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  • surendernikhil gupta
    From: ProMED-mail Subject: PRO/EDR Measles update 2012 (36) To: promed-edr@promedmail.org Date: Sunday, September 30, 2012,
    Message 1 of 1 , Sep 30, 2012
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      From: ProMED-mail <promed@...>
      Subject: PRO/EDR> Measles update 2012 (36)
      To: promed-edr@...
      Date: Sunday, September 30, 2012, 7:02 AM

      MEASLES UPDATE 2012 (36)
      ************************
      A ProMED-mail post
      <http://www.promedmail.org>
      ProMED-mail is a program of the
      International Society for Infectious Diseases
      <http://www.isid.org>

      In this update:
      Europe
      ------
      [1] UK (England)
      Africa
      ------
      [2] Republic of Congo (Likouala)
      [3] Namibia (Ohangwena), Angola
      Asia
      ----
      [4] Pakistan (Swat)
      The Americas
      ------------
      [5] USA (New York State)

      ******
      Europe
      [1] UK (England)
      Date: Sat 22 Sep 2012
      Source: The Bolton News [edited]
      <http://www.theboltonnews.co.uk/news/districtnews/9944288.Measles_outbreak_on_travellers_camp_site/>


      Measles outbreak in travellers' camp site
      -----------------------------------------
      Primary school children are being offered the MMR [measles, mumps,
      rubella] jab after an outbreak of measles on a nearby travellers site.
      One child living on the site has been diagnosed with measles while 2
      more young people living on the Hall Lane camp in Moses Gate are
      showing early signs of developing the illness. Bolton health chiefs
      were alerted by the Health Protection Agency of the measles outbreak.

      NHS Bolton's Public Health Team confirmed that one young person was
      affected and 2 more were showing early signs. More than a dozen
      youngsters living on the site have been immunised against the illness.
      Now, pupils at Bowness Primary School in Little Lever are being
      offered vaccination as children from the travelling community attend
      that school.

      Graham Munslow, health protection specialist at NHS Bolton, said: "As
      a precautionary measure, we immunised 15 children on the site. As all
      primary school-aged children on the site attend Bowness Primary
      School, a letter will be sent home to parents, informing them of an
      optional MMR immunisation session at the school on Monday [24 Sep
      2012].

      The illness is rare in the UK due to the effectiveness of the MMR
      vaccination. But in May [2012] there were more than 200 confirmed
      cases of measles on Merseyside, which contributed to the worst
      outbreak of the disease since 1988. If parents are unsure whether
      their child has already received the MMR immunisation, they should
      contact NHS Bolton's Child Health team.

      --
      Communicated by:
      ProMED-mail from HealthMap alerts
      <promed@...>

      ["More than a dozen youngsters living on the site have been immunised
      against the illness. Now, pupils at Bowness Primary School in Little
      Lever are being offered vaccination as children from the travelling
      community attend that school." Vaccine coverage of "travelling"
      communities remains an administrative problem throughout Europe.

      Bolton is a town in the English County of Lancashire. It an be located
      on the interactive HealthMap at: <http://healthmap.org/r/3uya>. -
      Mod.CP]

      ******
      Africa
      ------
      [2] Republic of Congo (Likouala)
      Date: Sat 22 Sep 2012
      Source: Actualite information Afrique - Afriquejet [edited]
      <http://www.afriquejet.com/health-2012092245640.html>


      Measles epidemic kills 22 in Republic of Congo
      ---------------------------------------
      An outbreak of measles, which has been raging in Likouala,
      North-eastern Republic of Congo, since April has already killed 22
      people, the state-run radio said Friday [21 Sep 2012]. The epidemic,
      which initially hit Liranga and Betou, has now reached Impfondo and
      Epena.

      Following the outbreak, the Ministry of Health on Thursday [27 Sep
      2012] launched a 5-day vaccination campaign against measles in the
      district. Vaccination teams will travel throughout the localities of
      the Republic of the Congo, which since 2009 has sheltered more than
      100 000 refugees from the Democratic Republic of Congo (DRC), who are
      fleeing inter-ethnic violence in the Equateur province.

      --
      Communicated by:
      ProMED-mail from HealthMap alerts
      <promed@...>

      [Haemorrhagic fevers are only one of the types of infection prevalent
      in the Congo geographic region of Africa.

      Likouala, Republic of Congo, can be located in the interactive
      HealthMap at: <http://healthmap.org/r/1RZy>. - Mod.CP]

      ******
      [3] Namibia (Ohangwena), Angola
      Date: 27 Sep 2012
      Source: The Namibian [edited]
      <http://www.namibian.com.na/news/full-story/archive/2012/september/article/measles-outbreak-in-ohangwena/>


      Measles outbreak in Ohangwena
      -----------------------------
      The Ministry of Health and Social Services started a measles
      vaccination campaign on Monday [24 Sep 2012] in areas of the Ohangwena
      Region bordering Angola to contain a measles outbreak there. The
      measles outbreak was confirmed by the acting health director in the
      region, Dr Odon Nkongolo, who said that most of the cases originated
      in Angola. Dr Nkongolo said the region experienced a smaller measles
      outbreak in the Engela Health District in January this year [2012].

      The numbers of cases reported in the district in the last 2 months
      have shown a sharp increase. So far 68 suspected cases have been
      reported, of which 10 have been confirmed. Those confirmed to have
      contracted measles were treated at the Engela District Hospital. No
      deaths have been reported.

      60 percent of the cases diagnosed were in children younger than 5
      years, but children between 6 and 7 years, and adults, have also been
      diagnosed with measles. A number of people have been treated and
      discharged from the Engela hospital and by Tuesday [25 Sep 2012] only
      5 children were still in hospital.

      According to Dr Nkongolo, the latest measles outbreak has mostly
      affected villages or areas such as Oshikango, Onamhinda, Eeshoke,
      Okahadulu, Omafo and Oimbandalunga. "So far the situation is under
      control and measures have been put in place to vaccinate all children
      between 9 months and 5 years. This started already on Monday this week
      [24 Sep 2012] and we are still busy in those villages," Dr Nkongolo
      said.

      They are also monitoring the situation in nearby villages in the
      Engela Health District. He said the Angolan health authorities have
      been contacted through the World Health Organisation.

      [Byline: Oswald Shivute]

      --
      Communicated by:
      ProMED-mail from HealthMap alerts
      <promed@...>

      ["60 percent of the cases diagnosed were in children younger than 5
      years, but children between 6 and 7 years, and adults, have also been
      diagnosed with measles."

      Ohangwena is one of the 13 regions of Namibia. The northern and
      western parts of the region are the most densely populated of this
      essentially subsistence agricultural region in which small scale
      mahangu cultivation and the keeping of cattle form the predominant
      activities. Ohangwena is located in the north of Namibia, and can be
      located in the interactive ProMED/HealthMap at
      <http://healthmap.org/r/3zGD>. - Mod.CP]

      ******
      Asia
      [4] Pakistan (Swat)
      Date: Mon 24 Sep 2012
      Source: The Express Tribune [edited]
      <http://tribune.com.pk/story/441344/measles-outbreak-over-100-children-infected-in-kalam/>


      Measles outbreak: Children infected in Kalam
      --------------------------------------------
      Over 100 children have been infected with measles during the last 2
      days in Kalam Tehsil, it has been learnt. The disease is spreading
      fast as there are not enough health facilities or doctors in the area,
      Ahmadin Siddiqui, a local journalist and social activist, told The
      Express Tribune. Dozens of children are being brought to local
      hospitals daily and dispensers are performing the duties of doctors as
      an emergency measure, said Siddiqui. He said the reason for the
      outbreak, according to health experts, is that the children had not
      been administered the required vaccines to protect them against
      measles.

      Locals have demanded of the government to provide better health
      facilities in the area and appoint a permanent doctor at Kalam's
      central hospital. Dr Mohammad Imran, who runs a private clinic in
      Kalam, said that vaccination campaigns by the government are "weak" in
      the area and parents don't bother to get their children vaccinated
      against the disease. He said the best way to protect children against
      measles is to administer the MMR (measles, mumps and rubella) vaccine
      after the age of one. Given the present outbreak, he urged local
      parents to get their children between the ages of 4 to 6 vaccinated
      against the disease.

      The central hospital in Kalam lacks the required health facilities and
      it is next to impossible for a majority of locals to go to hospitals
      in Mingora for vaccination, said Nazir Ahmad, a university student. He
      stressed that the health department should establish permanent
      vaccination centres in Kalam and send mobile teams to remote villages
      to prevent further outbreaks. Executive District Officer (EDO) Health
      Dr Khurshid said that medical teams have been dispatched to the
      affected areas which have so far administered vaccines to 88 children.
      He said that after clubbing [sic] details of the vaccination drive
      being conducted in Kalam and Matiltan, where 2 children recently died
      of measles, the teams have so far visited 700 houses and vaccinated
      273 children. Dr Khurshid said that locals are also being informed
      about preventive measures they should take to avoid spread of the
      disease.

      The EDO said that a qualified doctor has been appointed in Kalam's
      central hospital, adding that he will be taking charge of his duties
      soon.

      [Byline: Fazal Khaliq]

      --
      Communicated by:
      ProMED-mail from HealthMap alerts
      <promed@...>

      ["Over 100 children have been infected with measles during the last 2
      days in Kalam Tehsil, it has been learnt. The disease is spreading
      fast as there are not enough health facilities or doctors in the
      area," 

      Kalam is a community along the upper reaches of the Swat River in Swat
      Valley, in the Khyber Pakhtunkhwa province of Pakistan. A map of the
      Swat Valley can be accessed at:
      <http://www.bing.com/maps/?cp=35.383333~72.183333&lvl=10&where1=35.383333%2C%2072.183333>.
      - Mod.CP]

      ******
      The Americas
      ------------
      [5] USA (New York State)
      Date: Fri 21 Sep 2012
      Source: Northern Suburbs News [edited]
      <http://abclocal.go.com/wabc/story?section=news/local/northern_suburbs&id=8820413>


      Confirmed case of measles in Dutchess County
      --------------------------------------------
      The Department of Health announced today a confirmed case of measles
      in a student at the Mountain Laurel Waldorf School in New Paltz.
      Anyone who has visited this school since 10 Sep 2012 or has had any
      contact with anyone from this school should immediately make sure that
      they are up to date with their measles vaccinations. All medical
      practices and laboratories in the area should be on high alert that
      there may be a number of other children and families who have been
      exposed and could be communicable.

      The Department of Health in Dutchess County says that they have
      learned that a number of students at this school were not vaccinated
      and may become ill and put other children and families at risk for
      contracting measles. This highly contagious disease has increased in
      the United States recently due to a growing number of unvaccinated
      individuals who travel to countries where measles is prevalent. Those
      who were born before 01 Jan 1957, or who have documentation they have
      received 2 MMR vaccinations, are believed to be immune. All others
      should consider vaccination, especially if they have contact with
      anyone who has measles.

      "While most of the population is immune, about 97 percent of Dutchess
      County residents," said Michael C. Caldwell, MD, MPH, Dutchess County
      Commissioner of Health. "These exposures place non-immune individuals
      at risk of becoming infected. Of greatest concern are infants less
      than 12 months of age, pregnant women, and persons who have
      immunocompromising conditions as they have the highest risk for severe
      complications."

      Measles symptoms include fever, red watery eyes, runny nose, cough and
      a rash all over the body. About one out of 10 children with measles
      also gets an ear infection, and up to one out of 20 gets pneumonia.
      Pregnant women who are exposed may put their baby at risk for birth
      defects. Individuals who are experiencing these symptoms should call
      their provider prior to going to the health care office so
      precautionary methods can be taken in order to reduce the potential
      spread of measles.

      Before measles vaccine, nearly all children got measles by the time
      they were 15 years of age. Historically, 450-500 people died each year
      in the United States because of measles, 48 000 were hospitalized,
      7000 had seizures, and about 1000 suffered permanent brain damage or
      deafness.

      Today, there are only about 50 cases a year reported in the United
      States, and most of these originate outside the country. Measles is a
      highly contagious respiratory disease caused by a virus. A total of 50
      cases of measles have been reported in the United States to date
      during 2012, of which 46 were import-associated. During 2011, a total
      of 222 cases of measles were reported in the U.S. Most patients (86
      percent) were unvaccinated or had unknown vaccination status. "The
      increased numbers of outbreaks and measles importations into the
      United States underscore the ongoing risk for measles among
      unvaccinated persons and the importance of vaccination against
      measles," said Caldwell.

      The Dutchess County Department of Health sounded the alarm to the
      medical community about the increased risk of measles in our community
      with a public health alert Thursday and Friday [20-21 Sep 2012]. "We
      have been in close communication with medical providers and our
      colleagues at the Ulster County Department of Health as well as the
      New York State Department of Health," said Dr. Caldwell.

      --
      Communicated by:
      ProMED-mail from HealthMap alerts
      <promed@...>

      ["These exposures place non-immune individuals at risk of becoming
      infected. Of greatest concern are infants less than 12 months of age,
      pregnant women, and persons who have immunocompromising conditions as
      they have the highest risk for severe complications."

      Dutchess County can be located in the map of the counties of New York
      State at <http://geology.com/state-map/new-york.shtml>. - Mod.CP]

      [see also:
      Measles update 2012 (35) 20120921.1304468
      Measles update 2012 (34) 20120902.1277235
      Measles update 2012 (33) 20120825.1263340
      Measles update 2012 (32) 20120812.1240827
      Measles update 2012 (31) 20120806.1230607
      Measles update 2012 (30) 20120729.1219387
      Measles update 2012 (25) 20120624.1179133
      Measles update 2012 (20) 20120513.1131857
      Measles update 2012 (15) 20120408.1094007
      Measles update 2012 (10) 20120304.1060487
      Measles update 2012 (05) 20120129.1025618
      Measles update 2012 (01) 20120101.0004]
      .................................................sb/cp/ejp/jw
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