemiological and clinical profile of the 2024 pediatric pertussis outbreak : a retrospective analysis","volume":"14","author":"Lin","year":"2026","journal-title":"Front Pediatr"},{"issue":"2","key":"10.1016\/j.ijid.2026.108999_bib0017","first-page":"64","article-title":"Annual measles and rubella surveillance review, South Africa, 2017","volume":"16","author":"Hong","year":"2017","journal-title":"MoH, South Africa"},{"key":"10.1016\/j.ijid.2026.108999_bib0018","doi-asserted-by":"crossref","DOI":"10.37432\/jieph.supp.2024.7.4.09.6","article-title":"Determinants of measles outbreak in the city of Kinshasa, Democratic Republic of the Congo in 2022: a case-control study","author":"Matondo","year":"2024","journal-title":"J Interv Epidemiol Public Heal"},{"issue":"4","key":"10.1016\/j.ijid.2026.108999_bib0019","article-title":"An evaluation of the measles surveillance system, and descriptive epidemiology of measles in Kenya (2020-2021)","volume":"7","author":"Ndonye","year":"2024","journal-title":"JIEPH"},{"key":"10.1016\/j.ijid.2026.108999_bib0020","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2807\/1560-7917.ES.2017.22.33.30597","article-title":"A nosocomial measles outbreak in Italy, February-April 2017","volume":"22","author":"Porretta","year":"2017","journal-title":"Euro Surveill"},{"issue":"46","key":"10.1016\/j.ijid.2026.108999_bib0021","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2807\/1560-7917.ES.2025.30.46.2500130","article-title":"Investigation of a measles outbreak in a highly vaccinated middle school, France, 2023","volume":"30","author":"Benet","year":"2025","journal-title":"Eurosurveillance"},{"key":"10.1016\/j.ijid.2026.108999_bib0022","first-page":"1","article-title":"Measles outbreak in 2018-2019, Madagascar: epidemiology and public health implications","volume":"8688","author":"Douba","year":"2019","journal-title":"Pan Afr Med J"},{"key":"10.1016\/j.ijid.2026.108999_bib0023","first-page":"1","article-title":"Investigation of measles outbreak in Pakistan (2022 to 2023): exploring comorbidities, complications, and molecular dynamics","author":"Infectious","year":"2025","journal-title":"medRxiv"}],"container-title":["International Journal of Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S120197122600634X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S120197122600634X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T14:50:36Z","timestamp":1791816636000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S120197122600634X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":23,"alternative-id":["S120197122600634X"],"URL":"https:\/\/doi.org\/10.1016\/j.ijid.2026.108999","relation":{},"ISSN":["1201-9712"],"issn-type":[{"value":"1201-9712","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Age-specific hospitalization dynamics during a measles outbreak in Nyanza District, Southern Province, Rwanda, 2026: A survival analysis with implications for clinical management","name":"articletitle","label":"Article Title"},{"value":"International Journal of Infectious Diseases","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijid.2026.108999","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.","name":"copyright","label":"Copyright"}],"article-number":"108999"}}