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Médecine du travail du personnel hospitalier

Exposure of Ugandan health personnel to measles and rubella: Evidence of the need for health worker vaccination.

Vaccine. 2006 Jun 28; [Epub ahead of print]
Exposure of Ugandan health personnel to measles and rubella: Evidence of the need for health worker vaccination.
‘Lewis RF, Braka F, Mbabazi W, Makumbi I, Kasasa S, Nanyunja M.
World Health Organization, P.O. Box 24578, Kampala, Uganda.’

With rubella and, until recently, measles highly endemic in Uganda, health personnel are at risk of these vaccine-preventable diseases and a source of transmission to patients. Measles and rubella serology (IgG) and history of exposure and vaccination were determined among 311 health care workers in a nationwide study. All tested positive for measles IgG, whereas 49.2% reported having been vaccinated. Rubella antibodies were present in 98.1% of personnel; 3.2% of women of child-bearing age were still susceptible. Increasing age and longer duration of service increased the risk of rubella infection. A national policy on health worker protection should include immunisation against vaccine-preventable diseases upon entry to training.

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