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Outbreak of measles in Amish highlights Need for vaccination

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Amy Norton
Health Day Reporter

Wednesday, October 5, 2016 (HealthDay News)- measles The 2014 outbreak that struck the Amish community demonstrates the ongoing threat of infection and the importance of regular vaccination, U.S. government researchers say.

The event, which eventually infected 383 people in Ohio, was the largest outbreak the United States has seen in over 20 years.It was almost entirely confined to the Amish community and most of the sick people had never been vaccinated. measles..

In the October 6th issue of New England Journal of Medicine, Researchers at the Centers for Disease Control and Prevention, and Prevention Please explain the occurrence in detail.

The important point is that the outbreak did not occur in the United States. measles It was declared “excluded” in 2000.

Instead, the virus was “imported” when two unvaccinated rescue workers traveled to the Philippines and unknowingly took them. measles According to the report, please return to their Amish community.

In the next four months, people in nine counties in Ohio were infected with measles, according to researchers. Almost all were Amish and most had never been vaccinated.

Dr. Paul Gastanadui, a CDC scientist and lead author of the new report, said high immunization rates in the surrounding area probably protected their population from getting sick.

According to Gastanaduy, the message to the general public is simple: make sure your child gets the recommended measles-Mumpsrubella (MMR) vaccination..

“There is endemic measles in the United States, but it can still be introduced into the community here,” he said.

“Endemic” means that the disease is always present in an area. Just last week, the Americas (North, South, Central) became the first region in the world to be declared endemic measles.

However, according to the CDC, measles is still common in Africa, Asia, the Pacific, and some European countries.

And in the United States, relatively large-scale measles outbreaks have been seen in recent years in relation to import measles.

Last year, the outbreak across 20 states in the United States dates back to Disneyland, California.Health officials believe they have been infected Traveler People who visited the park spread the virus to others.

“The World Health Organization correctly says that measles is excluded in the Americas, but you can still bring measles. TravelerDr. Paul Offit, who is responsible for infectious diseases at the Philadelphia Children’s Hospital, said.

“Measles is still a threat,” he emphasized.

The outbreak of Disneyland last year attracted a lot of media attention, Ofitt pointed out-it may have raised public awareness of the issue.

However, he added that the 2014 Amish outbreak actually affected almost twice as many people. Still, there was little media coverage.

“We should have been just as upset about the outbreak,” Ofitt said. “Many children suffered.”

Measles virus is very Infectious, People spread in the air cough Or sneezing.Infection heat, I have a runny nose, cough When sore throat,continue rash..

Approximately 5 percent of measles children develop pneumonia, According to the CDC. In addition, as few as 1 in 1,000 people suffer from cerebral edema, which can cause permanent damage. They die at a similar rate.

The 2014 outbreak dates back to two young Amish men who traveled to the Philippines to carry out typhoon relief efforts. At that time, measles outbreaks were widespread in this country.

When the workers returned home, they unknowingly brought measles. Over the months, the infection spread to 383 children and adults-99 percent of which were Amish.

When an outbreak was detected, local health authorities and the CDC worked to contain it. This included the establishment of a free vaccination clinic. Over 10,600 people have appeared to be vaccinated against the MMR.

According to CDC researchers, the Amish Church does not specifically ban vaccinations. However, due to cultural and personal beliefs, Amish vaccination rates are low.

If it could be changed, Gastanaduy said it would be of great help in protecting those communities from future outbreaks. He said people are more open to getting the MMR vaccine as a result of this outbreak compared to previous ones.

Not only children in the Amish community are at potential risk. In recent years, health officials have expressed concern about parents skipping or delaying their children. vaccination Safety concerns.

In particular, some parents are wary of the MMR vaccine because of the alleged link autism.. However, the link has its roots in studies in the 1990s that later turned out to be fraudulent.

“This is a safe and effective vaccine,” said Gastanaduy. If parents had questions about the MMR vaccine, he recommended that they consult their pediatrician.

MedicalNews
Copyright © 2016 Health Day. all rights reserved.



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References

Source: Paul Gastanaduy, MD, MPH, Viral Infectious Diseases Division, US Centers for Disease Control and Prevention, Atlanta. Philadelphia Children’s Hospital, Chief of Infectious Diseases, Doctor of Medicine Paul Offit. October 6, 2016, New England Journal of Medicine

Outbreak of measles in Amish highlights Need for vaccination

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