Increased childhood morbidity after measles is short term in urban Bangladesh

In a 1995-1996 cohort study in the city of Dhaka, Bangladesh, morbidity in 117 hospitalized and 137 acute measles cases compared with age-matched chil dren without measles (unexposed) was determined by weekly interview for 6 m onths. Compared with unexposed children, there were higher incidences of ho spitalization (adjusted rate ratio (RR) = 3.1, 95% confidence interval (CI) : 1.3, 7.6) and bloody diarrhea (adjusted RR = 2.7, 95% CI: 1.4, 5.1) in ho spital measles cases during the 6 weeks after recruitment. Among community cohorts, there were higher incidences of bloody diarrhea (adjusted RR = 4.1 , 95% CI: 1.1, 14.6), watery diarrhea (adjusted RR = 1.6, 95% CI: 0.9, 2.7) , fast breathing (adjusted RR = 3.8, 95% CI: 2.1, 6.9), and the weekly poin t prevalence of pneumonia (adjusted prevalence ratio = 3.1, 95% CI: 1.0, 9. 8) in measles cases during the same period. All measles cases regained lost weight within about 6 weeks. The prevalence of anergy to seven recall anti gens 6 weeks after recruitment was higher in both hospital (adjusted odds r atio = 2.8, 95% CI: 1.2, 6.4) and community (adjusted odds ratio = 3.1, 95% CI: 1.1, 8.9) measles cases. Morbidity increased during the first 6-8 week s after measles, but the authors found no consistent evidence of longer-ter m morbidity or wasting. The results support recent findings that measles is not associated with increased delayed mortality.