Outbreak Of Measles

[Malcolm Graham]

http://www.philstar.com/headlines/2014/01/06/1275567/doh-measles-outbreak-mm

 

[Medic Mike]

http://www.philstar.com/headlines/2014/01/06/1275567/doh-measles-outbreak-mm

That does not surprise me. I had a feeling it was going to make its way to the Philippines. A few weeks ago I had several patients come back from R&R from Bali, they all ended up having the measles, and I had to send them home to Perth. Found out later that Bali was having an outbreak.

[Call me bubba]

http://www.philstar.com/headlines/2014/01/06/1275567/doh-measles-outbreak-mm

 

personal note that even as adults the vaccinations we had years ago ,the effect may have weaken or no longer can protect us.

in a previous topic i have discuss VACCINATIONS  

http://www.philippines-expats.com/topic/11809-have-you-had-your-vaccinations-updated

 

MANILA, Philippines -

The Department of Health (DOH) has declared an outbreak of potentially deadly measles in several districts in at least nine cities in Metro Manila.

The outbreak was declared over the weekend in Quiapo, Sampaloc, Tondo, Binondo, Sta. Cruz, Port Area and Sta. Mesa in Manila;

Dagat-Dagatan and Bagong Barrio in Caloocan City;

Talon 5, Talon 2, and Pamplona Uno in Las Piñas;

and Longos and Tonsuya in Malabon.

Outbreaks were also detected in Alabang and Putatan in Muntinlupa;

North Bay Boulevard South in Navotas;

Moonwalk and Don Bosco in Parañaque;

Bagong Tanyag in Taguig, and Ugong in Valenzuela.

(these areas are mostly squatter or very poor)

 

Records of the DOH’s National Epidemiology Center (NEC) show that from Jan. 1 to Dec. 14, 2013, there were 1,724 measles cases, including 21 deaths.

(another news report had stated many more than 21deaths)

A majority of the cases were in Metro Manila.

The DOH is embarking on a massive measles vaccination drive in Metro Manila to stop the outbreak.

Health Assistant Secretary Eric Tayag said the DOH would meet today with local government health officials and civil society groups in Metro Manila to plan an intensified measles vaccination in the metropolis.

 

Tayag noted that a single measles case can infect up to 18 other individuals compared to only five for human immunodeficiency virus and three for flu.

“A person who enters a room where a person with measles has just left, can still get measles as the virus can live up to two hours outside the host body,” Tayag said.

 

“Most children with measles easily recover,

but the illness can kill because of pneumonia,

acute diarrhea with severe dehydration or acute encephalitis,” he added.

 

Since measles is a highly contagious disease,

Tayag stressed that vaccination must be done swiftly.

Health officials said there is a need for a door-to-door vaccination drive to protect the public against measles, especially children, pregnant mothers and immuno-compromised individuals.

 

The DOH intends to vaccinate as many children as possible to ensure the country remains on track in eliminating measles by 2017.

“Measles elimination can be achieved if measles vaccine coverage is at least 95 percent in every district,” Tayag said.

 

another news report had stated that by 2008 that measles would have been eliminated

 

here is another article

 

just a few article highlights

 

Binay believes that the DOH may have failed to meet its target in providing the needed immunization for children and adults since measles should have been eliminated in 2008 or 10 years after the government's "Ligtas Tigdas" measles immunization program was launched.

 

The senator said "somewhere along the way, someone had abandoned" the program, which involves mass vaccination of children aged nine months to 15 years to achieve a zero-measles target in 2008.

 

"The billion peso question here is, 'Anyare?' What happened to the vaccines the government bought in the last 15 years? Nagamit ba ang mga ito? Nag-expire na lang ba? Ilang mga bata ang napabakunahan? Bakit walang follow-up? Sino bang mga ahensya ang katulong ng DOH dito?"

Binay said in a statement over the weekend.

 

http://www.philstar.com/nation/2014/01/06/1275715/nancy-binay-asks-doh-amid-measles-outbreak-anyare

 

for those who have young children or help the extended family. maybe this can be a gift

 that help save both $$ and a life

 

The DOH warned the public not to underestimate the effects of measles and told parents to get their children vaccinated immediately since the government is giving free vaccinations throughout the country.

 

http://www.abs-cbnnews.com/nation/01/02/14/surge-measles-cases-alarms-doh

 

later today I will visit the local health office and inquire on this,

afterwards I will give my feed back

Edited January 6, 2014 by Pittman apartments Sgn

[Medic Mike]

 

http://www.philstar.com/headlines/2014/01/06/1275567/doh-measles-outbreak-mm

 

personal note that even as adults the vaccinations we had years ago ,the effect may have weaken or no longer can protect us.

in a previous topic i have discuss VACCINATIONS  

http://www.philippines-expats.com/topic/11809-have-you-had-your-vaccinations-updated

 

MANILA, Philippines -

The Department of Health (DOH) has declared an outbreak of potentially deadly measles in several districts in at least nine cities in Metro Manila.

The outbreak was declared over the weekend in Quiapo, Sampaloc, Tondo, Binondo, Sta. Cruz, Port Area and Sta. Mesa in Manila;

Dagat-Dagatan and Bagong Barrio in Caloocan City;

Talon 5, Talon 2, and Pamplona Uno in Las Piñas;

and Longos and Tonsuya in Malabon.

Outbreaks were also detected in Alabang and Putatan in Muntinlupa;

North Bay Boulevard South in Navotas;

Moonwalk and Don Bosco in Parañaque;

Bagong Tanyag in Taguig, and Ugong in Valenzuela.

(these areas are mostly squatter or very poor)

 

Records of the DOH’s National Epidemiology Center (NEC) show that from Jan. 1 to Dec. 14, 2013, there were 1,724 measles cases, including 21 deaths.

(another news report had stated many more than 21deaths)

A majority of the cases were in Metro Manila.

The DOH is embarking on a massive measles vaccination drive in Metro Manila to stop the outbreak.

Health Assistant Secretary Eric Tayag said the DOH would meet today with local government health officials and civil society groups in Metro Manila to plan an intensified measles vaccination in the metropolis.

 

Tayag noted that a single measles case can infect up to 18 other individuals compared to only five for human immunodeficiency virus and three for flu.

“A person who enters a room where a person with measles has just left, can still get measles as the virus can live up to two hours outside the host body,” Tayag said.

 

“Most children with measles easily recover,

but the illness can kill because of pneumonia,

acute diarrhea with severe dehydration or acute encephalitis,” he added.

 

Since measles is a highly contagious disease,

Tayag stressed that vaccination must be done swiftly.

Health officials said there is a need for a door-to-door vaccination drive to protect the public against measles, especially children, pregnant mothers and immuno-compromised individuals.

 

The DOH intends to vaccinate as many children as possible to ensure the country remains on track in eliminating measles by 2017.

“Measles elimination can be achieved if measles vaccine coverage is at least 95 percent in every district,” Tayag said.

 

another news report had stated that by 2008 that measles would have been eliminated

 

here is another article

 

just a few article highlights

 

Binay believes that the DOH may have failed to meet its target in providing the needed immunization for children and adults since measles should have been eliminated in 2008 or 10 years after the government's "Ligtas Tigdas" measles immunization program was launched.

 

The senator said "somewhere along the way, someone had abandoned" the program, which involves mass vaccination of children aged nine months to 15 years to achieve a zero-measles target in 2008.

 

"The billion peso question here is, 'Anyare?' What happened to the vaccines the government bought in the last 15 years? Nagamit ba ang mga ito? Nag-expire na lang ba? Ilang mga bata ang napabakunahan? Bakit walang follow-up? Sino bang mga ahensya ang katulong ng DOH dito?"

Binay said in a statement over the weekend.

 

http://www.philstar.com/nation/2014/01/06/1275715/nancy-binay-asks-doh-amid-measles-outbreak-anyare

 

for those who have young children or help the extended family. maybe this can be a gift

 that help save both $$ and a life

 

The DOH warned the public not to underestimate the effects of measles and told parents to get their children vaccinated immediately since the government is giving free vaccinations throughout the country.

 

http://www.abs-cbnnews.com/nation/01/02/14/surge-measles-cases-alarms-doh

 

later today I will visit the local health office and inquire on this,

afterwards I will give my feed back

 

That information in regards to the MMR (mumps, rubella, and measles) vaccine is not all together correct. I completed my infectious disease units not long ago, so I know this information is up to date.

 

- Aprox 95% of patients that receive the shots for MMR, will be immune to mumps, rubella, and measles. Once immune, this not wear off, shots given for viral illness do not wear off if patient becomes immune.

 

- the other 5% usually need a seond shot for their immune system to kick in, these 5% are the reason people think these immunisation shots wear off. Most people don't get a blood test to make sure that the 1st shot made them immune. This is more often done for Hep B, etc.

 

- in addition, most people born before 1957 usually are immune to the disease because of natural selection of somatic and germ cells in their system. However, this is not a hard and fast rule, especally when it comes to rubella, rubella is a whole other kettle of fish. For that reason, this generation usually gets the MMR shot anyways.

 

- now for us old guys that were born in the 60's, this is where the issue becomes murky. When I got my shot in 1961 they reguarly gave the live measles vacine, this was always found to be 100% effective. However, in the late 60s worldwide, the inactive measle vaccine was tried with very mixed results, as a result a lot of pateints did not aquire immunity. You may ask why did they try the inactive vaccine....as all you parents know...usually when your infant gets the MMR...they also get a little bit of a fever for a day or two.....this was one of the things the researcher back in the day tried to get around by using this inactive vaccine.

 

I hope my 2 cents there makes sense to everyone :)

 

The short answer is: if you know you had the live MMR shot, you have nothing to fear from measles,

[Jollygoodfellow]

Pinoy hip-hop dancer spreads measles in Australia: 

 

http://www.philstar.com/pinoy-worldwide/2014/01/06/1275761/pinoy-hip-hop-dancer-spreads-measles-australia-reports

[earthdome]

I expect that anyone who served in the US military got vaccinations for almost everything whether they needed them or not.

 

I still recall waiting in line for those pneumatic shots in the arm during bootcamp.

[Medic Mike]

I expect that anyone who served in the US military got vaccinations for almost everything whether they needed them or not.

 

I still recall waiting in line for those pneumatic shots in the arm during bootcamp.

Ha-ha....I remember that too :).

[Call me bubba]

interesting read of how this new epidemic may have occurred   DOH lists 3 ‘triggers’ in resurgence of measles

The exodus of people from typhoon-ravaged areas,

 

the limited access to health services in poor areas and the reluctance of some parents to have their children vaccinated are being cited by the Department of Health (DOH) as having set off the surge in measles cases in Metro Manila.

 

Health Secretary Enrique Ona said that the migration could be a contributing factor to the outbreak.

“The numbers started to rise in September last year,” Ona said.

 

So far, three measles-related deaths have been reported in Metro Manila—one each in Caloocan, Malabon, Muntinlupa.

The DOH said that last year’s measles cases jumped to 417 from the 45 reported in 2012.

Most of the patients came from the cities of Las Piñas, Malabon, Muntinlupa, Quezon, Pasay, Taguig, Manila, Caloocan, Parañaque, Makati and Valenzuela.

Only the cities of Muntinlupa and Malabon had one confirmed deaths each.

 

Health Undersecretary Janet Garin said the spike in measles cases was also triggered by the earthquake in Bohol in October and the onslaught of Typhoon Yolanda in Visayas in November, which exposed affected residents to the disease.

 

Garin said some parents refused to let their children be given anti-measles vaccine shots at health centers.

She noted that areas where measles cases were reported were the same places where

 

dengue and Chikungunya outbreaks were reported.

 

To control the measles outbreak, the DOH plans to vaccinate all children in outbreak areas

The agency is targeting a 95 percent immunization coverage not only in Metro Manila but in all cities, municipalities and provinces.

In a meeting Monday, health officials in Metro Manila admitted that some areas in the country were only up to 85-percent immunized, and there areas with a “very alarming” 45-percent rate.

Only 6 percent of the available measles vaccine was administered to children last year.

 

The Philippines aims to be measles-free by 2017, which means that for every one million Filipinos, there should only be one laboratory-confirmed case.

Health officials said the law requires two doses of measles vaccines for children once they reach nine months and 12 to 15 months.

 

 

 

 

http://manilatimes.net/doh-lists-3-triggers-in-resurgence-of-measles/65667/

 

Only 6 percent of the available measles vaccine was administered to children last year.

 

what I dont understand is that what happen to the 94% that was not used?

if only 6% was given the shots, where is the rest??

[Medic Mike]

interesting read of how this new epidemic may have occurred   DOH lists 3 ‘triggers’ in resurgence of measles

The exodus of people from typhoon-ravaged areas,

 

the limited access to health services in poor areas and the reluctance of some parents to have their children vaccinated are being cited by the Department of Health (DOH) as having set off the surge in measles cases in Metro Manila.

 

Health Secretary Enrique Ona said that the migration could be a contributing factor to the outbreak.

“The numbers started to rise in September last year,” Ona said.

 

So far, three measles-related deaths have been reported in Metro Manila—one each in Caloocan, Malabon, Muntinlupa.

The DOH said that last year’s measles cases jumped to 417 from the 45 reported in 2012.

Most of the patients came from the cities of Las Piñas, Malabon, Muntinlupa, Quezon, Pasay, Taguig, Manila, Caloocan, Parañaque, Makati and Valenzuela.

Only the cities of Muntinlupa and Malabon had one confirmed deaths each.

 

Health Undersecretary Janet Garin said the spike in measles cases was also triggered by the earthquake in Bohol in October and the onslaught of Typhoon Yolanda in Visayas in November, which exposed affected residents to the disease.

 

Garin said some parents refused to let their children be given anti-measles vaccine shots at health centers.

She noted that areas where measles cases were reported were the same places where

 

dengue and Chikungunya outbreaks were reported.

 

To control the measles outbreak, the DOH plans to vaccinate all children in outbreak areas

The agency is targeting a 95 percent immunization coverage not only in Metro Manila but in all cities, municipalities and provinces.

In a meeting Monday, health officials in Metro Manila admitted that some areas in the country were only up to 85-percent immunized, and there areas with a “very alarming” 45-percent rate.

Only 6 percent of the available measles vaccine was administered to children last year.

 

The Philippines aims to be measles-free by 2017, which means that for every one million Filipinos, there should only be one laboratory-confirmed case.

Health officials said the law requires two doses of measles vaccines for children once they reach nine months and 12 to 15 months.

 

 

 

 

http://manilatimes.net/doh-lists-3-triggers-in-resurgence-of-measles/65667/

 

Only 6 percent of the available measles vaccine was administered to children last year.

 

what I dont understand is that what happen to the 94% that was not used?

if only 6% was given the shots, where is the rest??

 

Sad, but a lot of vaccines from 3rd world countries find their way on the black market instead.

[Thomas]

- in addition, most people born before 1957 usually are immune to the disease because of natural selection of somatic and germ cells in their system.

I have no idea about other countries, but in Sweden the immunity among people born back then I suppouse most had these illnesses as children   :)

 

--

The dead ones being all grown ups or children being weak BEFORE measles started?

 

Back when many got measles in Sweden, I never heared of any deaths, and the kids DIDN'T needed to meet  any doctor, recovering anyway. The only dangerous we were told was GROWN UPS can become infertile by some such "child deceases" so we kind of were happy if we got these illnesses as children   :)