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TPD N 1989, V ol. 49, N o. 46 Pge8 2JIX- 1 Pagc 2
Statewide, the greatest number of Texas measles
cases in 1988 was reported among Hispanics.
The 125 cases reported in this ethnic group
accounted for 44% of the total cases. Thirty
percent of the reported cases were white, 24%
were black, and the remaining 2% were either
Asian or American Indian. Of the major racial/
ethnic groups in Texas, blacks experienced the
highest incidence rate of measles in 1988. The
incidence rate per 100,000 total population was
3.6 for blacks, 3.2 for Hispanics, and 0.74 for
whites. As a result of the measles outbreak, the
rates in Harris County were significantly differ-
ent from the state as a whole. In Harris County,
Hispanics experienced a rate of 19.1 cases per
100,000 population, whereas blacks had a rate of
11.8 and whites, 4.2.
Nineteen percent (55/286) of the measles cases
reported in 1988 were hospitalized, and 87%
(48/55) of those were under 5 years of age. The
average length of hospital stay was five days.
Information regarding complications associated
with measles was available for 30 cases. Otitis
media was reported as the primary complication
for 18 cases, 9 cases experienced dehydration,
and 3 cases developed pneumonia.
Two of the ten measles-related deaths associated
with the 1988-89 Houston/Harris County out-
break occurred in persons who had rash onsets
in 1988. The first was a 21-year-old, pregnant
Hispanic female who died 17 days after rash
onset. The other was a 13-month-old, Hispanic
male who died 23 days after rash onset. Both died
from pneumonia. It is estimated that 60% of
measles-related deaths result from pneumonia.
Figure 3.
Distribution of measles morbidity by age
group -- Texas, 1987 and 1988 compared
1987
1988
'1 1-4 6-9 10-14
Age Group in Years
16-19
P
r
C
S
n,
20+
40~
20
10
41 1-4 6-0 10-14
Age Group in Years
18-19
4
20+
* * *
TUBERCULOSIS CONTROL DIVISION NOTES
Tuberculosis Morbidity Trends: During the first nine months of 1989, 1,299 cases of tuberculosis
were reported in the state. This represents a 4.2% reduction over this same period in 1988. About
1% of this reduction is the result of fewer cases reported for six of the seven large metropolitan areas
of 250,000 population or more. The Houston/Harris County metropolitan area has reported 363
cases or 16.0% fewer than the 432 cases reported by this time last year. This area usually reports
about 30% of the total tuberculosis cases for the state. The San Antonio/Bexar County metropolitan
area, however, reported an increase of 23.0% (92 cases) over the 75 cases reported by the end of
September 1988.
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60
40
30
20
10
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