The Reemergence of Measles.

Tuesday, 12th of January 2016 Print

Curr Infect Dis Rep. 2015 Dec;17(12):51. doi: 10.1007/s11908-015-0506-5.

The Reemergence of Measles.

Abad CL1 Safdar N2.

 

Abstract

Measles or rubeola is a highly infectious acute viral illness of childhood that is considered eliminated in the USA but has reemerged in the past few years. Globally an estimated 20 million cases of measles continue to occur and it remains a leading cause of death among young children. It is rare in the USA and other first world countries but numerous outbreaks have occurred in the USA recently due to a combination of factors including poor vaccine coverage and importation of cases among travelers returning from endemic areas. The diagnosis of measles is usually made clinically when an individual presents with a constellation of symptoms including cough coryza conjunctivitis high fever and an erythematous maculopapular rash in a cephalocaudal distribution. Complications are common and include otitis media pneumonia encephalitis and rarely death. A measles vaccine is available in two doses and provides excellent protection against the disease. Despite this vaccination coverage especially among young adults remains poor. Given its resurgence in the USA and other countries interventions are urgently needed to address low vaccination rates and vaccine hesitancy. Measles awareness should also be a priority among young clinicians who may have never seen a case or are not familiar with the disease

 

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