{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T14:43:54Z","timestamp":1765550634479,"version":"3.48.0"},"reference-count":15,"publisher":"BMJ","issue":"6262","license":[{"start":{"date-parts":[[1981,2,7]],"date-time":"1981-02-07T00:00:00Z","timestamp":350352000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1981,2,7]]},"abstract":"<jats:p>During 1977 and 1978 an unusual epidemic of measles occurred in Shetland, affecting 1032 (5%) of the population. All age groups were represented, and 309 cases occurred in people over 15. Geographical distribution of notified cases ranged from 1% to over one-third of the population aged under 65. All the recognised complications occurred, with a significant excess of respiratory troubles (p less than 0 . 05). Complications were much less common in female patients (p less than 0 . 05). Only about 30% of children under 5 had been vaccinated against the disease, and, based on a sample population, vaccination was found to have had a protective effect of 92%. On cost effectiveness alone, uptake of vaccination by a community as susceptible as that of Shetland should clearly be encouraged and probably given high priority.<\/jats:p>","DOI":"10.1136\/bmj.282.6262.434","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"434-436","source":"Crossref","is-referenced-by-count":9,"title":["Epidemic measles in Shetland during 1977 and 1978."],"prefix":"10.1136","volume":"282","author":[{"given":"J D","family":"Macgregor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"MacDonald","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E A","family":"Ingram","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"McDonnell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1981,2,7]]},"reference":[{"key":"ref_1","article-title":"Immunisation against infectious disease","author":"Department of Health and Social Security, Scottish Home and Health Department, and Welsh Office","year":"1972","unstructured":"Department of Health and Social Security, Scottish Home and Health Department, and Welsh Office. Immunisation against infectious disease. London: HMSO, 1972."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1136\/bmj.1.5751.698","article-title":"Effect of measles vaccination on incidence of measles in the community","volume":"i:","author":"Sutherland, J.; Fayers, P.M.","year":"1971","unstructured":"Sutherland J, Fayers PM. Effect of measles vaccination on incidence of measles in the community. Br MedJ 1971;i:698.","journal-title":"Br MedJ"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1136\/jech.34.4.258","article-title":"Multiple sclerosis in the Orkney and Shetland Islands. IV. Viral antibody titres and viral infections","volume":"34","author":"Poskanzer, D.C.; Sever, J.L.; Sheridan, J.L.; Prenney, L.B.","year":"1980","unstructured":"Poskanzer DC, Sever JL, Sheridan JL, Prenney LB. Multiple sclerosis in the Orkney and Shetland Islands. IV. Viral antibody titres and viral infections. J Epidemiol Community Health 1980;34:258-64.","journal-title":"J Epidemiol Community Health"},{"key":"ref_4","article-title":"Medical Officer of Health for the County of Zetland. Report to Scottish Home and","volume-title":"Health Department, County Council of Zetland, and Town Council of Lerwick.","year":"1964","unstructured":"Medical Officer of Health for the County of Zetland. Report to Scottish Home and Health Department, County Council of Zetland, and Town Council of Lerwick. Lerwick: Public Health Office, 1964."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1136\/bmj.1.6122.1253","article-title":"Severity of notified measles","volume":"i:","author":"Miller, C.L.","year":"1978","unstructured":"Miller CL. Severity of notified measles. Br MedJ 1978;i:1253.","journal-title":"Br MedJ"},{"article-title":"Observations made during the epidemic of measles on the Faroe Islands in the year 1846. Bibliothek for Laeger (Copenhagen) 1847; 3R,1: 270-344. (Transl Hatcher AS, US Public Health Service.)","author":"Panum, P.L.","key":"ref_6","unstructured":"Panum PL. Observations made during the epidemic of measles on the Faroe Islands in the year 1846. Bibliothek for Laeger (Copenhagen) 1847;3R,1:270-344. (Transl Hatcher AS, US Public Health Service.)"},{"key":"ref_7","article-title":"The control of diseases","author":"Paul, H.","year":"1964","unstructured":"Paul H. The control of diseases. Edinburgh: Livingstone, 1964."},{"key":"ref_8","first-page":"317","article-title":"Survey of measles patterns in New Guinea, Micronesia and Australia","volume":"77","author":"Adels, B.R.; Gadjusek, D.C.","year":"1963","unstructured":"Adels BR, Gadjusek DC. Survey of measles patterns in New Guinea, Micronesia and Australia. American.Journal of Hygiene 1963;77:317.","journal-title":"American. Journal of Hygiene"},{"key":"ref_9","article-title":"Quoted by Paul.7 10 CAREC. Surveillance report. Vol 3. No 2","author":"Rhodes, A.J.; Rooyen, F.E.","year":"1977","unstructured":"Rhodes AJ, Rooyen FE. Quoted by Paul.7 10 CAREC. Surveillance report. Vol 3. No 2. Feb 1977. \"Scottish Home and Health Department. Scottish health statistics 1977. Edinburgh: HMSO, 1978.","journal-title":"Scottish health statistics; Scottish Home and Health Department"},{"key":"ref_10","first-page":"77","article-title":"Measles surveillance report No 10, 1973-1976","volume":"(CDC)","author":"Communicable Diseases Control Unit","unstructured":"Communicable Diseases Control Unit. Measles surveillance report No 10, 1973-1976. DHEW publication (CDC) 77-8253.","journal-title":"DHEW publication"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1136\/bmj.2.5401.75","article-title":"Frequency of complications of measles, 1963","volume":"ii:","author":"Miller, D.L.","year":"1964","unstructured":"Miller DL. Frequency of complications of measles, 1963. 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Jf Pediatr 1978;93:43-6.","journal-title":"Jf Pediatr"},{"article-title":"Accepted","year":"1980","key":"ref_15","unstructured":"(Accepted 7 November 1980)"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.282.6262.434","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.282.6262.434","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T14:21:47Z","timestamp":1765549307000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.282.6262.434"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1981,2,7]]},"references-count":15,"journal-issue":{"issue":"6262","published-online":{"date-parts":[[1981,2,7]]},"published-print":{"date-parts":[[1981,2,7]]}},"alternative-id":["10.1136\/bmj.282.6262.434"],"URL":"https:\/\/doi.org\/10.1136\/bmj.282.6262.434","relation":{},"ISSN":["0267-0623","1468-5833"],"issn-type":[{"type":"print","value":"0267-0623"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1981,2,7]]}}}