{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:44:49Z","timestamp":1792464289144,"version":"4.5.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>South Sudan confirmed a measles outbreak in December 2018. An investigation was conducted to assess underlying causes of the outbreak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Vaccination coverage and measles surveillance data were analyzed. A suspected measles case had fever, maculopapular rash, and cough or conjunctivitis. A confirmed measles case had generalized maculopapular rash lasting &amp;gt;3 days, a temperature &amp;gt;38\u00b0C, and cough or conjunctivitis; or serologic confirmation (anti-measles immunoglobin M [IgM] antibody detection) in serum samples collected \u226430 days from rash onset. A confirmed rubella case tested measles IgM-negative and rubella IgM-positive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nationwide, 3727 suspected measles cases were reported in 2019. Seventy-five percent of all suspected measles cases were in children aged &amp;lt;5 years. Thirty-six percent of patients with suspected measles were admitted to the hospital, and 36 measles-related deaths were reported. Among cases, 922 (25%) were tested for measles; of these, 317 (34%) were measles IgM-positive. Among cases that tested measles IgM-negative, 149 (33%) were rubella IgM-positive. Immunization coverage for 1 dose of measles-containing vaccine (MCV) varied by state, ranging from 6% to 67%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Measles and rubella remain public health problems in South Sudan. To reduce measles incidence, South Sudan needs to achieve &amp;gt;95% coverage with 2 doses of MCV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ofid\/ofad032","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T11:41:38Z","timestamp":1675856498000},"source":"Crossref","is-referenced-by-count":5,"title":["Nationwide Measles and Rubella Outbreaks in South Sudan, 2019"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2447-6324","authenticated-orcid":false,"given":"Megan E","family":"Peck","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service, Global Immunization Division, Centers for Disease Control and Prevention , Atlanta, Georgia , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvester","family":"Maleghemi","sequence":"additional","affiliation":[{"name":"World Health Organization Country Office , Juba , South 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