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[Epidemiological surveillance of febrile rash illness]
Gabriela Fidela Pérez-Pérez1, Teresita Rojas-Mendoza, David Alejandro Cabrera-Gaytán
1Coordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Distrito Federal, México. dcpreventiva@gmail.com.
Background:
Three imported cases of measles were detected in 2011, so the issue of surveillance with epidemiological alerts intensified. The aim of this article is to describe the phenomenon of intensified surveillance of febrile rash illness before the import of confirmed measles in the country at the Mexican Institute of Social Security cases.
Methods:
The cases of epidemiological surveillance system 2011 were obtained was compared with the prior year It was determined t-Student mean difference and Wilson test for proportions, both with an alpha value of 0.05.
Results:
2786 cases of febrile rash illness were reported, 51.2 % more cases than the previous year were reported in 2011, the number of reported cases in relation to the expected increase in 29 of the 35 Delegations, an increase in the average number of cases reported from week 26. 67.4 % of reported cases are concentrated in children under 5 years of age. The average days to collect laboratory sample improved after issuing alerts from 3.4 to 2.6 days (p < 0.000000559).
Conclusions:
A significant increase in reported cases of febrile rash illness compared with the prior year was appreciated. The Institute has a surveillance system for robust and febrile rash illness, which has identified risks to the population.
Insights
Intensified surveillance for febrile rash illness in Mexico revealed a significant increase in cases in 2011 following imported measles. This robust system identified population risks effectively.
Area of Science:
- Epidemiology
- Public Health Surveillance
Background:
- Imported measles cases in 2011 prompted intensified surveillance for febrile rash illness.
- The Mexican Institute of Social Security (IMSS) focused on enhancing its epidemiological alerts.
Purpose of the Study:
- To describe the phenomenon of intensified febrile rash illness surveillance.
- To analyze surveillance data before and after the detection of imported measles cases.
Main Methods:
- Comparison of 2011 epidemiological surveillance data with the prior year.
- Statistical analysis using t-Student mean difference and Wilson test for proportions (alpha = 0.05).
Main Results:
- A 51.2% increase in febrile rash illness cases reported in 2011 compared to the previous year.
- Increased case reporting observed from week 26 across 29 of 35 Delegations.
- Laboratory sample collection time improved from 3.4 to 2.6 days post-alert issuance (p < 0.000000559).
- 67.4% of reported cases were in children under 5 years of age.
Conclusions:
- A significant rise in reported febrile rash illness cases was observed.
- The IMSS possesses a robust surveillance system for febrile rash illness.
- The surveillance system successfully identified risks to the population.
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