Abstract
INTRODUCTION: Measles is currently a major public health issue globally including in Perak state, Malaysia. METHODS: Descriptive analysis of 2017-2018 Perak measles surveillance database. RESULTS: Total confirmed measles cases were 104. Twenty-two (21.2%) cases aged below 1 year, 31.7% 1-14 years, and 47.1% 15 years and above. Forty-six (44.2%) cases were treated as in-patient, 44.2% as out-patient, and 11.5% did not seek medical treatment. Nineteen (18.3%) cases had diarrhoea and 8.7% pneumonia. No information about otitis media or subacute sclerosing panencephalitis (SSPE). The source of infection was unknown in 51.9%, 26.0% exposed to household members or relatives, 14.4% including 2 healthcare workers had contact with health facility within 7-21 days before measles onset, 5.8% were exposed outside Perak, 4.8% at workplace, 5.8% at education institution, 1.9% while abroad. Twenty-six cases (25.0%) had history of measles immunisation, with 38.5% had documentation and 61.5% by verbal history. Another quarter were not immunised due to vaccine hesitancy (50.0%), missed vaccination (15.4%), born before measles vaccine introduction in the national immunisation programme (11.5%), medical reason (3.8%) and unknown reasons (19.2%). Twenty-one cases (20.2%) not yet eligible for immunisation while 29.8% unknown immunisation status. DISCUSSION: Measles is still a public health challenge in Perak. Healthcare providers should take the opportunity for measles immunisation during every encounter with children under 15 years old. Notified cases should be followed up to detect and treat complications, especially otitis media and SSPE. Further studies on potential nosocomial and occupational spread of measles in healthcare settings may be considered.
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@proceedings{APCPH-2019-117,
title = {An Analysis of Measles Cases in Perak State, Malaysia, 2017-2018},
author = {Masliza Mustafa and Hairunnisa Hashami and Husna Maizura Ahmad Mahir},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Measles is currently a major public health issue globally including in Perak state, Malaysia. METHODS: Descriptive analysis of 2017-2018 Perak measles surveillance database. RESULTS: Total confirmed measles cases were 104. Twenty-two (21.2%) cases aged below 1 year, 31.7% 1-14 years, and 47.1% 15 years and above. Forty-six (44.2%) cases were treated as in-patient, 44.2% as out-patient, and 11.5% did not seek medical treatment. Nineteen (18.3%) cases had diarrhoea and 8.7% pneumonia. No information about otitis media or subacute sclerosing panencephalitis (SSPE). The source of infection was unknown in 51.9%, 26.0% exposed to household members or relatives, 14.4% including 2 healthcare workers had contact with health facility within 7-21 days before measles onset, 5.8% were exposed outside Perak, 4.8% at workplace, 5.8% at education institution, 1.9% while abroad. Twenty-six cases (25.0%) had history of measles immunisation, with 38.5% had documentation and 61.5% by verbal history. Another quarter were not immunised due to vaccine hesitancy (50.0%), missed vaccination (15.4%), born before measles vaccine introduction in the national immunisation programme (11.5%), medical reason (3.8%) and unknown reasons (19.2%). Twenty-one cases (20.2%) not yet eligible for immunisation while 29.8% unknown immunisation status. DISCUSSION: Measles is still a public health challenge in Perak. Healthcare providers should take the opportunity for measles immunisation during every encounter with children under 15 years old. Notified cases should be followed up to detect and treat complications, especially otitis media and SSPE. Further studies on potential nosocomial and occupational spread of measles in healthcare settings may be considered.},
note = {Type: POSTER PRESENTATION; Organisation: Communicable Diseases Control Section, Public Health Division, Perak State Health Department, Malaysia},
keywords = {apcph2019, complications, exposure, immunisation, measles, measles vaccine},
pubstate = {published},
tppubtype = {proceedings}
}