==relation with malnutrition==
*still controversial, malnutrition first or measles first
==risk for death from measles==
*vit. A deficiency
*malnutrition - causation controversial
*in larger outbreak
*in larger household contact
*younger children
*HIV positive children
===etiology of child death===
*acute overwhelming infection in the first week
*secondary bacterial pneumonia in the second week
**''S. pneumoniae''
**''S. aureus''
**air trapping is a feature - possible pneumothorax
*secondary viral infection
**HSV
**RSV
**adenovirus
*post-measles syndrome
**malnutrition
**immune paralysis, immunomodulation
==strategies to control==