1960
DOI: 10.2307/2343186
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The Critical Community Size for Measles in the United States

Abstract: The critical community size for measles (the size for which measles is as likely as not to fade out after a major epidemic until reintroduced from outside, corresponding to a mean time to fade-out of about two years) is found for the United States to be about 250,000 to 300,000 in terms of total population, or about 30 in terms of average weekly notifications. These figures agree broadly with English statistics, provided notifications are corrected as far as possible for unreported cases. Comparison is also ma… Show more

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Cited by 304 publications
(248 citation statements)
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“…In large cities, or densely populated areas (or countries), the magnitude of the longer-term oscillations tends to be more exaggerated than is the case in less densely populated areas. Indeed, in the latter case, stochastic factors may result in disease fade out during the troughs in the epidemic cycle (Bartlett, 1960). This factor, combined with the deterministic notion of a critical density of susceptibles necessary to support an epidemic (Kermack & McKendrick, 1927;, leads to the observation that the long-term endemic maintenance of measles is critically dependent on community size and the net birth rate (Bartlett, 1960;Black, 1966).…”
Section: Discussionmentioning
confidence: 99%
“…In large cities, or densely populated areas (or countries), the magnitude of the longer-term oscillations tends to be more exaggerated than is the case in less densely populated areas. Indeed, in the latter case, stochastic factors may result in disease fade out during the troughs in the epidemic cycle (Bartlett, 1960). This factor, combined with the deterministic notion of a critical density of susceptibles necessary to support an epidemic (Kermack & McKendrick, 1927;, leads to the observation that the long-term endemic maintenance of measles is critically dependent on community size and the net birth rate (Bartlett, 1960;Black, 1966).…”
Section: Discussionmentioning
confidence: 99%
“…It is assumed that infectives who survived an attack of scarlet fever did not suffer again because of antitoxic and antibacterial immunity [19]. (1) and (2) can be approximated by a linearized model, by defining X = X0+X1 (5) y = Yo+Y1, (6) where xi and y1 represent the variations in x and y from their steady state values. Substituting equations (5) and (6) into equations (1) and (2) and ignoring higher order terms gives dx1 dtXI -(N3yo +,) x1-(It + )y1-(I + v)y yo6fl sin wt, (7) dytl ; Nflyo xl + (It + P) yo 0l sinwt.…”
Section: Appendix Theory Of the Dynamics Of Infectious Diseasesmentioning
confidence: 99%
“…Mathematical modelling suggests that the epidemics would decay unless they were maintained [3] and the study of nonlinear dynamics of measles epidemics has allowed the development of elegant deterministic [4] and stochastic [5,6] models which incorporate spatial dynamics, seasonal forcing and age structure to describe the pattern of these epidemics and it has been suggested that measles dynamics in developed countries may exhibit low dimensional chaos [2,4,[7][8][9]. We have shown, using a nonlinear model, how 2-yearly smallpox epidemics could be maintained by driving the system with an annual cycle of susceptibility [10].…”
Section: Introductionmentioning
confidence: 99%
“…We find that reporting probabilities vary greatly between disease, geographical region and metapopulation. This variability directly affects patterns of observed extinctions or 'fade-outs' [2,11,38] and, if not addressed, makes comparisons between diseases and metapopulations difficult.…”
Section: Discussionmentioning
confidence: 99%
“…This measure is appealing owing to its simplicity, but has been criticized as sensitive to disease reporting. To address these concerns, Bartlett [2] employed a three-week period of observed extinction, termed fade-out. Conlan et al [11] propose several alternate measures on mechanistic grounds, including fade-outs post invasion and fade-outs post epidemic.…”
Section: (B) the Obscuring Effects Of Incomplete Observationmentioning
confidence: 99%