Analysing the characteristics of a measles outbreak in Houaphanh province to guide measles elimination in the Lao People's Democratic Republic
| العنوان: | Analysing the characteristics of a measles outbreak in Houaphanh province to guide measles elimination in the Lao People's Democratic Republic |
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| المؤلفون: | Sisouveth Norasingh, Phanmanisone Philakong, Anonh Xeuatvongsa, Bouaphanh Khamphaphongphane, M. Phengxay, Phengta Vongphrachanh, Bounthanom Sengkeopraseuth, Siddhartha Sankar Datta, Chansay Pathammvong |
| المصدر: | Western Pacific Surveillance and Response Journal : WPSAR Western Pacific Surveillance and Response, Vol 9, Iss 3, Pp 9-15 (2018) |
| بيانات النشر: | World Health Organization, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, Adolescent, Population, Measles Vaccine, Psychological intervention, lcsh:Medicine, Measles, Disease Outbreaks, elimination, Lao PDR, Health facility, Environmental health, medicine, Humans, measles, Disease Eradication, education, Child, Non theme issue, Original Research, education.field_of_study, outbreak, business.industry, Incidence (epidemiology), lcsh:Public aspects of medicine, lcsh:R, Outbreak, Infant, lcsh:RA1-1270, General Medicine, vaccines, medicine.disease, Rash, Vaccination, Laos, Child, Preschool, Female, medicine.symptom, business |
| الوصف: | Introduction In recent years, the incidence of measles has declined in the Lao People's Democratic Republic. However, an outbreak was reported in August 2014 in Houaphanh province, which was the biggest outbreak in the country since 2008. We describe the characteristics of this outbreak and outline critical interventions for the Lao People's Democratic Republic to achieve measles elimination. Methods Fever and rash cases in the Khouan and Samtai districts with an onset date from 1 September to 25 October 2014 were investigated. Active case finding and health facility record reviews were carried out. Appropriate samples from the individuals with suspected measles were tested to confirm the diagnosis. Results A total of 265 suspected cases including 12 deaths were reported from eight villages in the Khouan and Samtai districts. Forty-five individuals tested positive for measles IgM. Most of the confirmed patients were male (n = 28, 62%), less than 5 years old (n = 23, 51%) and from the Hmong ethnic community (n = 44, 98%). The majority of the people with suspected measles (n = 213, 80%) and all the confirmed ones were unvaccinated. A measles vaccination campaign conducted in the eight affected villages resulted in 76% coverage of the targeted population. Discussion Low routine coverage and measles occurrence among unvaccinated individuals indicate underimmunized areas. The geographical and sociodemographic characteristics of this outbreak highlight the need for tailored vaccination strategies to close the immunity gap. A sensitive surveillance system that is able to detect, notify, investigate and guide response measures, including a second measles dose in the routine immunization schedule, will be essential for the Lao People's Democratic Republic to attain its measles elimination status. |
| اللغة: | English |
| تدمد: | 2094-7313 2094-7321 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a00113709558afac4eaadc84341d1081 http://europepmc.org/articles/PMC6194222 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a00113709558afac4eaadc84341d1081 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20947313 20947321 |
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