DISASTER MEDICINE No. 4(104)•2018
RELEVANT DIRECTIONS OF MEASLES INFECTION CONTROL AT FINAL STAGE OF ITS ELIMINATION ACCORDING TO LOCAL EPIDEMIOLOGICAL SITUATION Download the article in pdf format
Platonova T.A. 1,2, Golubkova A.A. 1,3, Smirnova S.S. 1,3, Suranova T.G. 4, Kharitonov A.N. 5, Kovyazina S.A. 6
1 “Ural State Medical University” of the Ministry of Health of the Russian Federation, Yekaterinburg, Russian Federation
2 European Medical Center “UMMC-Health”, Yekaterinburg, Russian Federation
3 Ekaterinburg Scientific Research Institute of Virus Infections of Rospotrebnadzor, Yekaterinburg, Russian Federation
4 Federal State Budgetary Institution “All-Russian Centre for Disaster Medicine “Zaschita” of Health Ministry of the Russian Federation, Moscow, Russian Federation
5 Municipal Center for Medical Prophylaxis, Yekaterinburg, Russian Federation
6 Sverdlovsk Regional Agency of Rozpotrebnadzor, Yekaterinburg, Russian Federation
UDK 616-036.22-084:615.371: 614.47
Research Objective – based on information on a local epidemic outbreak to determine the relevant directions of improving the system of epidemiological surveillance of measles and predictors of changes in the epidemic situation.
Research Materials and Methods. Materials of the study: statistical reports data on measles incidence in Yekaterinburg in 2001–2016, medical records of measles cases during the 2016 outbreak, data on vaccination of the population (form No.6 for 2000–2016), outpatient records of children under the age of 18 months, the results of planned serological monitoring of measles population immunity in the “indicator” groups in 2013–2017.
Research Results and their Analysis. After 15 years of measles epidemic well-being in Yekaterinburg, an outbreak of this infection was registered in 2016. In 72 cases it was associated with the introduction and spread of the D8 genotype measles virus – mainly in medical organizations among unvaccinated children and adults. The most significant factors that led to the development of the outbreak: insufficient coverage of children with measles vaccinations in the “indicator” groups, a significant number of seronegative – mostly with long time elapsed after vaccination and revaccination, defects in the clinical diagnosis of measles in the first and subsequent cases, shortcomings in the organization and in the conduct of anti-epidemic measures.
Key words: epidemic surveillance, local epidemic situation, measles, vaccine prevention strategies
For citation: Platonova T.A., Golubkova A.A., Smirnova S.S., Suranova T.G., Kharitonova A.N., Kovyazina S.A., (Relevant Directions of Measles Infection Control at Final Stage of its Elimination According to Local Epidemiological Situation), Disaster Medicine, 2018; 4(104): 53–57 (In Rus.)
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