Global & Disaster Medicine

Archive for the ‘Measles’ Category

DRC: In the first five months of 2019, more than 1,500 measles-related deaths were officially recorded

MSF

“……Alongside a tough battle against Ebola, the Democratic Republic of the Congo (DRC) health ministry yesterday declared a measles outbreak, spanning 23 of the country’s 26 provinces and piling up 87,000 suspected cases since the first of the year.…”


Measles in America: 1,001 cases so far

HHS

“……In response to the current situation, CDC has:

  • Implemented an Incident Management Structure (IMS) within the National Center for Immunization and Respiratory Diseases to respond to the measles outbreaks.
  • Reinforced to healthcare providers the guidelines for recognition and prevention of measles.
  • Developed a toolkit with resources for physicians about measles and vaccines and has begun implementing a strategy to address vaccine hesitancy, including creating new resources and updating existing ones to counter misinformation.
  • Undertaken outreach to rabbinical, camp, and medical associations to help spread clear, consistent, and credible vaccine information through trusted sources.
  • Deployed a field team to Rockland County, NY, to provide technical assistance with case identification and contact tracing.
  • Continued to work with local communities to figure out how to develop culturally appropriate communications resources for affected areas in New York.
  • Since January 1, 2019, conducted 73 air contact investigations for measles and identified over 1,500 individuals who were exposed to the measles virus during travel.
  • Deployed an immunization program project officer to Albany……”

From January 1 to May 24, 2019, 940 individual cases of measles have been confirmed in 26 states.

CDC

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Measles Cases 63 220 55 187 667 188 86 120 372 940

Since January, the Philippines has had one of the worst measles outbreaks in the world: more than 33,000 cases and 466 deaths from the vaccine-preventable disease.

NPR


Measles in the Americas

PAHO

  • In 2019 to date, 12 countries in the Region have reported confirmed measles cases: Argentina, the Bahamas, Brazil, Canada, Chile, Colombia, Costa Rica, Mexico, Peru, the United States of America, Uruguay, and the Bolivarian Republic of Venezuela.
  • No fatal cases have been reported in 2019 in the Region. There was one additional confirmed measles case reported in the Region onboard a cruise ship that sailed between Aruba and Curacao.
  • Since the prior PAHO/WHO Epidemiological Update on Measles published on 18 April 20191, 9 countries have reported additional cases of measles: Brazil (70 cases), Canada (12 cases), Chile (1 case), Colombia (27 cases), Costa Rica (1 case), Peru (1 case), the United States of America (284 cases), Uruguay (6 cases), and the Bolivarian Republic of Venezuela (63 cases).

Click for Google map


From January 1 to May 17, 2019, 880 individual cases of measles have been confirmed in 24 states.

CDC


Measles and Orthodox Jewish Communities — New York and New Jersey, 2018–2019

MMWR

The figure is a Visual Abstract on a Measles outbreak; it urges health care providers to check patient’s vaccination history and vaccinate as necessary.

 


Europe: Over 100 000 people sick with measles in 14 months and over 90 measles-related deaths.

WHO

 


There have now been 31,056 measles cases, including 415 deaths (case-fatality rate, 1.34%) reported in the Philippines since Jan 1

WHO

Overview

Current measles outbreak started late 2017 in Mindanao. In 2018, 20,827 cases were reported with 199 deaths. Outbreak and supplementary immunization activities in 2018 were ineffective in addressing the outbreak as the immunization activity was met with increased vaccine hesitancy due to the Dengue vaccine controversy. Weak routine immunization leading to a decrease in overall immunization coverage over the last decade resulted in large immunity gaps among younger children against vaccine preventable diseases including measles.
The Philippines Department of Health (DoH) declared measles outbreaks in 5 Regions (Region NCR, III, IVA, VI, VII) on 7 February 2019, whereas cases are being reported from all 17 Regions. DoH issued guidelines for nation-wide measles vaccination accompanied by Oral Polio Vaccine (OPV) and Vitamin A distribution until end March 2019, prioritizing unvaccinated children between 6 and 59 months; schoolchildren from kindergarten to grade 6; and adults who voluntarily wish to be vaccinated against measles.

preview

Current Situation

Between 1 January and 13 April 2019, 31,056 measles cases including 415 deaths were officially reported through the routine surveillance system from the DoH, with a Case Fatality Rate (CFR) of 1,34% (see Table 1).
The number of cases is 368% higher in 2019 than during the same time period in 2018.
With a median age of 3 years old, 52% of measles cases are under 5 years of age. 53% of measles cases are male.
With a median age of 1 year old, 83% of all deaths are children under the age of 5, 59% of measles deaths are male. Most deaths are reported from Region III, IV-A, VIII and NCR.


CDC: Measles in the United States, January 1–April 26, 2019

Patel M, Lee AD, Redd SB, et al. Increase in Measles Cases — United States, January 1–April 26, 2019. MMWR Morb Mortal Wkly Rep. ePub: 29 April 2019. DOI: http://dx.doi.org/10.15585/mmwr.mm6817e1external icon.

The figure is a map of the United States indicating the number of reported measles cases for each state during January 1–April 26, 2019.

The figure is a histogram, an epidemiologic curve showing the number of reported measles cases by week of rash onset during January 1–April 26, 2019.

Selected characteristics of patients with reported measles — United States, January 1–April 26, 2019*Return to your place in the text
Characteristic No. (%)
Total 704 (100)
Age group
<6 mos 25 (4)
6–11 mos 68 (10)
12–15 mos 76 (11)
16 mos–4 yrs 167 (24)
5–19 yrs 203 (29)
20–49 yrs 138 (20)
≥50 yrs 27 (4)
Vaccination status
Vaccinated 76 (11)
Unvaccinated 503 (71)
Unknown 125 (18)
Hospitalizations 66 (9)
Complications
Pneumonia 24 (3)
Encephalitis 0 —
Death 0 —
Residency
U.S. resident 689 (98)
Internationally imported measles cases
Total 44 (6)
Vaccination status
Vaccinated 4 (9)
Unvaccinated/Unknown 40 (91)
U.S. resident 34 (77)
Source countries
Philippines 14 (32)
Ukraine 8 (18)
Israel 5 (11)
Thailand 3 (7)
Vietnam 2 (5)
Germany 2 (5)
Other 10 (23)

* Data are preliminary as of April 26, 2019.


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