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Vaccine Preventable Deaths

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The Childhood cluster diseases are (with their contribution to the total Section A5 deaths in 2002):

Whooping cough, U012 Map 381, (26% of deaths).

Polio, Map 382, (0.1% of deaths).

Diphtheria, Map 383, (0.5% of deaths).

Measles, Map 384, (54% of deaths).

Tetanus, Map 385, (19% of deaths).

These are all diseases that could be virtually eliminated by universal childood immunisation with current vaccines. A vaccine does not have to be 100% effective to make a common disease rare throughout a territory. Often if enough people are immunised, the incidence of the disease will fall and fall, and sometimes even disappear. This occured with smallpox; one of the world's most dreaded diseases. There is a written description of it occuring in China over 3000 years ago. In 1967 it probably caused about 2 million deaths. In 1977 it was declared eradicated. This was achieved by isolating cases and their contacts and by using a vaccine which was not 100% effective and sometimes had serious side effects. No treatment or cure for smallpox had been discovered. Many people consider vaccination as one of the greatest discoveries of modern medicine.

Of the deaths recorded here; 54% of deaths are caused by measles, 26% by Whooping cough and 19% by tetanus.

International Classification of Diseases-10 codes: A33-A37, A80, B05, B91,

Territories are sized in proportion to the absolute number of people who died from childhood cluster disease in one year.

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