Publications by authors named "Engracia Valencia"
Pediatr Infect Dis J
April 2013
Article Synopsis
- A significant mumps outbreak occurred in Guam (2009-2010) despite high MMR vaccination rates, mainly impacting school-aged children.
- During the outbreak, a third MMR vaccine dose was given to eligible students at schools with high infection rates, but results showed no significant difference in attack rates between those who received three doses and those who had two or fewer.
- The outbreak highlighted issues like household crowding and ethnic disparities, suggesting these factors contributed to the persistence of the outbreak.
