An outbreak of measles occurred in a high school with a documented vaccination level of 98 percent. When measles is introduced in a highly vaccinated population, vaccine failures may play some role in transmission but such transmission is not usually sustained. (Author/LHW)

Reports a retrospective cohort study among students living in campus dormitories to examine potential risk factors for measles vaccine failure. As in secondary schools, measles outbreaks can occur among highly vaccinated college populations. Requiring two doses of measles vaccine for college entrants should help reduce measles outbreaks in college…

Examines the results of a household survey of measles vaccination coverage among Hispanic American children aged 12 to 59 months. Between 81 percent and 91 percent of the children have been vaccinated, a percentage insufficient to stop the high rate of measles transmission within this population. Recommends that public health efforts be focused on…

Explores issues surrounding the revision of criteria used to conduct Acquired Immune Deficiency Syndrome (AIDS) surveillance in the United States. Current AIDS surveillance is not meeting public health needs to describe the number and characteristics of infected persons. Proposed revisions would increase the number of reported AIDS cases…

Although evidence indicates that people know how the human immunodeficiency virus (HIV) is spread, many are not changing risky sexual behavior patterns. Reasons for this lack of change are explored, and a four-point program for containing the epidemic is offered. Age- and gender-specific programs are essential. (SLD)

Studying the prevalence of Acquired Immune Deficiency Syndrome (AIDS) among American Indians and Alaskan Native populations reveals a low 1990 case rate but a rapid increase in diagnosed cases, at a rate higher than any other racial/ethnic group. Culturally sensitive prevention programs are required. (SLD)

Analyzes the variation in the risk of Acquired Immune Deficiency Syndrome (AIDS) in U.S. Blacks, Hispanics, and other racial/ethnic minorities relative to that in Whites by geographic area and mode of infection. Uses data reported to the Centers for Disease Control, and 1980 U.S. Census Data. (FMW)

Biological questions about Acquired Immune Deficiency Syndrome (AIDS) are minor compared with political and ethical problems related to the AIDS epidemic in the United States. Lack of public confidence in the work of public health officials and the controversy surrounding New York City's syringe exchange program are two examples. (SLD)