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Correspondence
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Volume 355:1831-1832 October 26, 2006 Number 17
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2005 Measles Outbreak in Indiana

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 by Parker, A. A.
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To the Editor: Parker et al. (Aug. 3 issue)1 describe the largest documented outbreak of measles in the United States since 1996, which is of considerable epidemiologic interest. It is surprising that few of the cases were confirmed by laboratory analysis, particularly one of the two involving "vaccine failure." Could the authors explain why, with the availability of noninvasive testing methods, more patients were not tested? It is also unclear how local investigators identified the cases and whether any consideration was given to the possibility of asymptomatic infection, since there is evidence that measles may circulate in vaccinated populations and . . . [Full Text of this Article]




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