Masern | Impfung empfohlen

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Südafrika - Masern
16.02.2010

Südafrika berichtet Anfang Januar einen Anstieg der Masernfälle auf bis zu 4.754 bestätigter Erkrankungen. Die Provinz Gauteng ist mit 4.000 Fällen am schwersten betroffen, zunehmende Zahlen finden sich aber auch in KwaZulu-Natal und North West Province. Auch am Westkap nehmen seit September 2009 die Masern-Erkrankungen zu. Bis Anfang Februar stiegen die Zahlen dramatisch an, 82 Fälle wurden alleine in diesem Monat gemeldet, insgesamt konnten in der Region bisher 447 Fälle nachgewiesen werden. Nach dem südafrikanischen Impfkalender wird gegen Masern im Alter von 9 Monaten und 18 Monaten geimpft, 2007 lag die Durchimpfungsrate bei 83%. Bei einer großangelegten Impfkampagne wurden bis Ende Oktober 2009 3 Millionen Menschen gegen Masern geimpft. Nach dem deutschen Impfkalender sind 2 MMR-Impfungen für alle Kinder vorgesehen. Ein fehlender Impfschutz kann auch später jederzeit, z.B. anlässlich einer Reise, nachgeholt werden. / Quelle: crm
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EASLES - AFRICA (07): SOUTH AFRICA (WESTERN CAPE), ZIMBABWE (BULAWAYO)
***********************************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

In this update:
[1] South Africa (Western Cape)
[2] Zimbabwe (Bulawayo)


******
[1] South Africa (Western Cape)
Date: Mon 1 Mar 2010
Source: Cape Times, IOL.com [edited]
<http://www.iol.co.za/index.php?from=rss ... 581C800722>


Measles cases fill wards
------------------------
Dozens of children remain in critical condition and the number of
cases in the measles outbreak continues to grow. Health officials
opened a 2nd isolation unit at Tygerberg Hospital on Friday [26 Feb
2010] as the ward at New Somerset Hospital approached capacity. It is
understood that by the weekend, 28 children had been admitted to the
New Somerset Hospital and 18 to Tygerberg. The 2 wards can
accommodate 30 patients.

On Thursday [25 Feb 2010] the Western Cape Department of Health
reported 422 confirmed cases of measles in the province. This was,
however, at odds with the records of the National Institute for
Communicable Diseases, which said on 12 Feb 2010 that there had been
517 confirmed cases in the Western Cape. The Department has brought
forward a planned immunisation campaign targeting known hot spots.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[Previously it was reported that: "Health MEC [member of the
executive council] Theuns Botha said his administration was handling
the measles issue as an "outbreak," not an "epidemic." He said a
measles and polio [vaccination] drive, which would include radio
health talks, advertorials, posters, and pamphlets, would be
fast-tracked, but could not give a timeline for this (see ProMED-mail
post: Measles - Africa (06): South Africa 20100212.0503).

A map of the provinces of South Africa showing the location of
Western Cape province can be accessed at:
<http://www.sa-venues.com/maps/south-afr ... vinces.htm>. The
HealthMap/ProMED-mail interactive map of South Africa is available
at: <http://healthmap.org/r/00vd>. - Mod.CP]

******
[2] Zimbabwe (Bulawayo)
Date: Mon 1 Mar 2010
Source: Sunday News [edited]
<http://www.sundaynews.co.zw/inside.aspx ... 5696&cat=1>


Council on high alert on measles outbreak
-----------------------------------------
A total of 8 children have died as a result of measles in Bulawayo
since the disease was 1st detected in the country early this year
[2010], it has been learnt. As a result, Bulawayo City Council's
Health Department is now on high alert in a bid to curb the further
spread of the disease.

The measles outbreak which has been reported in 28 of the country's
62 districts has reportedly claimed about 90 deaths countrywide. Of
the 1200 reported cases about 221 have been confirmed. Responding to
questions from the Sunday News the Senior Public Relations Officer,
Mrs Nesisa Mpofu, said the city was on high alert and was embarking
on a citywide immunisation and awareness drive. "To date we have got
8 confirmed cases with the 1st one being reported on 5 Jan 2010 and
the last on 22 Jan 2010, we can thus confirm that there is an
outbreak in the city and we have to be on high alert," she said. Mrs
Mpofu revealed that they had since embarked on a massive immunisation
programme that was going to see them immunising babies from their
homes. "We are going on a mop up exercise where we are now immunising
babies from their homes and to date we have covered about 5 suburbs," she said.

The suburbs that had been attended to include Nkulumane, Nketa,
Mzilikazi, Magwegwe and Luveve, with the total number of babies
immunised pegged at over 3300. Mrs Mpofu revealed that health
education to the communities was ongoing at all council-run clinics
and they had another team moving around the suburbs educating mothers
on the disease. "We have also engaged the church leadership to help
reach out to a greater scope of people. We are also grateful to some
non-governmental organisations that have come in to offer their
services for free and also providing us with the necessary
medicines," said Mrs Mpofu.

The World Health Organisation describes measles as a highly
contagious viral disease affecting mostly children, which can be
effectively prevented by immunisation. In Zimbabwe, children receive
a 1st vaccination against measles at the age of 9 months and 2nd
inoculation at 18 months.

Symptoms usually appear about 8 to 12 days after infection and
include high fever, bloodshot eyes, and tiny white spots on the
inside of the mouth. A rash also develops, starting on the face and
upper neck and gradually spreading over the body. Measles causes the
deaths of hundreds of thousands of children in developing countries annually.

Last Friday [26 Feb 2010] it was reported that more than 40 children
had died in the Midlands province. Most of the victims were children
of the Apostolic Sects who are against immunisation.

[Byline: Vusumuzi Dube]

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[This outbreak is now affecting almost the whole of Zimbabwe and is
unlikely to be confined only to certain religious groups resisting
vaccination. A more general breakdown in vaccine coverage is probably
responsible. The number of deaths (90 countrywide) is alarming.

A map showing the administrative regions of Zimbabwe showing the
location of Bulawayo can be accessed at:
<http://www.mapsofworld.com/zimbabwe/zim ... l-map.html>.
The HealthMap/ProMED-mail interactive map of Zimbabwe is available
at: <http://healthmap.org/r/00aK>. - Mod.CP]
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MEASLES - AFRICA (09): NIGERIA (BAYELSA)
***************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Wed 10 Mar 2010
Source: Vanguard [abbreviated and edited]
<http://www.vanguardngr.com/2010/03/10/4 ... a-worsens/>


Attempts to contain the spread of the outbreak of measles ravaging
some communities in the Southern Ijaw local government area of
Bayelsa state may have suffered a setback, as no fewer than 40
children have reportedly lost their lives to the ailment, with
several others in critical condition.

The affected communities include Angiama, Oporoma, Ikebiri,
Korokorosei, Opokpotuwari, Umbugbene, and Oweikoroghe, with Ondewari
being the worst hit. The Vanguard [newspaper] recalls that the
outbreak of the epidemic was first reported in January [2010] at
Oweikoroghe, in which 25 children were sent to their early graves,
prompting the state Ministry of Health to deploy health personnel to
the area. Also, a non-governmental organization, Medecins Sans
Frontieres (MSF), responded to the distress situation and deployed
its personnel to the remote community to contain the spread.

The latest scourge, which also prompted Environmental Rights Action,
ERA/Friends of the Earth Nigeria to dispatch its Bayelsa team to the
area, has reached an epidemic proportion, as children within the ages
of 2 and 4 years are reportedly dying daily in the town.

Lamenting the sad turn of events, the Secretary of Ondewari
community, Mr. Tontiemotei Yeiyei, who spoke to the ERA Field
Coordinator Alagoa Morris accompanied by some newsmen, said: "I am
over 40 years [old], and I have spent a greater part of my life in
this town. But I must confess that we have not experienced this kind
of situation before. It is not as if we have not had other health
situations that were overwhelming; there was a time we experienced a
cholera outbreak. But in all, we have not seen this type [of disease]
that has claimed the lives of so many children. Just within 2 months,
this community alone has lost about 40 children between the ages of 2
and 4 years.

[Byline: Samuel Oyadongha]

--
Communicated by:
HealthMapAlerts via
ProMED-mail <promed@promedmail.org>

[Bayelsa State is a state in southern Nigeria in the core Niger Delta
region, between Delta State and Rivers State. Its capital is Yenagoa.
The language spoken is mainly the Ijaw language. (However, like the
rest of Nigeria, English is the official language). The state was
formed in 1996 from part of Rivers State, and thus it is one of the
newest states of the Nigerian Federation. For further information,
see: <http://en.wikipedia.org/wiki/Bayelsa_State>. A map showing the
location of Bayelsa state can be accessed at:
<http://www.e-nigeria.net/bayelsa.htm>, and the HealthMap/ProMED-mail
map of Nigeria is available at: <http://healthmap.org/r/007*>.

Measles virus infection is still responsible for a large number of
deaths of children in many parts of Africa. It is clear from the
deleted portion of the text of this press report that communications
and essential infrastructure in this region have been neglected by
the central government. As a consequence, the population has had to
resort to drugs and treatments obtainable from local pharmacies in
lieu of a comprehensive measles vaccination campaign. Hopefully, the
non-governmental organisations operating in this region will be able
to provide an adequate response. - Mod.CP]
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MEASLES - AFRICA (10): SOUTH AFRICA (WESTERN CAPE)
***********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Thu 8 Apr 2010
Source: NewTime [edited]
<http://www.newstime.co.za/rs_headlines.asp?recid=4472>


The city of Cape Town is taking the initiative in the fight against
measles. The city has been the epicentre of a measles outbreak
affecting the Western Cape area. Over 1000 new cases have been
reported in the last 15 months. These have resulted in over a dozen
deaths including that of one adult.

The drive will seek to immunise over a million children in schools,
creches and clinics all across the city. The 1st round of the
campaign, starting next week, will focus mostly on children between
the ages of 6 months to 15 years. Officials have stressed that all
children should be brought for shots even if they are otherwise
up-to-date with their routine immunisations.

Officials have also decided to aim another round at older age groups
as there have been cases of infection reported outside the normal age
group for measles.

[Byline: Siyabonga Ntshingila]

--
Communicated by:
HealthMap Alerts
via ProMED-mail <promed@promedmail.org>

[The number of measles cases in Western Province has almost doubled
since the National Institute for Communicable Diseases on 12 Feb 2010
reported that there had been 517 confirmed cases of measles in the
Western Cape. The number of deaths (at least 12 children and one
adult) indicates that the outbreak is far from contained and the
prevailing situation merits the comprehensive vaccination response
envisaged. Travellers intending to visit the province, and Cape Town
in particular, should ensure that their vaccination status is appropriate.

A map of the provinces of South Africa showing the location of
Western Cape province and the city of Cape Town can be accessed at:
<http://www.sa-venues.com/maps/south-afr ... vinces.htm>. The
HealthMap/ProMED-mail interactive map of South Africa is available
at: <http://healthmap.org/r/00vd>. - Mod.CP]
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Botsuana - Masern
13.04.2010

Bei einem Masernausbruch von Oktober letzten Jahres bis Anfang 2010 wurden mehr als 150 Erkrankungen bestätigt. Die meisten Infizierten waren zwischen 10 und 20 Jahre alt. Durch die Nähe zu Simbabwe, wo die Krankheit sich mittlerweile in allen Provinzen ausgebreitet hat, befürchten die Gesundheitsbehörden nun einen erneuten Ausbruch. Nach dem deutschen Impfkalender sind 2 MMR-Impfungen für alle Kinder vorgesehen. Ein fehlender Impfschutz kann auch später jederzeit, z.B. anlässlich einer Reise, nachgeholt werden. / Quelle: crm
__________________

Simbabwe - Masern
13.04.2010

Die Masern-Epidemie in Simbabwe hat sich mittlerweile auf alle 10 Provinzen ausgeweitet. Die offiziellen Zahlen belaufen sich auf 2.000 Fälle und 200 Todesfälle, mit einer hohen Dunkelziffer ist zu rechnen. Nach dem deutschen Impfkalender sind 2 MMR-Impfungen für alle Kinder vorgesehen. Ein fehlender Impfschutz kann auch später jederzeit, z.B. anlässlich einer Reise, nachgeholt werden. / Quelle: crm
___________________

Südafrika - Masern
13.04.2010

Kapstadt ergreift mit ausgedehnten Impfkampagnen Maßnahmen zur Kontrolle der Masern-Epidemie, welche in der westlichen Kap-Gegend wütet. In den letzten 15 Monaten waren über 1.000 neue Fälle aufgetreten, incl. 12 Todesfällen (davon 1 Erwachsener). Nach dem deutschen Impfkalender sind 2 MMR-Impfungen für alle Kinder vorgesehen. Ein fehlender Impfschutz kann auch später jederzeit, z.B. anlässlich einer Reise, nachgeholt werden. / Quelle: crm
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MEASLES - AFRICA (11): ZAMBIA
*****************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Sat 10 Apr 2010
Source: allAfrica.com [edited]
<http://allafrica.com/stories/201004120604.html>


Measles Breaks Out in Lusaka, Zambia
------------------------------------
A measles outbreak has hit the University Teaching Hospital (UTH) and
4 other health centres in Lusaka. According to sources at the
Ministry of Health the cases of measles have increased to 86 in the
last 3 months -- January to April 2010 -- with UTH recording the
highest number of infected children.

"UTH has been recording an increase in the number of measles cases,
from only 2 admissions in January, to over 20 cases as of 6 Apr
2010," a source said. Chawama had 36 cases, Kanyama 6, Mandevu 4,
while Makeni recorded 3 cases. The sources added that the highest
number of cases recorded at the UTH was in March 2010 when admissions
reached 37. Since the beginning of April, 22 admissions had been
recorded.

A source attributed the current measles outbreak to the failure by
health centres in Lusaka to carry out effective immunisation of
children. "It could be because of limited financial resources, poor
road networks in hard-to-reach areas, and inadequate manpower," the
source explained. Only 13 out of the 24 health centres in Lusaka were
carrying out immunisation campaigns.

The most affected age group was between 9 months and 5 years.
However, the youngest casualty is a 3-month-old baby. Out of the
total number of infected children in Lusaka, 41 are suspected not to
have been immunised against the virus.

Lusaka District Health Management Team officials held an emergency
meeting during the week to whip up interventions to stop the outbreak
from escalating. Ministry of Health spokesperson Kamoto Mbewe said he
did not have the details on the outbreak but the Ministry was still
compiling data. But UTH public relations officer Pauline Mbangweta
yesterday confirmed the cases of measles at UTH and most of the
admissions were as a result of referrals from health centres. She
cited Chawama as having the highest number of referred cases to UTH.
However, Ms Mbangweta could not give exact figures of the current
admissions, but said there were no deaths as a result of the outbreak.

--
Communicated by>
HealthMap Alerts via
ProMED-mail

[The ages of the patients suggests that this outbreak is affecting
mainly children who have not received protective vaccination or are
only partially vaccinated. A map of Lusaka, showing the location of
the UTH, can be accessed at:
<http://mappery.com/maps/Lusaka-Tourist- ... mthumb.jpg>. The
HealthMap/ProMED-mail interactive map of Zambia is available at:
<http://healthmap.org/r/017q>.

Currently outbreaks of measles virus infection are occurring
throughout Africa (see ProMED-mail archived reports below) and
elsewhere in the world, to such a degree that the US CDC (Centers for
Disease Control and Prevention) has issued an updated Travel Advice
statement updated to 13 Apr 2010.

"Because of the risk of measles in both developed and developing
countries (particularly South Africa and the Philippines), all
international travelers should be up to date on immunizations,
regardless of the travel destination. In addition, expatriates should
make sure they are vaccinated against measles, especially in areas
where outbreaks are occurring." This document should be consulted for
background information on the disease, the availability of vaccine
and risk assessment (see:
<http://wwwnc.cdc.gov/travel/content/in- ... asles.aspx>. -
Mod.CP]
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MEASLES - AFRICA (09): ZIMBABWE
*******************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 16 Apr 2010
Source: ZimOnline [edited]
<http://www.zimonline.co.za/Article.aspx?ArticleId=5946>


The World Health Organization (WHO) and the Zimbabwe government have said
that a measles outbreak first announced last September [2009] has now
spread to 48 districts in the country, in a country where the public health
system remains fragile after years of economic recession and political turmoil.

According to the joint report by WHO and Zimbabwe's Health Ministry
released on Wednesday [14 Apr 2010], so far more than 200 people have died,
with most of the cases among members of religious groups that shunned
conventional medical treatment.

"The number of districts with suspected measles outbreaks has risen by 9 to
48 districts," the report said, adding that "3285 suspected cases and 200
deaths, of which 192 were community deaths, were reported since the start
of the outbreak in September 2009."

United Nations agencies and the Zimbabwe government in March [2010]
appealed for more than USD 8 million to combat the measles outbreak they
said had "reached crisis proportions" and was spinning out of control.

Zimbabwe's health system was once one of the best in Africa but collapsed
as a severe recession over the past decade meant the government was unable
to build new hospitals or maintain existing ones, while poor salaries drove
the best trained doctors and nurses abroad where pay and working conditions
are better.

The measles outbreak comes barely 12 months after a cholera epidemic --
described by WHO as the worst in Africa in more than 15 years -- claimed
close to 5000 lives, as bankrupt local authorities failed to supply clean
drinking water to residents or provide garbage collection services. The
cholera epidemic was only brought under control after international aid
agencies moved in with water treatment chemicals as well as medicines and
health support staff to treat the disease.

Zimbabwe's power-sharing government between President Robert Mugabe and
Prime Minister Morgan Tsvangirai has promised to rebuild the economy and
restore basic services such as water supplies, health and education. But
the administration has found it hard to undertake any meaningful
reconstruction work after failing to get financial support from rich
western nations, which insist they want to see more political reforms
before they loosen the purse strings.

--
communicated by:
ProMED-mail <promed@promedmil.org>

[The previous report from Zimbabwe, dated 1 Mar 2010, indicated that the
measles outbreak then affected 28 of the 62 administrative districts of
Zimbabwe. At that time, it was estimated that there were about 1200 cases
and 90 deaths. Six weeks later, the number of affected districts has
increased to 48, and the numbers of cases and fatalities are now estimated
as 3285 and 200, respectively.

Little progress appears to have been made in containment of the outbreak,
and it seems unlikely that the problem can be attributed solely to
"religious groups that shunned conventional medical treatment".

A map showing the administrative regions of Zimbabwe can be accessed at
<http://www.mapsofworld.com/zimbabwe/zim ... l-map.html>. The
HealthMap/ProMED-mail interactive map of Zimbabwe is available at
<http://healthmap.org/r/00aK>. - Mod.CP]
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MEASLES - AFRICA (13): MALAWI
*****************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Wed 21 Apr 2010
Source: AfricaNews [edited]
<http://www.africanews.com/site/Malawi_h ... ages/31471>


Malawi has been hit by a measles outbreak, which currently has affected
over 1400 people. Meanwhile the country's Ministry of Health has sounded an
alarm that it's soliciting an amount of 615 million Malawi Kwacha (about
USD 4.1 million) to vaccinate over 6 million children.

The outbreak has mostly affected the southern part of the country with its
commercial city of Blantyre registering the highest number of cases at 626.
One of the districts in the northern part of the country -- Mzimba -- is
2nd, with 365 cases. Media reports in the southern African country said
that the Ministry of Health has since declared measles outbreak a disaster.

The country's local daily The Daily Times quoted principal secretary of
health Chris Kang'ombe as saying that, according to World Health
Organization guidelines, measles vaccination is conducted after every 3
years. "We were supposed to conduct the exercise next year [2010], but this
is an outbreak so the exercise will be done this year [2009]," said Kang'ombe.

Measles is an infection of the respiratory system caused by a virus,
specifically a paramyxovirus of the genus _Morbillivirus_. Morbilliviruses,
like other paramyxoviruses, are enveloped, single-stranded, negative-sense
RNA viruses. Symptoms include fever, cough, runny nose, red eyes, and a
generalized, maculopapular, erythematous rash. Measles sometimes known as
English measles [as opposed to rubella or German measles - Mod.CP] is
spread through respiration (contact with fluids from an infected person's
nose and mouth, either directly or through aerosol transmission), and is
highly contagious -- 90 per cent of people without immunity sharing a house
with an infected person will catch it.

[byline: Sam Banda Jr]

--
communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[Malawi joins the list of African countries currently affected by large
outbreaks of measles virus infection. Control of measles virus infection by
vaccination remains a challenge throughout Africa, even in the best
organised countries.

The HealthMap/ProMED-mail interactive map of Malawi can be accessed at
<http://healthmap.org/r/01am>. - Mod.CP]
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MEASLES - AFRICA (14): WEST, CENTRAL
************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 23 Apr 2010
Source: UN New Centre [edited]
<http://www.unicef.org/media/media_53399.html>


Funding gap threatens response to child measles outbreak in West, Central
Africa

--------------------------------------------------------------------------------

Countries in West and Central Africa have been hit by a measles outbreak
affecting more than 22 000 children [22 364 cases and 185 deaths in 2010 as
of 28 Mar 2010 - Mod.CP], with a shortage of resources for immunizations
threatening to roll back progress on curbing child mortality in the region,
the United Nations Children's Fund (UNICEF) has warned. A funding shortfall
of USD 16 million for follow-up vaccination campaigns jeopardizes the
health of children in Africa, including the 16 nations [see below] in the
throes of the latest outbreak, according to the agency.

In most West and Central African countries, only 80 per cent or less of
their populations have been immunized, short of the 95 per cent recommended
by the UN World Health Organization (WHO). "Such a figure means they can
expect to have large, sustained outbreaks every 3 to 4 years" said the
agency's regional director for Africa, Luis Gomes Sambo. Nearly 200 child
deaths from measles have been reported in the 16 nations affected by the
outbreak in the past year. "We fail to vaccinate every child. That is why
we have a pool of susceptible victims which builds up as a perfect breeding
ground for measles outbreaks," according to UNICEF's Director for West and
Central Africa, Gianfranco Rotigliano.

Measles [is] among the world's most contagious diseases, easily spread
through coughing or sneezing, and is one of the leading causes of death
among children around the world. Last year [2009], a major outbreak in
Burkina Faso killed 340 people and caused more than 50 000 to get sick,
while more than 16 000 other cases and 68 deaths were reported in Benin,
Guinea, Mali, Niger, and Senegal.

The UN has sought to slash deaths from measles by 90 per cent in the decade
between 2000 and 2010, but the world body's agencies stressed that if
nothing is done to counter the resurgence of the disease, progress made so
far will be reversed. "The funding gap must be met so that countries can
continue to undertake large-scale campaigns to prevent child deaths and
sustain the gains," Mr Sambo of WHO said. "Reaching the 2010 goal will also
require strengthening routine immunization and disease surveillance systems
to rapidly detect and control outbreaks." Immunization and follow-up
vaccination campaigns, funding permitting, are planned this year in Burkina
Faso, Congo, Central African Republic, Democratic Republic of the Congo,
Gabon, Ghana, Mali, Mauritania, Niger, Nigeria, Senegal, and Togo.

--
communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[The countries of West and Central Africa comprise Burkina Faso Cameroon,
Cape Verde, Central African Republic, Chad, Congo, Congo DR. Cote d'Ivoire,
Equatorial Guinea, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Liberia,
Mali, Mauritania, Niger, Nigeria, Sao Tome and Principe, Senegal, Sierra
Leone, and Togo.

The 16 countries affected by measles outbreaks, as of 28 Mar 2010, are
Benin (85 cases, 0 deaths), Burkina Faso (1258 cases, 10 deaths), Central
African Republic (31 cases, 0 deaths) Cote d'Ivoire (491 cases, 3 deaths),
Cameroon (1338 cases, 6 deaths), Chad (5832 cases, 79 deaths), RD Congo
(3976 cases, 13 deaths), Guinea (1,013 cases, 2 deaths), Mauritania (863
cases, 9 deaths), Liberia (1341 cases, 34 deaths), Mali (774 cases, 1
death), Niger (352 cases, 1 death), Nigeria (3804 cases, 26 deaths),
Senegal (560 cases, 0 deaths), Sierra Leone (351 cases, 1 deaths), and Togo
(295 cases, 0 deaths).

For further details see <http://www.unicef.org/media/media_53399.html>. The
HealthMap/ProMED-mail interactive map of Africa can be accessed at
<http://healthmap.org/r/0035>. - Mod.CP]
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MEASLES - YEMEN: (SAADA)
***********************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Sun 2 May 2010
Source: SABA, Yemen News Agency [edited]
<http://www.sabanews.net/en/news213175.htm>


Yemen's Health Ministry has warned of a measles epidemic in Saada
province, voicing fears of [possible deaths] due to measles
complications.

A report on the current situation in the province issued by the
Ministry said that [the number] of confirmed cases have reached 157
since the beginning of 2010, including 27 cases discovered among IDPs
(Internally Displaced Persons) in both Amran and Hajjah provinces and
113 cases in Sa'ada [province]. Other cases have been discovered in
other provinces.

The independent website Newsyemen said on Saturday [1 May 2010] that
all vaccination activities have been suspended due to the war in the
province, including vaccination of children who are at risk of
infectious diseases such as measles. The Health Ministry plans to
[improve the situation] by giving measles vaccine to IDPs under 15
years of age in collaboration with local authorities in the
neighboring provinces.

In 2008, the number of measles cases had declined to 8 cases, and
[no] deaths have been recorded since 2007, the report showed.

Measles [had been] the 4th cause of death among young children in
Yemen. The country was [preparing] to announce [eradication] of the
disease in 2010, but the campaign has been interrupted because of the
war.

--
Communicated by:
HealthMap Alerts via
ProMED-mail <promed@promedmail.org>

[A map of the provinces and cities of Yemen can be accessed at:
<http://www.citypopulation.de/Yemen.html#Land>. The
HealthMap/ProMED-mail interactive map of Yemen is available at:
<http://healthmap.org/r/01fw>. - Mod.CP]
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Re: Masern | Impfung empfohlen

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MEASLES - AFRICA (15): MALAWI
*****************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Mon 10 May 2010
Source: Africanews.com [edited]
<http://www.africanews.com/site/Measles_ ... ages/31868>


Measles attacks 3026, kills 8 in Malawi
---------------------------------------
An outbreak of measles in Malawi has [affected] over 3000 people and
killed 8 in Blantyre [the commercial capital in the south] alone. A
total of 26 cases have been recorded by Monday [10 May 2010] in
Mwanza and Neno districts. Last week health officials announced it
would require USD 4.1 million to vaccinate over 6 million children countrywide.

The situation has forced the government to jump the gun and implement
its 3-year interval measles civic education and vaccination campaign
to kick start immediately. 4 districts in Malawi's Southern region,
including Blantyre, are now [involved in] a crash programme. Last
week campaigns were rolled out in the Blantyre, Chiradzulu and Mzimba
districts.

Deputy Minister of Health Theresa Mwale said: "With assistance from
Medecins sans Frontieres (MSF), France and Belgium, we have rolled
out this vaccination campaign. We are mainly targeting children below
15." She called on all people to go for the vaccination.

Symptoms include a rash, running nose, temperature, and red eyes. In
Mwanza alone 13 cases have been recorded and 11 in Neno district in
the Southern region "Vaccination has already [been] rolled out in hot
spot areas but there is need to cover the entire districts as soon as
we can," said Mwanza District Health officer, Dr. Frank Sanyizi.

In a related scenario, 2 children died of measles last week in
over-populated Chinsapo residential area just some 15 kilometres [9.3
miles] away from the main referral Kamuzu Central Hospital, and 3
kilometres [1.9 miles] from the Catholic run Likuni Hospital in the
capital city, Lilongwe. Both the official and non-official figures
currently list 3026 sick and 8 fatalities. Cases from other districts
across the country continue to be [reported].

[Byline: Mtheto Lungu]

--
Communicated by:
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[The number of confirmed cases of measles in Malawi has increased
from more than 1400 reported on 27 Apr 2010 to the current figure of
at least 3026. It seems likely that the current situation, as
elsewhere in Africa, is a consequence of the inability of
the economy of the country to sustain a routine vaccination programme.

A map of Malawi delineating the regions of the country can be accessed at:
<http://www.nationsonline.org/oneworld/m ... wi_map.htm>. The
HealthMap/ProMED-mail interactive map of Malawi is available at:
<http://healthmap.org/r/01am>. - Mod.CP]
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MEASLES - AFRICA (16)
*********************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 18 Jun 2010
Source: The Gazette, Agence France-Presse (AFP) report [edited]
<http://www.montrealgazette.com/health/M ... story.html>


Measles outbreak kills more than 700 in Africa

----------------------------------------------
A recent measles outbreak in eastern and southern Africa has killed more
than 700 people, threatening to reverse gains made over several years to
stem the disease, the United Nations said on Friday [18 Jun 2010]. "As of
mid-June 2010, the outbreak has affected more than 47 907 children in 14
countries, resulting in 731 deaths. The most recent confirmed measles
outbreaks were reported from Malawi, Mozambique, and Zambia," the statement
said. The worst affected country is Zimbabwe with 517 reported deaths.

The UN Children's Fund (UNICEF) and the World Health Organization warned
that the outbreak "has put recent gains in reducing mortality due to this
highly contagious disease at risk of being reversed."

The statement said that control strategies, including routine
immunisations, recommended by the 2 UN agencies in recent years needed to
be more rigorously implemented. "The current wave of measles outbreaks
comes as a result of gaps in the implementation of the control strategies.
These gaps have been caused by inadequate financial commitments from
governments and partners," it said. "Measles is easily preventable. In
order to sustain our efforts and successes in combating the disease, we
urgently need to fill the funding gaps. Otherwise, we will again see more
measles deaths in the near future," said Elhadj As Sy the UNICEF regional
director for Eastern and Southern Africa. Measles can cause severe
complications such as pneumonia, diarrhea and encephalitis.

--
communicated by:
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[According to the United Nations Foundation
(<http://www.unfoundation.org/our-solutio ... nitiative/>)
since 2001, the Measles Initiative -- a partnership led by the American Red
Cross, the United Nations Foundation, the US Centers for Disease Control
and Prevention, UNICEF, and the World Health Organization -- has helped
reduce measles deaths by 78 per cent globally and 89 per cent in Africa
(compared to 2000). Working closely with national governments and local
communities, the partnership has supported the vaccination of more than 700
million children in more than 60 countries. In response to an expected
funding gap in 2009, [the Measles Initiative is] jointly committing with
the Vodafone Foundation USD 6 million over 3 years to support continued
vaccination efforts. The funding will bolster childhood immunizations
worldwide, helping the Initiative to reach the United Nations' goal of
reducing measles deaths globally by 90 per cent by 2010.

The African Region of the World Health Organization (WHO) had attained 92
per cent reduction in measles mortality between 2000 and 2008 through the
implementation of these strategies, with the support from the Measles
Initiative. However this success is now imperiled by a funding gap,
changing priorities, and local maladministration and political strife. -
Mod.CP]
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MEASLES - AFRICA (17): MALAWI
****************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Thu 17 Jun 2010
Source: Zhu Manjun International Agency [machine trans. of the original
Chinese text, edited]
<http://news.google.com/news/url?fd=R&sa ... XuIELWT-mQ>


The Malawi Ministry of Health released data today [Thu 17 Jun 2010] showing
that the country now has reported 12 000 measles cases and 70 deaths. The
government of Malawi has scheduled July 2010 as the start date for
vaccination of all children aged 6 months to 15 years. As the epidemic has
spread much faster than previously expected, the Ministry of Health has
decided on immediate implementation of a vaccination campaign.

Outbreaks of measles have occurred recently in the neighboring states of
Zimbabwe, Malawi, and Tanzania.

Measles is a common childhood acute respiratory disease, highly contagious,
but which can be contained by a comprehensive vaccination programme.

[byline: Zhang Fang]

--
communicated by:
HealthMap Alerts via
ProMED-mail <promed@promedmail.org>

[As elsewhere in eastern and southern Africa in the past year, there has
been a resurgence of measles virus infection following relaxation of
childhood vaccination programmes due to funding and other problems (see
ProMED-mail post: Measles - Africa (16) 20100619.2063).

In Malawi since Mon 10 May 2010, the number of cases of measles has
increased from 3026 to the current figure of about 12 000 with 70
fatalities. It is hoped that the resumption of comprehensive childhood
vaccination about to be implemented by the Malawi healthcare authorities
will reverse the current resurgence of measles virus infection.

A map of Malawi showing its geographical location can be accessed at
<http://www.nationsonline.org/oneworld/m ... wi_map.htm>. The
HealthMap/ProMED-mail interactive map of Malawi is available at
<http://healthmap.org/r/01am>. - Mod.CP]
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Deutschland - Masern
21.06.2010

Seit Jahresbeginn bis einschließlich der Ende Mai wurden dem RKI 359 Masern-Fälle gemeldet. Die meisten kamen aus Nordrhein-Westfalen (119), gefolgt von Berlin (74), Baden-Württemberg (72) und Bayern (30). Der Impfstatus sollte bei Kindern, aber auch Jugendlichen und Erwachsenen überprüft und ggf. ergänzt werden. / Quelle: crm
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MEASLES - AFRICA (18 ): WEST, SOUTHERN
*************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Mon 21 Jun 2010
Source: Medical News Today, UNICEF report [edited]
<http://www.medicalnewstoday.com/articles/192405.php>


WHO And UNICEF Concerned About Measles Outbreak In Eastern And Southern Africa
------------------------------------------------------------------------------
A steep increase in cases of measles in Eastern and Southern Africa
has put recent gains in reducing mortality due to this highly
contagious disease at risk of being reversed. As of mid-June 2010,
the outbreak has affected more than 47 907 children in 14 countries,
resulting in 731 deaths. The most recent confirmed measles outbreaks
were reported from Malawi, Mozambique and Zambia.

The measles control strategies being implemented in the region
include: a 1st dose measles immunization through routine infant
immunization programmes; a 2nd opportunity measles vaccination to
children during supplemental immunization activities (SIAs) or during
a routine service delivery schedule during the 2nd year of life; high
quality disease surveillance supplemented with laboratory
confirmation; and case management.

In order to ensure protection from outbreaks, at least 90 percent of
all children in each district and at national level need to be
vaccinated through routine immunization. 2 doses of the vaccine are
recommended to ensure immunity, since about 15 percent of children
vaccinated at 9 months, fail to develop immunity from the 1st dose.
The African Region of the World Health Organization (WHO) has
attained 92 percent reduction in measles mortality between 2000 and
2008 through the implementation of these strategies, with the support
from the Measles Initiative.

The current wave of measles outbreaks comes as a result of gaps in
the implementation of the control strategies. These gaps have been
caused by inadequate financial commitments from governments and
partners. Due to these shortfalls, routine immunization coverage has
declined and in some districts it was not possible to reach all
children. Moreover, in some countries (Malawi, Mozambique, South
Africa, Swaziland and Zimbabwe) certain groups of the population
refuse to immunize their children. In 2009, more than 2.4 million
children in the Eastern and Southern Africa sub-region (20 percent of
all children younger than one year) were not reached by routine immunization.

Measles is among the world's most contagious diseases, which can
cause severe complications such as pneumonia, diarrhea and
encephalitis, among others, and death. It can easily spread through
coughing and sneezing.

With technical support from UNICEF, the WHO and other partners and
the generous financial support from the Central Emergency Response
Fund (CERF), the UK Department for International Development (DFID),
the European Union and other international and local partners,
countries affected by the recent outbreaks are conducting proper
outbreak investigations, providing appropriate case management,
conducting response vaccination campaigns at various scales and
working to strengthen routine immunization and disease surveillance.

Most countries have conducted limited response vaccination campaigns
to stem the outbreaks. South Africa, for example, launched a measles
vaccination campaign on 12 Apr 2010 for children aged 6 months to 15
years after facing a huge measles outbreak in 2009/2010, and Zimbabwe
followed from 24 May to 2 Jun 2010.

Other affected countries (Lesotho, Malawi and Zambia) are planning to
conduct supplemental immunization activities as well, but funding has
not yet been secured. Similarly, Comoros, Ethiopia and Madagascar
have planned to schedule follow up supplemental immunisation
activities in 2010. However, these countries are experiencing large
funding gaps which will compromise the quality of the SIAs.

"Measles IS easily preventable. In order to sustain our efforts and
successes in combating the disease, we urgently need to fill the
funding gaps. Otherwise, we will again see more measles deaths in the
near future," said UNICEF Regional Director for Eastern and Southern
Africa, Elhadj As Sy.

"To eliminate the risk of resurgence, countries must continue
follow-up vaccination campaigns every 2 to 4 years until their health
care systems can routinely provide 2 doses of measles vaccination to
all children and provide treatment for the disease," said WHO
Regional Director for Africa, Dr Luis Gomes Sambo.

Update on the measles outbreak in the affected countries in Eastern
and Southern Africa (data as of 15 June 2010):
Zimbabwe (8173 cases, 517 deaths)
Zambia (817 cases, 33 deaths)
Tanzania (20 cases, 1 death)
Swaziland (529 cases, 0 death)
South Africa (15 520 cases, 18 deaths)
Namibia (3722 cases, 58 deaths)
Mozambique (434 cases, 0 death)
Lesotho (2406 cases, 28 deaths)
Kenya (295 cases, 0 death)
Ethiopia (2108 cases, 8 deaths)
Botswana (1048 cases, 0 death)

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[The overall case fatality rate of is 1.53 percent, ranging from less
than 0.1 percent in Botswana and less than 0.2 percent in Swaziland
to 4 percent in Zambia and 5 percent in Tanzania. The reasons for
this divergence possibly reflect varying standards of health care in
individual countries of the region, and perhaps influence of other
factors such as the prevalence of HIV infection. - Mod.CP]
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