INTRODUCTION
As the Fifth leading cause of death among children less than five years, Measles is one of the most contagious human diseases that still cause large outbreaks around the world and killed an estimated 345,000 deaths in 20051. Globally, it causes about 1 million deaths annually in developing countries1. Measles is a Latin word that mean, miserable that is caused by a paramyxovirus and it is characterized by high fever 38◦C (102◦F) or more along with maculopapular rash appearing within 3 days of the infection, cough, conjunctivitis and kopik spots in the mouth of the victim1.
The disease is spread through respiratory contact with infected fluids via the mouth and/or nose. It is very contagious and mortality rate can exceed
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Success story of eradication processes have been reported in Finland and other part of Europe is several prospective studies. Widespread implementation of vaccine programs in the United States is reported to have led to greater than 99% decline in cases of Measles and Rubella and is reported that an estimated 52million cases of the disease, 17400 cases of mental retardation and 5,200 deaths were attributed to the first 20 years of licensed measles vaccination. Also an estimated 1.4 million deaths were adverted as a result of the immunization drive led by WHO and UNICEF between 1999 and 2004. Conversely, before the introduction of measles vaccination, an estimated 4 million Americans were diagnosed with measles with 48,000 hospitalization and 3,000 deaths. Also the outbreak of measles in the late 1980s and early 1990s was attributed to low immunization that resulted in 11,000 cases with 120 deaths3. Recent reported cases of measles in the United States are attributed to imported cases and unimmunized communities (i.e. Amish …show more content…
To be effective, the pro-vaccination need to lobby all governmental stakeholders at all levels for the needed political will and the financial resources needed to drive the strategy to success. They need to take advantage of all available communication channels (traditional and social media) drive the education part of the multipronged strategy. The pro-vaccination group needs to have several specialized teams that will focus on specific assigned areas and engage the stakeholders that will ensure the success of those assigned areas in alignment with the overall goal of global eradication of the measles
In the United States we are very fortunate. For the most part we do not live in fear of disease outbreaks from day to day. Our government along with the Centers for Disease Control and Public Health Departments have managed to have adults and children vaccinated and set up recommendations regarding those vaccinations. Despite all that is done our country allows freedoms. One of these freedoms is to not vaccinate your child from communicable diseases due to personal beliefs. With the worlds populations becoming more mobile, that sets your child up for dangerous encounters; because some countries are not as strict on laws regarding vaccinations and some
Measles was discovered in the 19th century by a Persian Doctor, but was not recognized until 1957 as an infectious agent in human blood by a Scottish physician. In 1912 measles became a notifiable disease and in the first decade that records were kept there was on average 6,000 deaths per year reported from the disease. (Center For Disease Control). There is no definite origination of measles but scientists believe that it dates back to the Roman Empire about the 11th and 12th century (NCBI, 2010). The first outbreak known in America was in 1657 in Boston,
Facts and figures available to study the epidemiological data for the outbreak of measles include gathering suspected and confirmed cases of this disease from the World Health Organization. This is done by gathering serum samples from all suspected cases to determine if a measles specific immunoglobulin antibody is detected. This particular disease lives in the nose and throat of the infected individual and is considered contagious for a period of four days before the rash appears and for a further four days after the sighting of the rash.
In early April 2013 a measles outbreak was discovered in North Carolina. By mid-May the outbreak had been identified in Stokes and Orange Counties via 23 active cases. Every case was linked back to a family that had spent 3 months in India and had not been vaccinated. By the 16th of April the state laboratory of Public Health was able to confirm the diagnosis, with the last known case being confirmed on May 7th. The investigation of this outbreak revealed 4 patients with a confirmed diagnosis that had received one of vaccination of the two part series. The other 19 cases had not ever been vaccinated.
Measles is virus with a single-stranded RNA and two membranes: a fusion protein that infuses into the host cell membrane and the hemagglutinin protein that absorbs the virus into the cells. The primary site for invasion is in the epithelium of the nares. Measles is highly contagious and very infectious because it is easily transmitted when an infected person coughs or sneezes. The virus can stay in the air or on surfaces for up to two hours and infect many people who inhale the infectious agent or touch a surface, then be introduced to a new host through touch to
Despite significant progress in the fight against preventable disease, millions still die needlessly each year. According to UNICEF, originally known as the United Nations International Children’s Emergency Fund, a vaccine preventable disease is responsible for 2 million fatal infections worldwide each year. About 75% of these deaths occur in children under five years of age. (N) In more vivid terms, UNICEF notes that vaccine-preventable diseases kill a child every 20 seconds. (D) Due to high rates of childhood vaccination, the United States has experienced a dramatic reduction in such deaths. A comparison of the years 1950 and 2010 clearly illustrates the benefits of vaccinations. During this 60-year period, deaths from diphtheria reduced from 410 to 0, tetanus from 336 to 3, pertussis from 1,118 to 26, and polio from 1,904 to 0. Measles deaths dropped from 468 in 1950 to 0 in 2008, the last year a United States death rate was recorded. It’s not surprising that vaccinations have been touted as one of the top ten health achievements of the 20th century by the Centers for Disease Control and Prevention (CDC).
In December of 2014, an outbreak of measles, which started in Disneyland, resulted in nearly two hundred people being sickened across the United States, Mexico, and Canada. The highly contagious respiratory disease spread for three months. Among those who contracted the illness, one developed severe pneumonia and multiple organ injury, while another suffered acute respiratory distress syndrome. So, why did an illness, which was purportedly eliminated sixteen years ago, experience a surge so dramatic that it caused more cases in 2014 than in the five preceding years combined? According to the CDC, the outbreak could be boiled down to one simple reason: “The majority of people were unvaccinated.” So while the California measles outbreak is a thing of the past, the fight to increase compliance with vaccinations continues. Although the benefits and safety of vaccinations are undisputed by the medical and scientific community, there are still sizeable groups of “anti-vaxxers” who refuse to vaccinate their children. These groups spread misconceptions, sometimes unknowingly, and become even more influential when coupled with the power of the internet and social media. Therefore, in order to increase compliance with routine vaccinations, the misconceptions of parents should be targeted, and legislation should be changed in order to prevent leniency and loopholes regarding vaccine exemptions.
a) Measles is not something of the past, nor is it a sickness constrained to creating nations. Today measles is one of the main sources of death of children around the world, regardless of the accessibility of a shabby, powerful antibody.
Measles is caused by a virus known as Paramyxovirus which is highly contagious. About 85% of people that are exposed to the virus are infected by it and about 95% of those people infected by the virus will develop an illness called measles(Carson-DeWitt
Throughout history, it has been shown that vaccines make a significant impact on the health of our communities and “administration of these vaccines led to dramatic reduction in the number of cases of, as well as deaths from smallpox, polio, diphtheria, pertussis, measles, mumps and preventable diseases” (Jacobson, 2012, p.36). Generally, those involved in campaigns for and research in these preventable diseases attribute vaccines for children as the main contributing factor to the overall decline in diseases such as measles, mumps, smallpox and pertussis (Jacobson, 2012). In the public health setting, there are many issues that threaten the health and safety of the public, not just in the local community but the nation and world-wide. One such issue, surfacing in public health, is the issue of vaccinations; those who choose to vaccinate, those who choose not to vaccinate and those who do not
Despite not having met their goal, Measles was indeed declared eliminated in 2000. The World Health Organization defines elimination as the absence of endemic cases for a period of twelve months or more, in the presence of adequate surveillance.
Now, many once-forgotten diseases are reappearing. TIME Magazine reported that “In 2014, the U.S. experienced a major outbreak of measles that totaled 383 cases and was primarily spreading among an unvaccinated Amish community in Ohio.” (Measles Outbreak) The number of cases of these diseases is going up when it can be easily prevented. Worldwide, “Measles is one of the leading causes of death among young children even though a safe and cost-effective vaccine is available.” (World Health
The Food and Drug Administration works hard to acquire the success of disease control by only approving vaccines if it is determined safe and effective for its intended use. The measles vaccine proves that the number of active cases of the disease drastically decreases after the vaccine is licensed. A ten year period displays the start, as the vaccine being licensed and within the ten years the disease has almost disappeared ("Vaccines Are Effective."). The FDA process of ensuring that any given vaccine will be effective in reducing the number of cases of the disease, has been a success and a step forward in acquiring disease control. Thus recently the first Ebola vaccine in the field shows strong protection against the lethal virus in Guinea. Researchers have been perfecting this vaccine for over ten years, mainly at the University of Texas. The vaccine was tested for the first time in 2015 using the practice of “ring-vaccination” (Seppa). Which is the practice of vaccinating all individuals around an outbreak of infectious diseases. The vaccine proved to be effective and will continue to be used. Before administering the vaccine, there were twenty new cases of Ebola a week in West Africa, now there are two or less new cases a week. There are many authoritative actions being taken every day to protect the majority of the population along with the individual from the effects
The Latin name for measles is rubeola. The pathogen which causes the disease is a paramyxovirus, which is one of a group of RNA (ribonucleic acid) viruses. Measles is a respiratory disease caused by a virus, and also comes out in a rash. The virus enters the body via the respiratory system, and grows in the cells at the back of the throat and in the cells that line the lungs, from there it then enters the blood stream and circulates the body.