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Am J Epidemiol 1985 Dec;122(6):1017-31

Measles infection and Parkinson's disease.

Sasco AJ, Paffenbarger RS Jr

A case-control analysis of Parkinson's disease and infections in childhood
was conducted in a cohort of 50,002 men who attended Harvard College
(Cambridge, MA) or the University of Pennsylvania (Philadelphia, PA) between
1916 and 1950 and who were followed in adulthood for morbidity and mortality
data. Cases of Parkinson's disease were identified from responses to mailed
questionnaires and death certificates through 1978. Four controls from the
same population were selected for each case. A reduced risk of Parkinson's
disease was associated with most childhood viral infections. The negative
association was statistically significant for a history of measles prior to
college entrance (exposure odds ratio = 0.53; 95% confidence limits: 0.31,
0.93). The reduced risk of Parkinson's disease among subjects with a
positive history of measles in childhood may reflect an adverse effect of
measles in adulthood or of subclinical or atypical measles. Furthermore, a
negative history of measles, especially if associated with a lack of other
common diseases, could be a marker for negative influenza history before
1918 and thus a higher risk of infection during the 1918 influenza epidemic,
because of the lack of partial influenza immunity. These data may also
suggest a truly protective effect of measles, compatible with some complex
interaction between measles virus and the virus of the 1918 influenza
epidemic.