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A Measles Outbreak in a Local Children's Hospital in Korea, 2019
Hyejin So1, Kyung Min Kim2, Eun Young Bae2
1Department of Pediatrics, Chungnam National University Sejong Hospital, Sejong, Korea.
Insights
A measles outbreak in a Daejeon children's hospital highlighted the critical need for infection control. Prompt vaccination and traveler education are vital to prevent future measles (rubeola) outbreaks.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- A measles outbreak occurred in a children's hospital in Daejeon, South Korea.
- The outbreak involved 20 confirmed cases between March 28 and April 21, 2019.
- The index case was an unvaccinated infant with recent travel history.
Purpose of the Study:
- To describe the measles outbreak in a healthcare setting.
- To emphasize the importance of infection control measures.
- To highlight the role of vaccination in preventing measles.
Main Methods:
- Case identification and confirmation.
- Contact tracing and active surveillance.
- Post-exposure prophylaxis administration.
Main Results:
- Twenty cases of measles were confirmed.
- The majority of cases (75%) were unvaccinated.
- Infants (0-11 months) constituted 55% of the cases.
- Adults represented 25% of the cases.
Conclusions:
- Prompt implementation of infection control is crucial in hospitals.
- High vaccination rates are essential for community immunity.
- Public health education for travelers and multicultural families is vital to prevent disease importation and spread.
Abstract:
A measles outbreak with 20 confirmed cases occurred at a local children's hospital in Daejeon from March 28 to April 21, 2019. The index patient was a 7-month-old girl with a recent history of travel to Vietnam. Contact tracing, active surveillance, and post-exposure prophylaxis were conducted by health authorities. Among the 20 patients, 11 (55%) were infants (0-11 months of age), three (15%) were aged 1-3 years, one (5%) was aged 4 years, and five (25%) were adults. Fifteen (75%) patients did not have a history of measles vaccination, and five (25%) had received only one vaccine dose. This study described the importance of prompt application of infection control measures in susceptible environments, including hospitals. Age-appropriate vaccination and providing information on infectious diseases to international travelers and multicultural families in Korea is vital.
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