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Under nutrition and measles related complications in an outbreak of measles
A Mishra1, S Mishra, C Lahariya
1Department of Community Medicine, G R. Medical College, Gwalior, India.
Insights
Measles outbreaks in India disproportionately affect undernourished children, leading to severe complications. This study highlights the critical link between malnutrition and measles severity in young children.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Measles outbreaks pose a significant threat to child health, particularly in resource-limited settings.
- Undernutrition is a known risk factor for infectious disease severity and mortality.
Purpose of the Study:
- To investigate a measles outbreak in Shivpuri district, Madhya Pradesh, India.
- To describe the prevalence of undernutrition and measles-related complications in affected children.
Main Methods:
- A study was conducted involving 723 children aged 12-59 months during a measles outbreak.
- Caregiver interviews and Mid-Upper Arm Circumference (MUAC) measurements were used to assess nutritional status.
- Prevalence of measles complications was determined.
Main Results:
- Out of 723 children, 171 (22.3%) experienced measles-related complications.
- A high proportion, 556 (76%), of measles cases were undernourished.
- Severely undernourished children had significantly higher rates of measles complications (38%) compared to other groups (p<0.0001).
Conclusions:
- Undernutrition is strongly associated with increased measles complications during outbreaks.
- Public health interventions should prioritize nutritional support for children in measles-affected areas.
- Addressing malnutrition is crucial for mitigating measles severity and improving outcomes.
Abstract:
An outbreak of measles was reported from Shivpuri district of Madhya Pradesh, India. The authors investigated this outbreak with an objective to describe the under nutrition and measles related complications. A total of 723 children aged 12-59 months were included in this study. Their caregiver was interviewed for necessary information and Mid Upper Arm Circumference measurement of the affected child was done for the assessment of nutritional status. 171 (22.3%) of these had reported to have suffered from one or more measles related complication. 556 (76%) of the measles cases in this study were undernourished. Measles related complications was more among measles affected children who were severely undernourished (38%) in comparison to other groups (chi2 = 97.80; d.f. = 1; p<0.0001).
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