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Table 6 Segmented regression analysis of relative risk (RR) for measles-containing vaccine coverage (MCV1 and MCV2), measles cases, and mortality rates pre- and post-COVID-19 pandemic

From: Attention to COVID 19 pandemic resulted in increased measles cases and deaths in Zambia

Type of vaccine

Mean monthly count

Mean monthly rate per 100,000

Slope change

Pre-COVID-19

p value

Slope change

during-COVID-19

p value

Step change

p value

Before

COVID-19

After

COVID-19

Before COVID-19

After COVID-19

RR (95% CI)a

RR (95%CI)C

RR (95%CI)c

Measles cases

78.1

387.6

0.02

0.11

0.99 (0.97–1.01)

0.398

1.04 (1.01–1.06)

0.004

0.67 (0.31–1.45)

0.3034

Measles mortality

1.9

8.7

0.1

0.22

0.99 (0.98–1.01)

0.558

1.02 (1.00–1.03)

0.028

1.81 (1.14–2.87)

0.011

Measles dose 1

53,465

56,493

1643

1575

0.998 (0.994–1.001)

0.063

1.00 (0.99–1.01)

0.240

0.91 (0.78–1.07)

0.271

Measles dose 2

52,820

40,418

1628

1126.4

0.998 (0.996–1.000)

0.063

1.003 (1000–1.010)

0.042

0.58 (0.46–0.72)

0.0001