[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.

Abstract

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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