1 Presentation on Measles Group 1

8/3/2019 1 Presentation on Measles Group 1

1/27

Measles SurveillanceMeasles Surveillance

Group 1

1. Dr. Binay Kr.

2. Dr. Om Prakash3. Dr. Parvez

4. Dr. O Ramesh Singh

5. Dr. Sunep

6. Dr. AdityaPGDPHM- 12 IIPHD


2/27

OUTLINES

y Background

y Case definitions

y Laboratory criteria for diagnosis

y

Type of surveillancey Selection & training

y Flow chart for distribution of forms &

kitsy Data flow chart

y Action


3/27


4/27

In 1998 it is estimated that there were

approximately one million deaths from measles

MORTALITY

PRE-VACCINE ERA

1998

MORBIDITY

0

1

2

3

4

5

6

7

Millions

0

20

40

60

80

100

120

Millions

PRE-VACCINE ERA

1998

WHO unpublished data

63% 83%

In other words,

the measles virus killed ..

2,410 children each day

100 children each hour

. 150 children died

during the time elapsed

by the end of this

presentation


5/27

Diphtheria

0.2%

Pertussis

16%

Neonatal

Tetanus

12%

Yellow Fever2%

Measles

48%(777,000

Deaths)

Hib

22%

Causes of 1.6 million vaccineCauses of 1.6 million vaccine--preventable deathspreventable deathsamongamong childrenchildren, 2000, 2000

Source: WHO/IP

MEASLES: A leading cause of childhood deaths


6/27

Case DefinitionsCase DefinitionsFor sub CentersFor sub Centers

A child with -

generalized maculopapular rash,

fever, and

with one or more of the following:

cough,

coryza - sneezing, nasal congestion,

and nasal discharge


7/27

Maculopapular

RashFever +

Cough OR

Coryza (runny nose) OR

Conjunctivitis (red eyes)+

uspected Measlesuspected Measles

linicallinical Case DefinitionCase Definition

OR

Clinician

Suspects

Measles


8/27

Case DefinitionsCase DefinitionsFor MOs at CHC/PHC/DHFor MOs at CHC/PHC/DH

Measles is characterized by a

generalized maculopapular rash,

fever, and

With one or more of the following:

cough,

coryza

Conjunctivitis,photophobia,

Kopliks spots - bluish-white specks on arose-red background appearing on thebuccal mucosa usually opposite themolars.


9/27


10/27

Measles Case Definition To AssistMeasles Case Definition To Assist

Communities inCommunities in

Notifying Health FacilitiesNotifying Health Facilities

ANY PERSONwith

FEVER and RASH


11/27

Key Information to Collect on SuspectedKey Information to Collect on Suspected

Measles CasesMeasles Cases

Person

Age

Vaccination status

Lab data

Time

Date of rash onset

PlaceResidence at onset

Potential exposures (places, persons)


12/27

Improved RoutineImproved Routine

ImmunizationImmunization

StrengthenStrengthen

measles surveillancemeasles surveillance

SupplementalSupplemental

measles immunizationmeasles immunization

Improved caseImproved case

managementmanagement

Vitamin AVitamin A

supplementationsupplementation

Measles Mortality Reduction StrategiesMeasles Mortality Reduction Strategies


13/27

LaboratoryLaboratory Criteria for DiagnosisCriteria for Diagnosis

Significant rise in serum measles

immunoglobulin G (IgG)antibody level by

any standard serologic assay

Positive serologic test for measlesimmunoglobulin M (IgM)antibody.


14/27

Rash Illness

Rubella

Roseola Infantum

Other Viral Exanthems

Meningococcemia

Mononucleosis

Toxoplasmosis

Dengue

Kawasaki

Measles

Scarlet Fever


15/27

Type of surveillance for measlesType of surveillance for measles

Active surveillance

High no of case

Highly infectious

High morbidity and mortality

Easily preventable

Main objective is sustainable reduction in morbidity& mortality due to measles.


16/27

Responsible persons forreportingy Reporting unit

Medical Officers

Hospitals: inpatient and outpatient

clinics.

Medical Officers/SN/ANM/Vaccinators

CHC/PHC/SC

y Information unit

Private clinics/hospitals/nursing homes


17/27

Selection and training

Medical Officers at District level, by DIO

MOs and Private practitioners at district level

will be trained at the district level

All the ANM, Field staffs and ASHAs- to be

trained at CHC/PHC level

All Private practitioners, at block level andbelow, to be trained at CHC/PHC level


18/27

What should health care provider do whenWhat should health care provider do when

she/he suspects measles?she/he suspects measles?

y Notify case

y Complete case investigation form

y Collect blood sample

y Manage case (Vitamin A, supportivetreatment, etc.)


19/27


20/27

Flow chart for forms & kitsFlow chart for forms & kits

CMO

DIO

DH/DS

MO i/c -CHC/PHC/SC

Privatehosp/clinic

ASHA


21/27

FLOW OF DATA

State

District CMO

District

Immunization

Officer

CHCMO & SN

District

Hospitals

MS/DS

PHCMO

Private

Hospitals/

Nursing

homes/Quacks

MO & SN

Sub Centre

ANM

ASHA


22/27

tools for collection of data andtools for collection of data and

samplessamples


23/27

Action/ Implement

Activities will includey strengthening routine immunization

y raising awareness of vaccination

y effective case management

The response should take place before an

outbreak occurs.

In case of a confirmed measles outbreak, DIO will form

an outbreak response team at district level consisting of a

Medical Officer, Microbiologist & epidemiologist.


24/27

Outbreak ResponseOutbreak Response

1. Case notification

2. Case verification

3. Field investigation4. Management

5. Post outbreak activities


25/27


26/27


27/27

1 Presentation on Measles Group 1

Documents

Transcript of 1 Presentation on Measles Group 1