MEASLES UPDATE (28)
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http://www.promedmail.org
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International Society for Infectious Diseases
http://www.isid.org
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Pakistan (Punjab)
Date: Tue 9 Jul 2013
Source: Pakistan Today [edited]
116 new cases of measles have been reported in the last 24 hours, bringing the total to 21 710 in the province [Punjab]. According to Health Department officials, at least 185 deaths have been reported so far, mostly in Lahore, Gujranwala, Rajanpur, Rahim Yar Khan, Silakot, Faisalabad and Kasur. 17 of the new cases were reported in Lahore's hospitals.
Meanwhile, anti-measles drive focal person Dr Younas stated that the people have responded very positively to the government's anti-measles teams. Many parents contacted the camps themselves to get their children vaccinated. He said that measles vaccination was readily available at all hospitals in the city, and patients were being treated for free. He hoped that the measles epidemic would start receding soon.
--
Communicated by:
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<promed@promedmail.org>
[A map of Punjab province can be accessed at: http://visitpak.com/wp-content/uploads/ ... kistan.jpg. - Mod.CP
A HealthMap/ProMED-mail map for Pakistan can be found at http://healthmap.org/r/1iGJ.]
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MEASLES UPDATE (29)
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
[1] Pakistan (Islamabad)
Date: Wed 17 Jul 2013
Source: The Nation [edited]
http://www.nation.com.pk/pakistan-news- ... sles-cases
As many as 882 cases of measles were reported in Pakistan Institute of Medical Sciences (Pims) during the first 6 months of this year [2013] and the number is going to increase, according to health experts, as no proper catch-up activity was conducted to target the children who missed routine immunisation. Besides, the door-to-door vaccination campaign to combat the disease has also been delayed. The hospital reported 128 admissions to the hospital and confirmed 6 deaths till June [2013]. The data shows that over 50 per cent of patients had been vaccinated against the disease [but] still they contracted the disease while many reported cases were unvaccinated.
The hospital recorded the cases from areas of Islamabad city, Bara Kahu, Alipur, Bari Imam, Rawalpindi, Azad Jammu and Kashmir, Murree, upper Punjab, Khyber Pakhtunkhwa and Gilgit-Baltistan. The majority of the cases are reported from slums and rural areas where coverage of routine immunisation is low, according to the officials of the Expanded Programme on Immunisation (EPI).
According to health officials, Pakistan is a measles endemic country [since] immunity levels in children and routine immunisation levels are also very low, so catch-up activity to vaccinate the default children who missed the routine immunisation and door-to-door campaign is crucial. Initially, the Capital [Islamabad] administration was in denial and was not ready to accept that there was an outbreak of the disease, but after accepting it too late, they failed to take any proper measures to combat the disease, [according to] health experts.
Health experts and officials of the capital administration at a meeting on 8 Jan 2013 had decided to vaccinate children up to the age of 15 years in Islamabad's small communities where measles cases were being reported. But due to weak health infrastructure there has been no micro-plan or massive campaigns to vaccinate the children against the disease. According to officials, nearly 30 per cent of children missed immunisation as health units of Capital Administration Development (CDA) and Islamabad Capital Territory (ICT) lack staff and infrastructure to carry out the campaigns. The population of the capital has increased from 300 000 to about 1.5 million but the number of staff and resources are still the same as they were before when the city was established. And the successive CDA chairmen and the Islamabad commissioners did not plan to invest in the health sector and other areas that directly affect health of the public.
Update: 100 measles patients were brought to different hospitals in the province on Tuesday [16 Jul 2013], including 17 in Lahore. So far 22 321 measles cases have been reported from across the province including 5791 in Lahore. So far 189 children have lost lives to measles in the province including 86 in Lahore.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Islamabad (and Rawalpindi below) can be located in the map of Pakistan at: http://www.infoplease.com/atlas/country/pakistan.html. - Mod.CP
A ProMED-mail HealthMap is available at http://healthmap.org/r/1iGJ.]
******
[2] Pakistan (Rawalpindi, Punjab)
Date: Sun 21 Jul 2013
Source: Pakistan Today [edited]
http://www.pakistantoday.com.pk/2013/07 ... ases-rise/
A total of 10 more measles cases have been reported in the Holy Family Hospital (HFH) Rawalpindi [Punjab province], while a general rise in measles cases have been witnessed throughout the city. Approximately, 634 measles affected children were brought to HFH, out of whom 435 were admitted and kept in isolation wards. However, only 10 children now remain and are under treatment in the hospital. According to the physician in charge of the Infectious and Disease Ward, Dr Javed Hayat, the recovery period spans up to 14 days but takes longer if the patient is already suffering from another infection.
Doctors claimed that children already vaccinated against measles are not risk-free but their complications are mild compared to those who have not been vaccinated. Dr Hayat advised the parents to get their children vaccinated [in a timely manner] to reduce the risk of complication from the disease.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
[1] Pakistan (Islamabad)
Date: Wed 17 Jul 2013
Source: The Nation [edited]
http://www.nation.com.pk/pakistan-news- ... sles-cases
As many as 882 cases of measles were reported in Pakistan Institute of Medical Sciences (Pims) during the first 6 months of this year [2013] and the number is going to increase, according to health experts, as no proper catch-up activity was conducted to target the children who missed routine immunisation. Besides, the door-to-door vaccination campaign to combat the disease has also been delayed. The hospital reported 128 admissions to the hospital and confirmed 6 deaths till June [2013]. The data shows that over 50 per cent of patients had been vaccinated against the disease [but] still they contracted the disease while many reported cases were unvaccinated.
The hospital recorded the cases from areas of Islamabad city, Bara Kahu, Alipur, Bari Imam, Rawalpindi, Azad Jammu and Kashmir, Murree, upper Punjab, Khyber Pakhtunkhwa and Gilgit-Baltistan. The majority of the cases are reported from slums and rural areas where coverage of routine immunisation is low, according to the officials of the Expanded Programme on Immunisation (EPI).
According to health officials, Pakistan is a measles endemic country [since] immunity levels in children and routine immunisation levels are also very low, so catch-up activity to vaccinate the default children who missed the routine immunisation and door-to-door campaign is crucial. Initially, the Capital [Islamabad] administration was in denial and was not ready to accept that there was an outbreak of the disease, but after accepting it too late, they failed to take any proper measures to combat the disease, [according to] health experts.
Health experts and officials of the capital administration at a meeting on 8 Jan 2013 had decided to vaccinate children up to the age of 15 years in Islamabad's small communities where measles cases were being reported. But due to weak health infrastructure there has been no micro-plan or massive campaigns to vaccinate the children against the disease. According to officials, nearly 30 per cent of children missed immunisation as health units of Capital Administration Development (CDA) and Islamabad Capital Territory (ICT) lack staff and infrastructure to carry out the campaigns. The population of the capital has increased from 300 000 to about 1.5 million but the number of staff and resources are still the same as they were before when the city was established. And the successive CDA chairmen and the Islamabad commissioners did not plan to invest in the health sector and other areas that directly affect health of the public.
Update: 100 measles patients were brought to different hospitals in the province on Tuesday [16 Jul 2013], including 17 in Lahore. So far 22 321 measles cases have been reported from across the province including 5791 in Lahore. So far 189 children have lost lives to measles in the province including 86 in Lahore.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Islamabad (and Rawalpindi below) can be located in the map of Pakistan at: http://www.infoplease.com/atlas/country/pakistan.html. - Mod.CP
A ProMED-mail HealthMap is available at http://healthmap.org/r/1iGJ.]
******
[2] Pakistan (Rawalpindi, Punjab)
Date: Sun 21 Jul 2013
Source: Pakistan Today [edited]
http://www.pakistantoday.com.pk/2013/07 ... ases-rise/
A total of 10 more measles cases have been reported in the Holy Family Hospital (HFH) Rawalpindi [Punjab province], while a general rise in measles cases have been witnessed throughout the city. Approximately, 634 measles affected children were brought to HFH, out of whom 435 were admitted and kept in isolation wards. However, only 10 children now remain and are under treatment in the hospital. According to the physician in charge of the Infectious and Disease Ward, Dr Javed Hayat, the recovery period spans up to 14 days but takes longer if the patient is already suffering from another infection.
Doctors claimed that children already vaccinated against measles are not risk-free but their complications are mild compared to those who have not been vaccinated. Dr Hayat advised the parents to get their children vaccinated [in a timely manner] to reduce the risk of complication from the disease.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
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MEASLES UPDATE (30)
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
[1] Congo DR (Katanga)
Date: Fri 19 Jul 2013
Source: Radio Okapi [In French, machine trans., edited]
http://radiookapi.net/actualite/2013/07 ... elon-ocha/
About 48 people have died as a result of measles virus infection and over 3000 cases have been reported since January [2013] in Katanga province. The report of the Office for the Coordination of Humanitarian Affairs (OCHA), published on Wed 17 Jul 2012 in Lubumbashi, states that the territories of Kabalo and Kalemie in Tanganyika district have been the most affected by this disease.
Tanganyika Health District alone has recorded 1511 cases of measles, including 14 deaths. This is an area of Luanika Kalemie territory, inhabited mostly by pygmies, and remains the most affected part of the health district. According to information collected by the 4 provincial health authorities in of Katanga, quoted by the OCHA, the extent of the disease is beyond the capacity of the local authorities responsible for containing the outbreak.
The rise of the epidemic is mainly due to low immunization coverage in many health zones in the province of Katanga and poor allocation of funds for the organization of immunization campaigns. Several sources indicate that the Kalemie health zone, for example, has provided no known response to the vaccination campaign against measles in a year. Medecins Sans Frontieres (MSF), which helps handle cases of measles in Luanika [Bas-Congo province], is faced with logistical problems. The World Health Organization (WHO), quoted by OCHA, says that the need for the organization of immunization activities is enormous in Katanga.
--
communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Katanga is one of the provinces of the Democratic Republic of the Congo (Congo DR), formerly Zaire. Katanga's regional capital is Lubumbashi. Its area, at 497 000 sq km, is larger than California and 16 times larger than Belgium. Farming and ranching are carried out on the Katanga Plateau. The eastern part of the province is a rich mining region that supplies cobalt, copper, tin, radium, uranium, and diamonds.
A map of the provinces of Congo DR can be accessed at: http://www.emapsworld.com/democratic-re ... s-map.html. - Mod.CP
A HealthMap/ProMED-mail interactive map is available at http://healthmap.org/r/7u6V.]
******
[2] Sudan (South Darfur)
Date: Mon 22 Jul 2013
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/53711
A total of 4 children have died of measles in El Salam camp for the displaced near Nyala, the capital of South Darfur, and there are threats the camp "might have to be dismantled." Speaking to Radio Dabanga on Friday [19 Jul 2013], Sheikh Mahjoub Adam Tabaldiya attributed the children's deaths to a lack of medicine and health care and a food shortage at the camp.
Sheikh Tabaldiya reiterated that "the displaced are going through very difficult humanitarian and health circumstances -- especially children, women and the elderly." He warned that "the camp might be dismantled from lack of food [and] medicine and due to the organisations' stoppage of food provision to displaced people," the sheikh said, appealing to the authorities and humanitarian NGOs to urgently provide food for the displaced.
Many of the displaced from across the Darfur camps have expressed concern about the spread of disease during the rainy season. A woman from Dreige camp in the same locality told Radio Dabanga that the heavy rains last week [week ending 21 Jul 2013] have "turned the camp into a pool of water," which encourages the breeding of flies and mosquitoes. As this can promote the spread of disease, she appealed through Radio Dabanga to humanitarian organisations working in the field of environmental sanitation to bridge and spray the water pools and provide plastic sheeting, mosquito nets and tents for the displaced. The Association of Displaced Persons and Refugees of Darfur has described 2013 as "the worst for Darfur camps," as record numbers of displaced struggle in abysmal conditions throughout the region. Speaking to Radio Dabanga, the spokesman for the Association, Hussein Abu Sharati, also expressed concern about the deteriorating health conditions and spread of diseases among the displaced.
"The heavy rains result in a general deterioration in environmental health. This, coupled with a lack of shelter such as plastic sheets and tents, contributes to the spread of diseases such as malaria, diarrhoea, bronchitis, urinary [infections], conjunctivitis, and all manner of autumnal diseases in the camps." Abu Sharati added the Association's voice to the appeal for international organisations to provide assistance, plastic sheets and tents for the displaced so that they can better endure the rainy season.
--
communicated by:
ProMED-EAFR from HealthMap Alerts
<promed-eafr@promedmail.org>
[A map showing the states in Sudan can be seen at http://en.wikipedia.org/wiki/States_of_Sudan. The HealthMap/ProMED-mail interactive map of Sudan is available at http://healthmap.org/r/7NFm. - Mod.CP]
******
[3] Pakistan (Punjab)
Date: Sun 28 Jul 2013
Source: Pakistan Today, Associated Press of Pakistan (APP) report [edited]
http://www.pakistantoday.com.pk/2013/07 ... in-punjab/
Extended Programme for Immunisation's (EMI) Dr Younas has claimed a decrease of over 50 per cent in measles cases in Punjab [province]. On Saturday [27 Jul 2013], he said that an intensive drive had resulted in the reduction of daily measles cases from 50-80 to just 20-40. He claimed that the figures would continue to improve as time progressed, as the measles [vaccine recipients] would start developing [immunity] 3 weeks [after] their initial vaccination. During the anti-measles drive from [29 Apr 2013] to [5 May 2013], around 250 000 children ranging from 6 months to 10 years old were vaccinated.
Moreover, only 27 cases of measles were reported in Punjab [province] during the last 24 hours, including only 3 from Lahore. However, the total cases of measles during the previous 6-and-a-half months were 22 885, including 192 deaths in Punjab [province].
--
communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Hopefully this provincial vaccination campaign may have some positive impact on the overall incidence of measles virus infection in Pakistan nationally.
A map of the provinces of Pakistan, showing the location of Punjab, can be accessed at http://eagle1.american.edu/~cr2281a/pakistan-flood.html. - Mod.CP
A HealthMap/ProMED-mail interactive map is available at http://healthmap.org/r/1kdg.]
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
[1] Congo DR (Katanga)
Date: Fri 19 Jul 2013
Source: Radio Okapi [In French, machine trans., edited]
http://radiookapi.net/actualite/2013/07 ... elon-ocha/
About 48 people have died as a result of measles virus infection and over 3000 cases have been reported since January [2013] in Katanga province. The report of the Office for the Coordination of Humanitarian Affairs (OCHA), published on Wed 17 Jul 2012 in Lubumbashi, states that the territories of Kabalo and Kalemie in Tanganyika district have been the most affected by this disease.
Tanganyika Health District alone has recorded 1511 cases of measles, including 14 deaths. This is an area of Luanika Kalemie territory, inhabited mostly by pygmies, and remains the most affected part of the health district. According to information collected by the 4 provincial health authorities in of Katanga, quoted by the OCHA, the extent of the disease is beyond the capacity of the local authorities responsible for containing the outbreak.
The rise of the epidemic is mainly due to low immunization coverage in many health zones in the province of Katanga and poor allocation of funds for the organization of immunization campaigns. Several sources indicate that the Kalemie health zone, for example, has provided no known response to the vaccination campaign against measles in a year. Medecins Sans Frontieres (MSF), which helps handle cases of measles in Luanika [Bas-Congo province], is faced with logistical problems. The World Health Organization (WHO), quoted by OCHA, says that the need for the organization of immunization activities is enormous in Katanga.
--
communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Katanga is one of the provinces of the Democratic Republic of the Congo (Congo DR), formerly Zaire. Katanga's regional capital is Lubumbashi. Its area, at 497 000 sq km, is larger than California and 16 times larger than Belgium. Farming and ranching are carried out on the Katanga Plateau. The eastern part of the province is a rich mining region that supplies cobalt, copper, tin, radium, uranium, and diamonds.
A map of the provinces of Congo DR can be accessed at: http://www.emapsworld.com/democratic-re ... s-map.html. - Mod.CP
A HealthMap/ProMED-mail interactive map is available at http://healthmap.org/r/7u6V.]
******
[2] Sudan (South Darfur)
Date: Mon 22 Jul 2013
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/53711
A total of 4 children have died of measles in El Salam camp for the displaced near Nyala, the capital of South Darfur, and there are threats the camp "might have to be dismantled." Speaking to Radio Dabanga on Friday [19 Jul 2013], Sheikh Mahjoub Adam Tabaldiya attributed the children's deaths to a lack of medicine and health care and a food shortage at the camp.
Sheikh Tabaldiya reiterated that "the displaced are going through very difficult humanitarian and health circumstances -- especially children, women and the elderly." He warned that "the camp might be dismantled from lack of food [and] medicine and due to the organisations' stoppage of food provision to displaced people," the sheikh said, appealing to the authorities and humanitarian NGOs to urgently provide food for the displaced.
Many of the displaced from across the Darfur camps have expressed concern about the spread of disease during the rainy season. A woman from Dreige camp in the same locality told Radio Dabanga that the heavy rains last week [week ending 21 Jul 2013] have "turned the camp into a pool of water," which encourages the breeding of flies and mosquitoes. As this can promote the spread of disease, she appealed through Radio Dabanga to humanitarian organisations working in the field of environmental sanitation to bridge and spray the water pools and provide plastic sheeting, mosquito nets and tents for the displaced. The Association of Displaced Persons and Refugees of Darfur has described 2013 as "the worst for Darfur camps," as record numbers of displaced struggle in abysmal conditions throughout the region. Speaking to Radio Dabanga, the spokesman for the Association, Hussein Abu Sharati, also expressed concern about the deteriorating health conditions and spread of diseases among the displaced.
"The heavy rains result in a general deterioration in environmental health. This, coupled with a lack of shelter such as plastic sheets and tents, contributes to the spread of diseases such as malaria, diarrhoea, bronchitis, urinary [infections], conjunctivitis, and all manner of autumnal diseases in the camps." Abu Sharati added the Association's voice to the appeal for international organisations to provide assistance, plastic sheets and tents for the displaced so that they can better endure the rainy season.
--
communicated by:
ProMED-EAFR from HealthMap Alerts
<promed-eafr@promedmail.org>
[A map showing the states in Sudan can be seen at http://en.wikipedia.org/wiki/States_of_Sudan. The HealthMap/ProMED-mail interactive map of Sudan is available at http://healthmap.org/r/7NFm. - Mod.CP]
******
[3] Pakistan (Punjab)
Date: Sun 28 Jul 2013
Source: Pakistan Today, Associated Press of Pakistan (APP) report [edited]
http://www.pakistantoday.com.pk/2013/07 ... in-punjab/
Extended Programme for Immunisation's (EMI) Dr Younas has claimed a decrease of over 50 per cent in measles cases in Punjab [province]. On Saturday [27 Jul 2013], he said that an intensive drive had resulted in the reduction of daily measles cases from 50-80 to just 20-40. He claimed that the figures would continue to improve as time progressed, as the measles [vaccine recipients] would start developing [immunity] 3 weeks [after] their initial vaccination. During the anti-measles drive from [29 Apr 2013] to [5 May 2013], around 250 000 children ranging from 6 months to 10 years old were vaccinated.
Moreover, only 27 cases of measles were reported in Punjab [province] during the last 24 hours, including only 3 from Lahore. However, the total cases of measles during the previous 6-and-a-half months were 22 885, including 192 deaths in Punjab [province].
--
communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Hopefully this provincial vaccination campaign may have some positive impact on the overall incidence of measles virus infection in Pakistan nationally.
A map of the provinces of Pakistan, showing the location of Punjab, can be accessed at http://eagle1.american.edu/~cr2281a/pakistan-flood.html. - Mod.CP
A HealthMap/ProMED-mail interactive map is available at http://healthmap.org/r/1kdg.]
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Masern in DR Kongo und Pakistan
MEASLES UPDATE (31)
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
[1] Congo DR (Orientale)
Date: Wed 31 Jul 2013
Source: Radio Okapi [in French, trans. Mod.CP, edited]
http://radiookapi.net/actualite/2013/07 ... epuis-mai/
More than 500 cases of measles, including 9 deaths, were recorded in Nizi District of Ituri Region [Orientale province, Democratic Republic of Congo] since last May [2013]. Medecins Sans Frontieres (MSF) announced these figures in a press release on Mon 29 Jul 2013. In order to contain this outbreak in Orientale Province, MSF plans to vaccinate 45 000 children aged 6 months to 10 years in Nizi Health District during August 2013. Among the 500 cases recorded during the last 3 months, more than 350 people were infected in the month of July 2013.
20 children whose cases are complicated are currently being treated in Nizi District hospital. Other patients are being treated at local health centres. According to the MSF report, the health facilities in Nizi have been overwhelmed by the number of patients who have contracted measles virus infection. MSF is providing additional help to contain the outbreak. The head of the MSF emergency team in Bunia city [the administrative centre of Ituri region] said that his organization has deployed teams to strengthen the capacity of local health facilities. These teams will also look for other cases in surrounding villages to ensure early treatment of patients to reduce mortality.
The rapid spread of the outbreak of disease has alarmed local health authorities, who are continuing to seek additional support to contain the epidemic from both central government and other sources.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Nizi is located in the Ituri region of the Democratic Republic of Congo. It is close to several alluvial gold mines and has only recently ceased to be a conflict zone. It can be located in the interactive map at: http://www.mindat.org/maps.php?id=242233, and Congo DR can be found on the ProMED-mail HealthMap at http://healthmap.org/r/1Ahy. - Mod.CP]
******
[2] Pakistan (Punjab)
Date: Fri 2 Aug 2013
Source: Pakistan Observer [edited]
http://pakobserver.net/detailnews.asp?id=214105
As of Mon 29 Jul 2013, there have been 27 new cases reported during the past 24 hours, and the number of measles cases in Punjab during the last 6.5 months has reached 22 912. According to health department officials, at least 192 deaths have been reported so far, while most deaths occurred in Lahore, Gujranwala, Rajanpur, Rahim Yar Khan, Kasur and Sialkot.
The officials have appealed to parents to get their children up to 5 years of age vaccinated against measles without delay and to cooperate with vaccinating teams. Meanwhile, a focal person of the EPI, Dr. Younas, while talking to APP, said that the recent drive in 5 high-risk districts of Punjab got good responses, and people contacted the vaccination points to vaccinate their children against measles.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Lahore is the capital of the province of Punjab and the 2nd largest city in Pakistan. It is one of the most densely populated cities in the world. It can be located in the map of Pakistan at: http://www.infoplease.com/atlas/country/pakistan.html, and the ProMED-mail HealthMap of Pakistan can be found at http://healthmap.org/r/1iGJ. - Mod.CP]
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
[1] Congo DR (Orientale)
Date: Wed 31 Jul 2013
Source: Radio Okapi [in French, trans. Mod.CP, edited]
http://radiookapi.net/actualite/2013/07 ... epuis-mai/
More than 500 cases of measles, including 9 deaths, were recorded in Nizi District of Ituri Region [Orientale province, Democratic Republic of Congo] since last May [2013]. Medecins Sans Frontieres (MSF) announced these figures in a press release on Mon 29 Jul 2013. In order to contain this outbreak in Orientale Province, MSF plans to vaccinate 45 000 children aged 6 months to 10 years in Nizi Health District during August 2013. Among the 500 cases recorded during the last 3 months, more than 350 people were infected in the month of July 2013.
20 children whose cases are complicated are currently being treated in Nizi District hospital. Other patients are being treated at local health centres. According to the MSF report, the health facilities in Nizi have been overwhelmed by the number of patients who have contracted measles virus infection. MSF is providing additional help to contain the outbreak. The head of the MSF emergency team in Bunia city [the administrative centre of Ituri region] said that his organization has deployed teams to strengthen the capacity of local health facilities. These teams will also look for other cases in surrounding villages to ensure early treatment of patients to reduce mortality.
The rapid spread of the outbreak of disease has alarmed local health authorities, who are continuing to seek additional support to contain the epidemic from both central government and other sources.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Nizi is located in the Ituri region of the Democratic Republic of Congo. It is close to several alluvial gold mines and has only recently ceased to be a conflict zone. It can be located in the interactive map at: http://www.mindat.org/maps.php?id=242233, and Congo DR can be found on the ProMED-mail HealthMap at http://healthmap.org/r/1Ahy. - Mod.CP]
******
[2] Pakistan (Punjab)
Date: Fri 2 Aug 2013
Source: Pakistan Observer [edited]
http://pakobserver.net/detailnews.asp?id=214105
As of Mon 29 Jul 2013, there have been 27 new cases reported during the past 24 hours, and the number of measles cases in Punjab during the last 6.5 months has reached 22 912. According to health department officials, at least 192 deaths have been reported so far, while most deaths occurred in Lahore, Gujranwala, Rajanpur, Rahim Yar Khan, Kasur and Sialkot.
The officials have appealed to parents to get their children up to 5 years of age vaccinated against measles without delay and to cooperate with vaccinating teams. Meanwhile, a focal person of the EPI, Dr. Younas, while talking to APP, said that the recent drive in 5 high-risk districts of Punjab got good responses, and people contacted the vaccination points to vaccinate their children against measles.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Lahore is the capital of the province of Punjab and the 2nd largest city in Pakistan. It is one of the most densely populated cities in the world. It can be located in the map of Pakistan at: http://www.infoplease.com/atlas/country/pakistan.html, and the ProMED-mail HealthMap of Pakistan can be found at http://healthmap.org/r/1iGJ. - Mod.CP]
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- Wohnort: NRW / Südl. Rheinland
- Kontaktdaten:
Masern in der Zentralafrikanischen Republik und Nigeria
MEASLES UPDATE (33)
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
[1] Central African Republic
Date: Tue 13 Aug 2013
Source: Fox News, Agence France-Presse report [edited]
http://www.foxnews.com/world/2013/08/13 ... -c-africa/
A severe measles epidemic has affected the whole territory of the Central African Republic, which lacks any strong health infrastructure, Health Minister Aguid Sounouk announced Tuesday [13 Aug 2013]. "I call on the national transitional government and all partners in health care to mobilise for urgent measures ... to minimise the impact of this epidemic," Sounouk said in a radio broadcast.
The minister blamed the spread of the disease on "outbreaks of measles in several administrative districts of the country where no action had been organised to contain the epidemic" since December 2012. At that time, the landlocked nation was undergoing an insurgency that led in March 2013 to the ousting of president Francois Bozize and placed power in the hands of a rebel coalition, which has since joined with other forces to form an interim government.
Medecins Sans Frontieres (MSF) warned in early July 2013 that the country was on the verge of a public health catastrophe, since widespread unrest and the coming to power of the rebels had been accompanied by the systematic plundering of health facilities. The non-governmental organisation said that this situation would likely lead to an "increase in the mortality rate in coming months," including from "common and curable" diseases such as measles, which can kill people in developing countries if they develop complications without adequate care. Sounouk warned of the risk for very young people, because of "the highly contagious nature of measles" and since "the affected children have for the most part not been vaccinated against this disease."
A vaccination campaign took place in the capital Bangui in May 2013 and reached 122 000 children, but nothing has been done for about 1.5 million children who live in the depths of the country.
--
Communicated by:
ProMED-mail Rapporteur Kunihiko Iizuka
[Measles remains largely uncontained in the Central Africa Republic due to the remoteness of the country and the lack of stable infrastructure. Development of vaccination programmes is impeded by both lack of finance and poor communications. No improvement is in sight.
A map showing the prefectures of the Central African Republic can be seen at http://en.wikipedia.org/wiki/Prefecture ... n_Republic, and the HealthMap/ProMED-mail interactive map of the country can be accessed at: http://healthmap.org/r/1jPk. - Mod.CP]
******
[2] Nigeria (Katsina)
Date: Tue 13 Aug 2013
Source: Medecins sans Frontieres, News [edited]
http://www.doctorswithoutborders.org/ne ... field-news
A measles outbreak in northern Nigeria's Katsina State has come to an end after 28 weeks. Medecins Sans Frontieres (MSF) supported the Nigerian authorities throughout the outbreak by providing epidemiological surveillance and case management in Katsina's 34 local government areas. The outbreak began in December 2012 in the southern part of the state during the dry season and gradually spread to all 34 provinces. The outbreak lasted 28 weeks, during which time 36 428 cases of measles were reported, and 198 people died.
MSF began providing support to the Nigerian Ministry of Health (MoH) in February 2013, regularly visiting 300 health facilities and donating treatments for 14 290 measles cases, including for 420 complicated cases. Unfortunately, due to the shortage of measles vaccines in Nigeria, initially only 10 percent of the vaccines required to conduct a mass vaccination campaign were allocated to Katsina State. In response, in the 1st week of March 2013, MSF decided to further support the authorities by conducting a mass vaccination campaign in 5 of the 34 local government areas. Some 217 500 children aged 6 months to 5 years were vaccinated. Due to this campaign, a decline in the number of cases was observed in these 5 areas.
Due to the relationship between measles and malnutrition, MSF also conducted systematic screening for malnutrition. A total of 215 038 children aged 6 months to five years were screened. The severe acute malnutrition rate was found to be 1.8 percent, and the global acute malnutrition rate was 6 percent. Following MSF's intervention in Katsina, Epicentre, MSF's epidemiological research branch, conducted a vaccination coverage and malnutrition survey to provide a more thorough analysis of the situation, with results expected by the end of August 2013.
[Byline: Olga Overbeek]
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[The influence of malnutrition is highlighted in this report. A map of the states of Nigeria, showing the location of Katsina, on the border with Niger, can be accessed at: http://en.wikipedia.org/wiki/Template:N ... states_map. - Mod.CP
A HealthMap/ProMED-mail map can be seen at http://healthmap.org/r/1qGF.]
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
[1] Central African Republic
Date: Tue 13 Aug 2013
Source: Fox News, Agence France-Presse report [edited]
http://www.foxnews.com/world/2013/08/13 ... -c-africa/
A severe measles epidemic has affected the whole territory of the Central African Republic, which lacks any strong health infrastructure, Health Minister Aguid Sounouk announced Tuesday [13 Aug 2013]. "I call on the national transitional government and all partners in health care to mobilise for urgent measures ... to minimise the impact of this epidemic," Sounouk said in a radio broadcast.
The minister blamed the spread of the disease on "outbreaks of measles in several administrative districts of the country where no action had been organised to contain the epidemic" since December 2012. At that time, the landlocked nation was undergoing an insurgency that led in March 2013 to the ousting of president Francois Bozize and placed power in the hands of a rebel coalition, which has since joined with other forces to form an interim government.
Medecins Sans Frontieres (MSF) warned in early July 2013 that the country was on the verge of a public health catastrophe, since widespread unrest and the coming to power of the rebels had been accompanied by the systematic plundering of health facilities. The non-governmental organisation said that this situation would likely lead to an "increase in the mortality rate in coming months," including from "common and curable" diseases such as measles, which can kill people in developing countries if they develop complications without adequate care. Sounouk warned of the risk for very young people, because of "the highly contagious nature of measles" and since "the affected children have for the most part not been vaccinated against this disease."
A vaccination campaign took place in the capital Bangui in May 2013 and reached 122 000 children, but nothing has been done for about 1.5 million children who live in the depths of the country.
--
Communicated by:
ProMED-mail Rapporteur Kunihiko Iizuka
[Measles remains largely uncontained in the Central Africa Republic due to the remoteness of the country and the lack of stable infrastructure. Development of vaccination programmes is impeded by both lack of finance and poor communications. No improvement is in sight.
A map showing the prefectures of the Central African Republic can be seen at http://en.wikipedia.org/wiki/Prefecture ... n_Republic, and the HealthMap/ProMED-mail interactive map of the country can be accessed at: http://healthmap.org/r/1jPk. - Mod.CP]
******
[2] Nigeria (Katsina)
Date: Tue 13 Aug 2013
Source: Medecins sans Frontieres, News [edited]
http://www.doctorswithoutborders.org/ne ... field-news
A measles outbreak in northern Nigeria's Katsina State has come to an end after 28 weeks. Medecins Sans Frontieres (MSF) supported the Nigerian authorities throughout the outbreak by providing epidemiological surveillance and case management in Katsina's 34 local government areas. The outbreak began in December 2012 in the southern part of the state during the dry season and gradually spread to all 34 provinces. The outbreak lasted 28 weeks, during which time 36 428 cases of measles were reported, and 198 people died.
MSF began providing support to the Nigerian Ministry of Health (MoH) in February 2013, regularly visiting 300 health facilities and donating treatments for 14 290 measles cases, including for 420 complicated cases. Unfortunately, due to the shortage of measles vaccines in Nigeria, initially only 10 percent of the vaccines required to conduct a mass vaccination campaign were allocated to Katsina State. In response, in the 1st week of March 2013, MSF decided to further support the authorities by conducting a mass vaccination campaign in 5 of the 34 local government areas. Some 217 500 children aged 6 months to 5 years were vaccinated. Due to this campaign, a decline in the number of cases was observed in these 5 areas.
Due to the relationship between measles and malnutrition, MSF also conducted systematic screening for malnutrition. A total of 215 038 children aged 6 months to five years were screened. The severe acute malnutrition rate was found to be 1.8 percent, and the global acute malnutrition rate was 6 percent. Following MSF's intervention in Katsina, Epicentre, MSF's epidemiological research branch, conducted a vaccination coverage and malnutrition survey to provide a more thorough analysis of the situation, with results expected by the end of August 2013.
[Byline: Olga Overbeek]
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[The influence of malnutrition is highlighted in this report. A map of the states of Nigeria, showing the location of Katsina, on the border with Niger, can be accessed at: http://en.wikipedia.org/wiki/Template:N ... states_map. - Mod.CP
A HealthMap/ProMED-mail map can be seen at http://healthmap.org/r/1qGF.]
-
Birgitt
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- Beiträge: 35234
- Registriert: Di 2. Aug 2005, 22:52
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- Kontaktdaten:
Masern in Kenia und Nigeria
MEASLES UPDATE (34)
*******************
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ProMED-mail is a program of the
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http://www.isid.org
*****
[1] Kenya (Teso)
Date: Fri 23 Aug 2013
Source: AllAfrica.com [edited]
http://allafrica.com/stories/201308240058.html
Ministry of Health officials in Teso South have raised fears over the outbreak of measles in the area. The area District Medical Officer for Health, Festus Kigen, made the startling revelation yesterday [22 Aug 2013] while announcing that 32 088 children were vaccinated against polio in Teso South. Kigen said 4 cases of suspected measles had been reported in the area with samples taken to Nairobi medical laboratory to confirm whether the outbreak is real. He said measles and polio are related owing to the fact that they affect children who have not undergone immunisation since they were born.
Kigen warned parents to be wary of measles symptoms, like high fever, red eyes and running nose. "Children with such cases should be reported to the nearest health facility for immediate attention," Kigen said while addressing the press in his office.
Kigen said the polio campaign in the area was 102 percent[?] successful, with Chakol Division registering the highest number [of cases?], 18 576, while Amukura recorded 13 512 [cases].
[Byline: Reuben Olita]
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Clearly, the poliovirus immunisation programme has priority, and resources for comprehensive measles vaccination are lacking. - Mod.CP
A ProMED-mail HealthMap of Kenya can be accessed at http://healthmap.org/r/1zkN. - CopyEd.MSP]
******
[2] Nigeria (Katsina)
Date: Mon 19 Aug 2013
Source: VN Vaccine News Daily [edited]
http://vaccinenewsdaily.com/medical_cou ... n-nigeria/
Medecins Sans Frontieres (MSF) announced on Tuesday [13 Aug 2013?] that a measles outbreak in Nigeria's Katsina state is over, after 28 weeks and more than 36 000 infections. MSF supported Nigerian authorities throughout the outbreak by providing case management and epidemiological surveillance in Katsina's 34 local government areas. The organization began supporting the Nigerian outbreak in February 2013.
The outbreak started in December [2012] in the southern part of Katsina during the dry season. The outbreak subsequently spread to all 34 provinces. During the 28-week outbreak, 36 428 people were infected with measles, and 198 people died. MSF supported the Nigerian Ministry of Health by regularly visiting 300 health facilities and donating treatments for 14 290 measles cases, including 420 cases designated as complicated.
As a result of a measles vaccine shortage in Nigeria, only 10 percent of the vaccines needed to conduct a mass vaccination campaign were allocated to the state. In March 2013, MSF further supported authorities by conducting a mass vaccination campaign in 5 of the 34 local government areas. During the campaign, approximately 217 500 children aged 6 months to 5 years received vaccinations. The number of cases declined in the 5 areas of the campaign.
MSF also screened 215 038 children aged 6 months to 5 years for malnutrition, determining that the severe acute malnutrition rate was 1.8 percent, and the global acute malnutrition rate was 6 percent. Epicentre, MSF's epidemiological research branch, conducted a malnutrition and vaccination coverage survey to thoroughly analyze the situation. Results from the survey are expected by the end of August 2013.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[A map of the states of Nigeria showing the location of Katsina on the border with Niger can be accessed at: http://en.wikipedia.org/wiki/Template:N ... states_map. - Mod.CP
A ProMED-mail HealthMap of Nigeria can be accessed at http://healthmap.org/r/1qGF. - CopyEd.MSP]
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
[1] Kenya (Teso)
Date: Fri 23 Aug 2013
Source: AllAfrica.com [edited]
http://allafrica.com/stories/201308240058.html
Ministry of Health officials in Teso South have raised fears over the outbreak of measles in the area. The area District Medical Officer for Health, Festus Kigen, made the startling revelation yesterday [22 Aug 2013] while announcing that 32 088 children were vaccinated against polio in Teso South. Kigen said 4 cases of suspected measles had been reported in the area with samples taken to Nairobi medical laboratory to confirm whether the outbreak is real. He said measles and polio are related owing to the fact that they affect children who have not undergone immunisation since they were born.
Kigen warned parents to be wary of measles symptoms, like high fever, red eyes and running nose. "Children with such cases should be reported to the nearest health facility for immediate attention," Kigen said while addressing the press in his office.
Kigen said the polio campaign in the area was 102 percent[?] successful, with Chakol Division registering the highest number [of cases?], 18 576, while Amukura recorded 13 512 [cases].
[Byline: Reuben Olita]
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Clearly, the poliovirus immunisation programme has priority, and resources for comprehensive measles vaccination are lacking. - Mod.CP
A ProMED-mail HealthMap of Kenya can be accessed at http://healthmap.org/r/1zkN. - CopyEd.MSP]
******
[2] Nigeria (Katsina)
Date: Mon 19 Aug 2013
Source: VN Vaccine News Daily [edited]
http://vaccinenewsdaily.com/medical_cou ... n-nigeria/
Medecins Sans Frontieres (MSF) announced on Tuesday [13 Aug 2013?] that a measles outbreak in Nigeria's Katsina state is over, after 28 weeks and more than 36 000 infections. MSF supported Nigerian authorities throughout the outbreak by providing case management and epidemiological surveillance in Katsina's 34 local government areas. The organization began supporting the Nigerian outbreak in February 2013.
The outbreak started in December [2012] in the southern part of Katsina during the dry season. The outbreak subsequently spread to all 34 provinces. During the 28-week outbreak, 36 428 people were infected with measles, and 198 people died. MSF supported the Nigerian Ministry of Health by regularly visiting 300 health facilities and donating treatments for 14 290 measles cases, including 420 cases designated as complicated.
As a result of a measles vaccine shortage in Nigeria, only 10 percent of the vaccines needed to conduct a mass vaccination campaign were allocated to the state. In March 2013, MSF further supported authorities by conducting a mass vaccination campaign in 5 of the 34 local government areas. During the campaign, approximately 217 500 children aged 6 months to 5 years received vaccinations. The number of cases declined in the 5 areas of the campaign.
MSF also screened 215 038 children aged 6 months to 5 years for malnutrition, determining that the severe acute malnutrition rate was 1.8 percent, and the global acute malnutrition rate was 6 percent. Epicentre, MSF's epidemiological research branch, conducted a malnutrition and vaccination coverage survey to thoroughly analyze the situation. Results from the survey are expected by the end of August 2013.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[A map of the states of Nigeria showing the location of Katsina on the border with Niger can be accessed at: http://en.wikipedia.org/wiki/Template:N ... states_map. - Mod.CP
A ProMED-mail HealthMap of Nigeria can be accessed at http://healthmap.org/r/1qGF. - CopyEd.MSP]
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Birgitt
- Moderator
- Beiträge: 35234
- Registriert: Di 2. Aug 2005, 22:52
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- Kontaktdaten:
Masern in Sudan
MEASLES UPDATE (35)
*******************
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http://www.promedmail.org
ProMED-mail is a program of the
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http://www.isid.org
*****
Darfur (West)
Date: Fri 30 Aug 2013
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/55293
As of 29 Aug 2013, measles reportedly claimed the lives of 2 people in Abu Karinka locality in West Darfur on Wednesday [28 Aug 2013], where 25 000 displaced people are living in harsh circumstances. Speaking from Abu Karinka, one of the displaced persons told Radio Dabanga that a secondary school student and a woman, whose names were not immediately available, have died. "They were both positively diagnosed with measles."
The source pointed out that "the number of displaced persons in the locality following the recent clashes between the Ma'alia and Rizeigat tribes has now risen to 25 000. They are living in very challenging humanitarian conditions." He appealed via Radio Dabanga to humanitarian organisations to provide food and medical care for the displaced.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
According to Wikipedia (http://en.wikipedia.org/wiki/Darfur), Darfur is a region in western Sudan, an independent sultanate for several hundred years; it was incorporated into Sudan by Anglo-Egyptian forces in 1916. The region is divided into 5 federal states: Central Darfur, East Darfur, North Darfur, South Darfur and West Darfur. Because of the war in Darfur between Sudanese government forces and the non-Arab indigenous population, the region has been in a state of humanitarian emergency since 2003.
The Radio Dabanga report is ambiguous about the location of Abu Karinka, alternately in East and West Darfur. It is remarkable in view of the chaotic conditions in the region that there have not been more cases of measles.
A map of West Darfur showing the location of the displaced persons camps can be accessed at: http://www.un.org/depts/Cartographic/ma ... rofile.pdf. - Mod.CP
A ProMED-mail HealthMap can be accessed at http://healthmap.org/r/1A1E.]
*******************
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http://www.promedmail.org
ProMED-mail is a program of the
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*****
Darfur (West)
Date: Fri 30 Aug 2013
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/55293
As of 29 Aug 2013, measles reportedly claimed the lives of 2 people in Abu Karinka locality in West Darfur on Wednesday [28 Aug 2013], where 25 000 displaced people are living in harsh circumstances. Speaking from Abu Karinka, one of the displaced persons told Radio Dabanga that a secondary school student and a woman, whose names were not immediately available, have died. "They were both positively diagnosed with measles."
The source pointed out that "the number of displaced persons in the locality following the recent clashes between the Ma'alia and Rizeigat tribes has now risen to 25 000. They are living in very challenging humanitarian conditions." He appealed via Radio Dabanga to humanitarian organisations to provide food and medical care for the displaced.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
According to Wikipedia (http://en.wikipedia.org/wiki/Darfur), Darfur is a region in western Sudan, an independent sultanate for several hundred years; it was incorporated into Sudan by Anglo-Egyptian forces in 1916. The region is divided into 5 federal states: Central Darfur, East Darfur, North Darfur, South Darfur and West Darfur. Because of the war in Darfur between Sudanese government forces and the non-Arab indigenous population, the region has been in a state of humanitarian emergency since 2003.
The Radio Dabanga report is ambiguous about the location of Abu Karinka, alternately in East and West Darfur. It is remarkable in view of the chaotic conditions in the region that there have not been more cases of measles.
A map of West Darfur showing the location of the displaced persons camps can be accessed at: http://www.un.org/depts/Cartographic/ma ... rofile.pdf. - Mod.CP
A ProMED-mail HealthMap can be accessed at http://healthmap.org/r/1A1E.]
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MEASLES UPDATE (37)
*******************
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*****
Congo DR (Kasumbalesa)
Date: Tue 10 Sep 2013
Source: Rario Okapi [in French, machine trans. edited]
http://radiookapi.net/actualite/2013/09 ... -40-jours/
Two children died of measles among 60 recorded cases in the space of 40 days in Kasumbalesa, about 90 km from Lubumbashi (Katanga). These figures were delivered to the press on Tue 10 Sep 2013 by a doctor at the Health Centre in Kasumbalesa, Stella Muyano. Dr. Muyano said the ages of the children ranged from 0 to 59 months. He said measles affected only children who were not vaccinated.
"The causes of the outbreak are numerous, including non-compliance with the immunization schedule against measles by parents and also by overcrowding in some neighborhoods of this city," said Dr. Muyano. The head of the city of Kasumbalesa, Andre Kapamp, is concerned by the resurgence of measles cases in the area. He said that children died in this city due to lack of proper treatment and announced a campaign on compliance with the immunization schedule and treatment of measles in all areas of Kasumbalesa. Children affected by measles are being admitted to the Health Centre and other private centres in Kasumbalesa.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[A HealthMap ProMED-mail map can be accessed at http://healthmap.org/r/1Ahy.]
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
Congo DR (Kasumbalesa)
Date: Tue 10 Sep 2013
Source: Rario Okapi [in French, machine trans. edited]
http://radiookapi.net/actualite/2013/09 ... -40-jours/
Two children died of measles among 60 recorded cases in the space of 40 days in Kasumbalesa, about 90 km from Lubumbashi (Katanga). These figures were delivered to the press on Tue 10 Sep 2013 by a doctor at the Health Centre in Kasumbalesa, Stella Muyano. Dr. Muyano said the ages of the children ranged from 0 to 59 months. He said measles affected only children who were not vaccinated.
"The causes of the outbreak are numerous, including non-compliance with the immunization schedule against measles by parents and also by overcrowding in some neighborhoods of this city," said Dr. Muyano. The head of the city of Kasumbalesa, Andre Kapamp, is concerned by the resurgence of measles cases in the area. He said that children died in this city due to lack of proper treatment and announced a campaign on compliance with the immunization schedule and treatment of measles in all areas of Kasumbalesa. Children affected by measles are being admitted to the Health Centre and other private centres in Kasumbalesa.
--
Communicated by:
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<promed@promedmail.org>
[A HealthMap ProMED-mail map can be accessed at http://healthmap.org/r/1Ahy.]
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MEASLES UPDATE (38)
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Nigeria (Kaduna)
Date: Fri 20 Sep 2013
Source: BAKU-APA [edited]
http://en.apa.az/news/199880
At least 40 children were killed in a fresh outbreak of measles across the 23 local government areas in northwest Nigeria's Kaduna State, local media reported on Friday [20 Sep 2013], APA reports, quoting Xinhua.
This year [2013] alone, the Nigerian state recorded at least 1000 cases of the disease resulting in the high number of deaths, the local People's Daily Newspaper said, citing Sufyan Babale, Executive Secretary of the Kaduna Primary Health Care Agency. "I visited the area personally and saw fresh graves of over 30 children that died in Lere local government area alone," Babale told the Abuja-based newspaper. The healthcare official said more cases reported in other local government areas have been put under control by the government.
"There are states that are selected for this year's [2013] campaign on implementation of measles (immunization) in the country, of which Kaduna State is one. So, we are going to do that to educate our people on the disease," he added. The measles immunization program will run between 5-9 Oct 2013 across the northern state.
6 months ago, federal health authorities in Abuja made moves to combat the contagious viral disease that had infected no fewer than 4000 children in the northern part of Nigeria as of March 2013. Children between 9 months and 5 years old are particularly susceptible to the disease.
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[It is clear that the resources available at present are unlikely to be sufficient to eliminate or even control the current outbreak.
A map of the states of Nigeria showing the location of Kaduna state in the centre of the country can be accessed at: http://www.nigeriahc.org.uk/about-nigeria. - Mod.CP
A ProMED-mail HealthMap can be accessed at http://healthmap.org/r/1qGF.]
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ProMED-mail is a program of the
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*****
Nigeria (Kaduna)
Date: Fri 20 Sep 2013
Source: BAKU-APA [edited]
http://en.apa.az/news/199880
At least 40 children were killed in a fresh outbreak of measles across the 23 local government areas in northwest Nigeria's Kaduna State, local media reported on Friday [20 Sep 2013], APA reports, quoting Xinhua.
This year [2013] alone, the Nigerian state recorded at least 1000 cases of the disease resulting in the high number of deaths, the local People's Daily Newspaper said, citing Sufyan Babale, Executive Secretary of the Kaduna Primary Health Care Agency. "I visited the area personally and saw fresh graves of over 30 children that died in Lere local government area alone," Babale told the Abuja-based newspaper. The healthcare official said more cases reported in other local government areas have been put under control by the government.
"There are states that are selected for this year's [2013] campaign on implementation of measles (immunization) in the country, of which Kaduna State is one. So, we are going to do that to educate our people on the disease," he added. The measles immunization program will run between 5-9 Oct 2013 across the northern state.
6 months ago, federal health authorities in Abuja made moves to combat the contagious viral disease that had infected no fewer than 4000 children in the northern part of Nigeria as of March 2013. Children between 9 months and 5 years old are particularly susceptible to the disease.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[It is clear that the resources available at present are unlikely to be sufficient to eliminate or even control the current outbreak.
A map of the states of Nigeria showing the location of Kaduna state in the centre of the country can be accessed at: http://www.nigeriahc.org.uk/about-nigeria. - Mod.CP
A ProMED-mail HealthMap can be accessed at http://healthmap.org/r/1qGF.]
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MEASLES UPDATE (39)
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[1] Nigeria (Kano)
Date: Tue 24 Sep 2013
Source: Leadership, Nigeria, Agency report [edited]
http://leadership.ng/news/240913/kano-r ... hs-measles
Kano State government has signed a Memorandum of Understanding (MoU) with Dangote and the Bill and Melinda Gates Foundations for the revitalisation of routine immunisation and other primary healthcare services, an official said.
The executive secretary, Kano State Primary Health Care Management Board, Dr Shehu Abdullahi, made the plan known in Kano yesterday [23 Sep 2013] at the inauguration of the Kano State Implementation Training for 2013 Integrated Measles Campaign. The secretary said that the state had recorded 200 deaths from 8000 cases of measles since 2012.
He said that 80 per cent of those affected, aged between 0 to 59 months, were not immunised against the disease. He said it was unfortunate that parents and caregivers of the affected children did not make them available for immunisation and as such exposed them to the disease.
He said that the training for Local Immunisation Officers, State Technical Facilitators, and Local Government Facilitators were aimed at addressing the challenges.
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[A map showing the location of the Nigerian state of Kano can be found in the map at: http://www.waado.org/nigerdelta/maps/Ni ... tates.html. - Mod.CP
A ProMED-mail HealthMap is available at http://healthmap.org/r/1qGF.]
******
[2] Turkey
Date: Wed 25 Sep 2013
Source: Daily News [edited]
http://www.hurriyetdailynews.com/cause- ... sCatID=341
Turkey has witnessed a 20-fold increase in measles cases this year [2013], particularly in its southern provinces, which have seen the arrival of a substantial number of Syrian migrants. According to the latest data announced by the Turkish Medical Association (TTB) Central Council, the number of recorded measles patients in Turkey, which was 349 in 2012, approached 6000 in the 1st 6 months of the year [2013].
Turkish Health Minister Mehmet Muezzinoglu attributed the cause of the remarkable jump in measles cases to "the mass movement of people that Turkey is exposed to given its location," answering a petition filed by the independent Istanbul deputy Levent Tuzel on 23 Sep 2013. The minister said Turkey's location and recent rise in migration had raised the risks of exposure to contagion. The surge in population in the southeastern and Mediterranean provinces, where most Syrians have fled to since the outbreak of civil war, provoked particularly high exposure rates, Muezzinoglu also noted.
However, Turkey's Public Health Institution contradicted claims that the source of the measles outbreak was Syria. "The source of the viruses is not Syria, it's Europe, as Europe is currently experiencing a large-scale measles epidemic. This has been proved by way of laboratory findings," the institution's Deputy Chairman Mehmet Ali Torunoglu told Anadolu Agency yesterday [24 Sep 2013]. He said they vaccinated the children of Syrian immigrants regularly, keeping to a timetable. "We vaccinate children younger than 5 against measles, poliomyelitis, tetanus, and diphtheria at camps, and family doctors control those outside of camps," he said.
Torunoglu, however, claimed the surging flow of Syrian refugees into Turkish provinces caused a slight increase in cutaneous leishmaniasis (or "Aleppo boil") cases. [Leishmaniasis is caused by parasitic protozoa of the genus _Leishmania_]. Humans are infected via the bite of phlebotomine sandflies. "There are 50 000 Aleppo boil cases in Syria according to official data, but 200 000 according to non-official figures. Therefore, there has been a slight increase in Aleppo boil cases originating from Syria [in Turkey], but there is nothing to worry about," he said. Torunoglu said both measles and Aleppo boil cases were under control, with the intention to alleviate the public's concerns. The Turkish Health Ministry has been taking all necessary measures and has been successful in curbing the rapid rise [of cases of measles], he added.
UNICEF had issued a warning to Syria, Jordan, Lebanon, Iraq, and Turkey against measles outbreaks, calling on pertinent institutions to gear up their pre-emptive efforts in a report it released in April 2013. "With considerable amounts of migration as well as the breakdown of regular health services in Syria, additional precautions are required to ensure that children are protected against deadly diseases such as measles no matter where they may be," Mahendra Sheth, UNICEF Regional Health Advisor, had said. Since the crisis' onset more than 2 years ago, over 1.4 million Syrian refugees have fled into neighboring countries including Jordan, Lebanon, Iraq, Turkey, and Egypt, with an average, at present, of up to 8000 Syrians fleeing the country daily, the UNICEF statement read.
--
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[Genotyping of representative isolates from the different population groups displaced by the conflict in Syria might resolve the dispute over the origin of the currently increasing incidence of measles virus cases in Turkey.
Maps of Turkey and the Eastern Mediterranean region can be accessed at: http://www.map-of-turkey.com/. - Mod.CP
A ProMED-mail HealthMap is available at http://healthmap.org/r/1Cfs.]
*******************
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*****
[1] Nigeria (Kano)
Date: Tue 24 Sep 2013
Source: Leadership, Nigeria, Agency report [edited]
http://leadership.ng/news/240913/kano-r ... hs-measles
Kano State government has signed a Memorandum of Understanding (MoU) with Dangote and the Bill and Melinda Gates Foundations for the revitalisation of routine immunisation and other primary healthcare services, an official said.
The executive secretary, Kano State Primary Health Care Management Board, Dr Shehu Abdullahi, made the plan known in Kano yesterday [23 Sep 2013] at the inauguration of the Kano State Implementation Training for 2013 Integrated Measles Campaign. The secretary said that the state had recorded 200 deaths from 8000 cases of measles since 2012.
He said that 80 per cent of those affected, aged between 0 to 59 months, were not immunised against the disease. He said it was unfortunate that parents and caregivers of the affected children did not make them available for immunisation and as such exposed them to the disease.
He said that the training for Local Immunisation Officers, State Technical Facilitators, and Local Government Facilitators were aimed at addressing the challenges.
--
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[A map showing the location of the Nigerian state of Kano can be found in the map at: http://www.waado.org/nigerdelta/maps/Ni ... tates.html. - Mod.CP
A ProMED-mail HealthMap is available at http://healthmap.org/r/1qGF.]
******
[2] Turkey
Date: Wed 25 Sep 2013
Source: Daily News [edited]
http://www.hurriyetdailynews.com/cause- ... sCatID=341
Turkey has witnessed a 20-fold increase in measles cases this year [2013], particularly in its southern provinces, which have seen the arrival of a substantial number of Syrian migrants. According to the latest data announced by the Turkish Medical Association (TTB) Central Council, the number of recorded measles patients in Turkey, which was 349 in 2012, approached 6000 in the 1st 6 months of the year [2013].
Turkish Health Minister Mehmet Muezzinoglu attributed the cause of the remarkable jump in measles cases to "the mass movement of people that Turkey is exposed to given its location," answering a petition filed by the independent Istanbul deputy Levent Tuzel on 23 Sep 2013. The minister said Turkey's location and recent rise in migration had raised the risks of exposure to contagion. The surge in population in the southeastern and Mediterranean provinces, where most Syrians have fled to since the outbreak of civil war, provoked particularly high exposure rates, Muezzinoglu also noted.
However, Turkey's Public Health Institution contradicted claims that the source of the measles outbreak was Syria. "The source of the viruses is not Syria, it's Europe, as Europe is currently experiencing a large-scale measles epidemic. This has been proved by way of laboratory findings," the institution's Deputy Chairman Mehmet Ali Torunoglu told Anadolu Agency yesterday [24 Sep 2013]. He said they vaccinated the children of Syrian immigrants regularly, keeping to a timetable. "We vaccinate children younger than 5 against measles, poliomyelitis, tetanus, and diphtheria at camps, and family doctors control those outside of camps," he said.
Torunoglu, however, claimed the surging flow of Syrian refugees into Turkish provinces caused a slight increase in cutaneous leishmaniasis (or "Aleppo boil") cases. [Leishmaniasis is caused by parasitic protozoa of the genus _Leishmania_]. Humans are infected via the bite of phlebotomine sandflies. "There are 50 000 Aleppo boil cases in Syria according to official data, but 200 000 according to non-official figures. Therefore, there has been a slight increase in Aleppo boil cases originating from Syria [in Turkey], but there is nothing to worry about," he said. Torunoglu said both measles and Aleppo boil cases were under control, with the intention to alleviate the public's concerns. The Turkish Health Ministry has been taking all necessary measures and has been successful in curbing the rapid rise [of cases of measles], he added.
UNICEF had issued a warning to Syria, Jordan, Lebanon, Iraq, and Turkey against measles outbreaks, calling on pertinent institutions to gear up their pre-emptive efforts in a report it released in April 2013. "With considerable amounts of migration as well as the breakdown of regular health services in Syria, additional precautions are required to ensure that children are protected against deadly diseases such as measles no matter where they may be," Mahendra Sheth, UNICEF Regional Health Advisor, had said. Since the crisis' onset more than 2 years ago, over 1.4 million Syrian refugees have fled into neighboring countries including Jordan, Lebanon, Iraq, Turkey, and Egypt, with an average, at present, of up to 8000 Syrians fleeing the country daily, the UNICEF statement read.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Genotyping of representative isolates from the different population groups displaced by the conflict in Syria might resolve the dispute over the origin of the currently increasing incidence of measles virus cases in Turkey.
Maps of Turkey and the Eastern Mediterranean region can be accessed at: http://www.map-of-turkey.com/. - Mod.CP
A ProMED-mail HealthMap is available at http://healthmap.org/r/1Cfs.]
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MEASLES UPDATE (41)
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Pakistan (Punjab)
Date: Thu 10 Oct 2013
Source: Geo TV News Pakistan [edited]
http://www.geo.tv/article-121728-LHC-an ... asles-case
Lahore High Court (LHC) on Wednesday [9 Oct 2013] lashed out [at] the Punjab government for its continued failure in submitting an inquiry report prepared by a 3-member committee headed by Dr Zafar Iqbal, Principal Sheikh Zayed Hospital, into the alleged failure of the government to control the recent outbreak of measles, Geo News reported.
While hearing the measles case here, the court, expressing its extreme displeasure over non-submission of the measles inquiry report, observed that people were dying of measles while the Punjab Chief Minister, untouched by the tragedy, [is] sitting with the report.
The Additional Advocate General told the court that the report was lying with the Chief Minister, and Justice Khalid Mahmood observed that the people were dying and the Chief Minster was unmoved and was sitting with the report. He further said that the CM takes his salary from the national exchequer, and the welfare of the nation was his prime duty.
Justice Khalid Mahmood ordered the submission of the inquiry report within 3 days and later adjourned the hearing of the case until 14 Oct 2013.
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[A map of Punjab province can be accessed at: http://pamirtours.pk/maps/punjab%20districts%20map.htm. The statement of the Chief Minster of Punjab, scheduled for 14 Oct 2013, is awaited with interest, in particular with regard to future prospects for measles control in Punjab province. - Mod.CP
A ProMED-mail HealthMap is available at http://healthmap.org/r/1iGJ.]
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Pakistan (Punjab)
Date: Thu 10 Oct 2013
Source: Geo TV News Pakistan [edited]
http://www.geo.tv/article-121728-LHC-an ... asles-case
Lahore High Court (LHC) on Wednesday [9 Oct 2013] lashed out [at] the Punjab government for its continued failure in submitting an inquiry report prepared by a 3-member committee headed by Dr Zafar Iqbal, Principal Sheikh Zayed Hospital, into the alleged failure of the government to control the recent outbreak of measles, Geo News reported.
While hearing the measles case here, the court, expressing its extreme displeasure over non-submission of the measles inquiry report, observed that people were dying of measles while the Punjab Chief Minister, untouched by the tragedy, [is] sitting with the report.
The Additional Advocate General told the court that the report was lying with the Chief Minister, and Justice Khalid Mahmood observed that the people were dying and the Chief Minster was unmoved and was sitting with the report. He further said that the CM takes his salary from the national exchequer, and the welfare of the nation was his prime duty.
Justice Khalid Mahmood ordered the submission of the inquiry report within 3 days and later adjourned the hearing of the case until 14 Oct 2013.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[A map of Punjab province can be accessed at: http://pamirtours.pk/maps/punjab%20districts%20map.htm. The statement of the Chief Minster of Punjab, scheduled for 14 Oct 2013, is awaited with interest, in particular with regard to future prospects for measles control in Punjab province. - Mod.CP
A ProMED-mail HealthMap is available at http://healthmap.org/r/1iGJ.]
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Birgitt
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- Kontaktdaten:
Masern in Namibia
MEASLES UPDATE (42)
*******************
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*****
Namibia (Ohangwena)
Date: Fri 18 Oct 2013
Source: The Namibian [edited]
http://www.namibian.com.na/indexx.php?i ... egory_id=1
The Directorate of Health and Social Services has announced that it is currently busy with a measles vaccination campaign in Ohangwena Region, after another measles outbreak in the Engela district recently.
According to the acting health director for Ohangwena Region, John Hango, 18 measles cases were suspected in September [2013] of which 5 have been confirmed.
Hango said the ministry started the vaccination campaign on Tuesday [15 Oct 2013] in villages where the cases were confirmed, as well as in other 12 surrounding villages. These include Oshikango, Onamhinda, Eeshoke, Ohalushu, Okamukwa, and Omafo. All children between 6 months and 5 years in those areas will have to be vaccinated, Hango announced.
Hango also told The Namibian that so far the ministry has managed to vaccinate close to 3000 children, with most of them coming from the Oshikango area. The Acting Health Director said they were suspecting the measles to have come from southern Angola. "Namibia's regions bordering with other countries, such as Angola, are always in a crisis when these kind of diseases are reported in those countries. We always have to be on the outlook and put measures in place, such as the diagnosing of those diseases among our people, to treat and immunise the suspect villagers," Hango said and added that the vaccination campaign that will end today [18 Oct 2013] has been going very well. He explained that the vaccination teams worked very hard and tried to get through to all target groups in the affected villages.
"We have everything in place, and will fight this measles disease in our region," Hango stated, commenting that this disease had made its appearance at the same time last year and that then too, it was successfully controlled.
[Byline: Oswald Shivute]
--
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[Maps of the administrative divisions of Namibia, showing Ohangwena in the far north of the country, on the border with Angola, can be accessed via http://www.map-of-namibia.com/C-DGraph-01.html. A HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3zGD. - Mod.CP]
*******************
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ProMED-mail is a program of the
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*****
Namibia (Ohangwena)
Date: Fri 18 Oct 2013
Source: The Namibian [edited]
http://www.namibian.com.na/indexx.php?i ... egory_id=1
The Directorate of Health and Social Services has announced that it is currently busy with a measles vaccination campaign in Ohangwena Region, after another measles outbreak in the Engela district recently.
According to the acting health director for Ohangwena Region, John Hango, 18 measles cases were suspected in September [2013] of which 5 have been confirmed.
Hango said the ministry started the vaccination campaign on Tuesday [15 Oct 2013] in villages where the cases were confirmed, as well as in other 12 surrounding villages. These include Oshikango, Onamhinda, Eeshoke, Ohalushu, Okamukwa, and Omafo. All children between 6 months and 5 years in those areas will have to be vaccinated, Hango announced.
Hango also told The Namibian that so far the ministry has managed to vaccinate close to 3000 children, with most of them coming from the Oshikango area. The Acting Health Director said they were suspecting the measles to have come from southern Angola. "Namibia's regions bordering with other countries, such as Angola, are always in a crisis when these kind of diseases are reported in those countries. We always have to be on the outlook and put measures in place, such as the diagnosing of those diseases among our people, to treat and immunise the suspect villagers," Hango said and added that the vaccination campaign that will end today [18 Oct 2013] has been going very well. He explained that the vaccination teams worked very hard and tried to get through to all target groups in the affected villages.
"We have everything in place, and will fight this measles disease in our region," Hango stated, commenting that this disease had made its appearance at the same time last year and that then too, it was successfully controlled.
[Byline: Oswald Shivute]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Maps of the administrative divisions of Namibia, showing Ohangwena in the far north of the country, on the border with Angola, can be accessed via http://www.map-of-namibia.com/C-DGraph-01.html. A HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3zGD. - Mod.CP]
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Masern in Sudan und Südsudan
MEASLES UPDATE (44)
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[1] South Sudan (Eastern Equatoria)
Date: Thu 31 Oct 2013
Source: The Voice of America [edited]
http://www.voanews.com/content/measles- ... 81201.html
South Sudanese health officials have launched an emergency vaccination campaign against measles after 14 children died in a suspected outbreak of this contagious viral illness in a payam [administrative subdivision] of the Eastern Equatoria state. The deaths occurred over the past week in Lotimor payam. All of the children who died were under the age of 5, state Health Ministry director Elijio Omoro Tahir said.
Health officials learned of the deaths on Tuesday [29 Oct 2013] and immediately lodged a request with the UN Mission in South Sudan (UNMISS) for a flight to take health workers to Lotimor to conduct tests to determine whether the outbreak was indeed measles, Tahir said. The World Health Organisation (WHO) said that as many children under 5 years old as possible will be vaccinated over the next 3 days in Lotimor. If the measles outbreak is confirmed, the Ministry of Health will put together a statewide immunization campaign, Tahir said.
Measles is a highly contagious respiratory disease caused by a virus. South Sudan's Health Ministry said only 9 percent of South Sudanese children under the age of one have been immunized against all the so-called childhood diseases, including measles. In the United States, the Centers for Disease Control and Prevention recommends immunizing children against measles once between the ages of 12 months and 15 months and again between 4 and 6 years of age.
More than 440 cases of measles have been reported in South Sudan this year [2013]. If confirmed, the cases in Lotimor payam would be the 1st incidence of measles in Eastern Equatoria state, the WHO said.
--
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[A map of South Sudan showing the location of Eastern Equatoria province can be accessed at: http://www.geographicguide.com/africa-m ... -sudan.htm. - Mod.CP
A HealthMap ProMED-mail map can be accessed at http://healthmap.org/r/3q1_.]
******
[2] Sudan (South Darfur)
Date: Sat 2 Nov 2013
Source: Radio Dabanga [edited]
https://www.radiodabanga.org/node/58229
In South Darfur's El Serif camp for the displaced, Medecins Sans Frontieres (Belgium) has reported 4 suspected cases of measles. Samples have been taken for laboratory testing.
A highly contagious disease, measles remains one of the leading causes of death among young children globally, despite the availability of a safe and effective vaccine. Overcrowding in the Darfur camps for the displaced greatly increases the risk of infection, according to the World Health Organisation.
--
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[South Darfur is one of the wilayat, or states, of Sudan. It is one of the 5 states that comprise the region of Darfur in western Sudan. Prior to the creation of 2 new states in the Darfur region in January 2012, South Darfur had an area of 127 300 square km (49 200 square miles) and an estimated population of approximately 2 890 000 (2006). Nyala is the capital of the state. The state was affected by the 2010 Sahel famine. In the southwest corner of this state, the LRA warlord Joseph Kony is hiding.
A map of South Darfur can be accessed at: http://reliefweb.int/sites/reliefweb.in ... p_2993.pdf. - Mod.CP
A HealthMap ProMED-mail map can be accessed at http://healthmap.org/r/1A1E.]
*******************
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ProMED-mail is a program of the
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*****
[1] South Sudan (Eastern Equatoria)
Date: Thu 31 Oct 2013
Source: The Voice of America [edited]
http://www.voanews.com/content/measles- ... 81201.html
South Sudanese health officials have launched an emergency vaccination campaign against measles after 14 children died in a suspected outbreak of this contagious viral illness in a payam [administrative subdivision] of the Eastern Equatoria state. The deaths occurred over the past week in Lotimor payam. All of the children who died were under the age of 5, state Health Ministry director Elijio Omoro Tahir said.
Health officials learned of the deaths on Tuesday [29 Oct 2013] and immediately lodged a request with the UN Mission in South Sudan (UNMISS) for a flight to take health workers to Lotimor to conduct tests to determine whether the outbreak was indeed measles, Tahir said. The World Health Organisation (WHO) said that as many children under 5 years old as possible will be vaccinated over the next 3 days in Lotimor. If the measles outbreak is confirmed, the Ministry of Health will put together a statewide immunization campaign, Tahir said.
Measles is a highly contagious respiratory disease caused by a virus. South Sudan's Health Ministry said only 9 percent of South Sudanese children under the age of one have been immunized against all the so-called childhood diseases, including measles. In the United States, the Centers for Disease Control and Prevention recommends immunizing children against measles once between the ages of 12 months and 15 months and again between 4 and 6 years of age.
More than 440 cases of measles have been reported in South Sudan this year [2013]. If confirmed, the cases in Lotimor payam would be the 1st incidence of measles in Eastern Equatoria state, the WHO said.
--
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<promed@promedmail.org>
[A map of South Sudan showing the location of Eastern Equatoria province can be accessed at: http://www.geographicguide.com/africa-m ... -sudan.htm. - Mod.CP
A HealthMap ProMED-mail map can be accessed at http://healthmap.org/r/3q1_.]
******
[2] Sudan (South Darfur)
Date: Sat 2 Nov 2013
Source: Radio Dabanga [edited]
https://www.radiodabanga.org/node/58229
In South Darfur's El Serif camp for the displaced, Medecins Sans Frontieres (Belgium) has reported 4 suspected cases of measles. Samples have been taken for laboratory testing.
A highly contagious disease, measles remains one of the leading causes of death among young children globally, despite the availability of a safe and effective vaccine. Overcrowding in the Darfur camps for the displaced greatly increases the risk of infection, according to the World Health Organisation.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[South Darfur is one of the wilayat, or states, of Sudan. It is one of the 5 states that comprise the region of Darfur in western Sudan. Prior to the creation of 2 new states in the Darfur region in January 2012, South Darfur had an area of 127 300 square km (49 200 square miles) and an estimated population of approximately 2 890 000 (2006). Nyala is the capital of the state. The state was affected by the 2010 Sahel famine. In the southwest corner of this state, the LRA warlord Joseph Kony is hiding.
A map of South Darfur can be accessed at: http://reliefweb.int/sites/reliefweb.in ... p_2993.pdf. - Mod.CP
A HealthMap ProMED-mail map can be accessed at http://healthmap.org/r/1A1E.]
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Masern in Sub-Sahara-Afrika
MEASLES UPDATE (45)
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Sub-Saharan Africa
Date: Wed 6 Nov 2013
Source: CIDRAP News [edited]
http://www.cidrap.umn.edu/news-perspect ... ov-06-2013
Measles outbreak response in Africa needs to focus on the youngest children, who are most affected, according to a report by Medecins Sans Frontieres on a resurgence of the disease in sub-Saharan Africa, published yesterday [5 Nov 2013] in PLoS Medicine. The group compared and contrasted 2 measles outbreaks that accounted for most measles cases in the region in recent years. In the Democratic Republic of the Congo, 128 111 measles cases occurred in 2010 and 2011, including 1454 deaths. 60 percent of those cases occurred in Katanga province, which saw an attack rate (AR) of 0.71 percent and a case-fatality rate (CFR) of 1.40 percent.
That contrasts with Malawi, which had 134 039 measles cases in 2010 but only 304 deaths. That country's AR was 0.96 percent, but its CFR was only 0.23 percent.
Age differences between the 2 outbreaks were dramatic. In Katanga, the median age of patients was 2 years, with 80 percent of reported case-patients 5 years old or younger and only 6 percent 10 years or older. In Malawi, the median age of patients was 7 years, with 41 percent of reported cases in children 5 years old or younger and 28 percent 15 years or older.
"Differences in measles epidemiology and country-specific control goals necessitate more than a one-size-fits-all strategy," the authors summarized. "The youngest children -- who account for the most deaths and complications -- should be prioritized by the outbreak response."
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[From Measles Outbreak Response Immunization Is Context-Specific: Insight from the Recent Experience of Medecins Sans Frontieres http://www.plosmedicine.org/article/inf ... ed.1001544: The authors conclude that: "In both settings, the highest ARs occurred among infants 6-8 months old, too young to be vaccinated by routine programs. The benefit of vaccinating earlier in regions with high birth rates, as in Katanga, has been previously discussed [20]. In Malawi, young infants aged 0-5 months were highly affected, with an AR higher than that of children 12 months and older. Recent studies showed lower concentrations and earlier loss of maternal antibodies against measles in infants of vaccinated women than in infants of naturally immune women [21]. In countries with effective measles vaccination programs, maternal antibody levels against measles may, therefore, be low. In such contexts, early vaccination of infants should be considered in the case of an outbreak, as described elsewhere [22].
In both settings, ARs were higher for young children born after the last SIA. Among these children, the proportion receiving their 1st or 2nd dose during the MSF reactive campaign was high, suggesting that non-selective strategies are efficient for poorly vaccinated age groups or those that have not been offered their 2nd immunization opportunity. Nonetheless, the high proportion of older individuals reporting having received more than 2 doses suggests that non-selective vaccination might not be the most cost-effective option for highly vaccinated populations. In such contexts, cost-benefit studies are urgently needed to evaluate the differential benefit in terms of disease prevention and mortality reduction [23] of continuing with non-selective strategies to deliver the 2nd dose, whether in SIAs or ORI campaigns.
As measles control improves across sub-Saharan Africa, outbreak response vaccination should also keep pace with these improvements. Countries should set their own priorities for outbreak response, targeted to their measles control goals. Immunization strategies should be tailored to local measles epidemiology, following early assessment. In particular, the age distribution of early cases should guide the decisions concerning which age groups to target in priority. Measles vaccination is an essential component of outbreak response in settings where the main objective is mortality reduction. In those contexts, the youngest children -- accounting for the most deaths and complications -- should be prioritised." - Mod.CP
A ProMED-mail HealthMap can be accessed at http://healthmap.org/r/1Ahy.]
*******************
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ProMED-mail is a program of the
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*****
Sub-Saharan Africa
Date: Wed 6 Nov 2013
Source: CIDRAP News [edited]
http://www.cidrap.umn.edu/news-perspect ... ov-06-2013
Measles outbreak response in Africa needs to focus on the youngest children, who are most affected, according to a report by Medecins Sans Frontieres on a resurgence of the disease in sub-Saharan Africa, published yesterday [5 Nov 2013] in PLoS Medicine. The group compared and contrasted 2 measles outbreaks that accounted for most measles cases in the region in recent years. In the Democratic Republic of the Congo, 128 111 measles cases occurred in 2010 and 2011, including 1454 deaths. 60 percent of those cases occurred in Katanga province, which saw an attack rate (AR) of 0.71 percent and a case-fatality rate (CFR) of 1.40 percent.
That contrasts with Malawi, which had 134 039 measles cases in 2010 but only 304 deaths. That country's AR was 0.96 percent, but its CFR was only 0.23 percent.
Age differences between the 2 outbreaks were dramatic. In Katanga, the median age of patients was 2 years, with 80 percent of reported case-patients 5 years old or younger and only 6 percent 10 years or older. In Malawi, the median age of patients was 7 years, with 41 percent of reported cases in children 5 years old or younger and 28 percent 15 years or older.
"Differences in measles epidemiology and country-specific control goals necessitate more than a one-size-fits-all strategy," the authors summarized. "The youngest children -- who account for the most deaths and complications -- should be prioritized by the outbreak response."
--
Communicated by:
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<promed@promedmail.org>
[From Measles Outbreak Response Immunization Is Context-Specific: Insight from the Recent Experience of Medecins Sans Frontieres http://www.plosmedicine.org/article/inf ... ed.1001544: The authors conclude that: "In both settings, the highest ARs occurred among infants 6-8 months old, too young to be vaccinated by routine programs. The benefit of vaccinating earlier in regions with high birth rates, as in Katanga, has been previously discussed [20]. In Malawi, young infants aged 0-5 months were highly affected, with an AR higher than that of children 12 months and older. Recent studies showed lower concentrations and earlier loss of maternal antibodies against measles in infants of vaccinated women than in infants of naturally immune women [21]. In countries with effective measles vaccination programs, maternal antibody levels against measles may, therefore, be low. In such contexts, early vaccination of infants should be considered in the case of an outbreak, as described elsewhere [22].
In both settings, ARs were higher for young children born after the last SIA. Among these children, the proportion receiving their 1st or 2nd dose during the MSF reactive campaign was high, suggesting that non-selective strategies are efficient for poorly vaccinated age groups or those that have not been offered their 2nd immunization opportunity. Nonetheless, the high proportion of older individuals reporting having received more than 2 doses suggests that non-selective vaccination might not be the most cost-effective option for highly vaccinated populations. In such contexts, cost-benefit studies are urgently needed to evaluate the differential benefit in terms of disease prevention and mortality reduction [23] of continuing with non-selective strategies to deliver the 2nd dose, whether in SIAs or ORI campaigns.
As measles control improves across sub-Saharan Africa, outbreak response vaccination should also keep pace with these improvements. Countries should set their own priorities for outbreak response, targeted to their measles control goals. Immunization strategies should be tailored to local measles epidemiology, following early assessment. In particular, the age distribution of early cases should guide the decisions concerning which age groups to target in priority. Measles vaccination is an essential component of outbreak response in settings where the main objective is mortality reduction. In those contexts, the youngest children -- accounting for the most deaths and complications -- should be prioritised." - Mod.CP
A ProMED-mail HealthMap can be accessed at http://healthmap.org/r/1Ahy.]
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Masern in DR Kongo - DRC
MEASLES UPDATE (48)
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A ProMED-mail post
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Congo DR (Bandundu)
Date: Mon 25 Nov 2013
Source: Radio Okapi [in French, trans. Mod.CP, edited]
http://radiookapi.net/actualite/2013/11 ... is-idiofa/
300 cases of measles have been recorded in the area of the Idiofa Health zone in the course of a month. This was announced by the Director of the Idifa Health Zone, Dr Willy Musantu on Sat 24 Nov 2013 at a meeting of committee members held last weekend in this city of the province of Bandundu.
5 of the 39 areas that make up this Health Zone have been affected by measles. These areas are: Bujimbila, Mbangi, Ingundu-Impini, Kimpata-Nkoy, and St. Lwanga. Bujimbila is the hardest hit of the 5.
The Surgeon General of the Idiofa Health Zone deplored the lack of medicines to support the sick. "The Health Zone had provided a small quantity of drugs already, and these have been made available cost-free for patients in the area most affected, the Bujimbila district. This was inadequate, however, and insufficient to cover the whole district. A team from Medecins sans Frontieres has also distributed drugs free of charge. According to WHO figures, this outbreak is 60-fold greater than expected.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Idiofa is a town in Kwilu District, Bandundu Province, in the Democratic Republic of the Congo. An interactive HealthMap ProMED-mail map is available at: http://healthmap.org/r/1Ahy.
It is unclear whether the medicines approved are vaccines or palliative medicines. - Mod.CP]
*******************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
*****
Congo DR (Bandundu)
Date: Mon 25 Nov 2013
Source: Radio Okapi [in French, trans. Mod.CP, edited]
http://radiookapi.net/actualite/2013/11 ... is-idiofa/
300 cases of measles have been recorded in the area of the Idiofa Health zone in the course of a month. This was announced by the Director of the Idifa Health Zone, Dr Willy Musantu on Sat 24 Nov 2013 at a meeting of committee members held last weekend in this city of the province of Bandundu.
5 of the 39 areas that make up this Health Zone have been affected by measles. These areas are: Bujimbila, Mbangi, Ingundu-Impini, Kimpata-Nkoy, and St. Lwanga. Bujimbila is the hardest hit of the 5.
The Surgeon General of the Idiofa Health Zone deplored the lack of medicines to support the sick. "The Health Zone had provided a small quantity of drugs already, and these have been made available cost-free for patients in the area most affected, the Bujimbila district. This was inadequate, however, and insufficient to cover the whole district. A team from Medecins sans Frontieres has also distributed drugs free of charge. According to WHO figures, this outbreak is 60-fold greater than expected.
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[Idiofa is a town in Kwilu District, Bandundu Province, in the Democratic Republic of the Congo. An interactive HealthMap ProMED-mail map is available at: http://healthmap.org/r/1Ahy.
It is unclear whether the medicines approved are vaccines or palliative medicines. - Mod.CP]
