measles outbreak tham hin temporary shelter may - june 2012
TRANSCRIPT
Measles OutbreakTham Hin Temporary Shelter
May - June 2012
Background
Situated in Ratchaburi Province
Home to 8,000+ refugees
High number of visitors and new arrivals
Last measles outbreak in 2007
18 YR Nurse18 YR NurseZone 2Zone 2
First Case
19 YR 19 YR PregnantPregnantZone 2Zone 2
Initial Measures
IsolationSupportive treatment
Contact tracing
Active case findingReport to MOPH
Contacts
18 yr 18 yr NurseNurse
Attend Attend church church
service on service on day of onsetday of onset
Work at Work at OPD and OPD and dressing dressing
roomroom
Household contacts
Church goers
Neighbours
Clinic staffs
Total 109Total 109
Immediate measures “Immunisation”
done on done on same daysame day
11 May
Rash
Who is the source?
5 May
Fever
~14 days
27 April
9 month9 monthZone 1Zone 1
More patients
40 yr40 yrZone 1Zone 1
9 month9 monthZone 1Zone 1
40 yr40 yrZone 1Zone 1
?
We found her!
7 year old girl
Visitor from Myanmar
Onset on 26 April
Visited OPD with ILI
We found her!
Rash seen on follow up on 2 May
Measles was not suspected
Next follow up 4 May, but not show up
Already went back to Myanmar
MOPH Involvement
MOPH Involvement
Our Control Plan• Supplementary measles
immunisation
• to
“People at Risk”
“People at Risk”
9 month - 20 yearswith
Incomplete Immunisation
Students: 5 - 20 years
In KG & Grade 1 with no or one previous measles vaccination
Any grade with no or unverified measles vaccination
Day 1
In Community: 9 month - 20 years
with NO or Unverified measles vaccination status
Day 2
MOPH provided
All vaccines
Human resources
Technical support
Vaccination at School
Vaccination at School
Vaccination at School
Vaccination in community
Epidemiology
Weekly Epidemic Curve
Attack Rate by Age
Number by Age
Contact Tracing
Final Situation
Total 23 Total 23 casescases
Last caseLast case15 June15 June
Lessons Learned
New Arrivals may New Arrivals may introduce outbreaksintroduce outbreaks
children not covered children not covered by EPI are at riskby EPI are at risk
Early detection is Early detection is vital in outbreak vital in outbreak
controlcontrol
Support and Support and involvement of MOPH involvement of MOPH
is importantis important
Prompt response and Prompt response and good coordination good coordination
key to successkey to success
Thank You