Norman W. Axnick · Public Health Reports (1896-1970) 1969 · Ecological historical comparison · n=?

Benefits Due to Immunization against Measles

Cited 48 times in the scientific literature.

Level 4 - case-series / case-control

Historically controlled population-level surveillance and impact analysis

OpenAlex W121360931 · doi:10.2307/4593651 · record verified 2026-08-31

What was done

An epidemiological and economic impact evaluation was conducted to quantify the nationwide effects of measles immunization following the 1963 licensure of the live virus vaccine and the 1966 eradication initiative in the United States. US incidence estimates from 1968 were compared against baseline estimates from the 10-year pre-immunization era (1953–1962).

What was found

Prior to widespread vaccination, the US experienced an estimated 4 million cases of measles, 4,000 cases of measles encephalitis, and 400 deaths annually. By 1968, estimated annual measles cases dropped to 250,000, approximately 6% of the pre-immunization 10-year mean. Specific figures for averted school days, hospital days, and dollar savings are mentioned as paper objectives but not quantified in the abstract.

Why it matters

This report provides an early quantification of the dramatic population-level decline in measles incidence following vaccine licensure and organized national eradication campaigns in the United States.

Limits

The abstract relies on broad epidemiological estimates rather than precise case ascertainment. It does not provide statistical error bounds, individual-level patient data, detailed methods for economic modeling, or specific numerical figures for cost and hospital savings.

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