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Tag Archive: measles


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Biological Hazard in New Zealand on December 11 2015 01:43 PM (UTC).

Base data

EDIS Number BH-20151211-51213-NZL
Event type Biological Hazard
Date/Time December 11 2015 01:43 PM (UTC)
Last update December 11 2015 01:46 PM (UTC)
Cause of event
Damage level Is not or not known Damage level

Geographic information

Continent Australia – New-Zealand
Country New Zealand
County / State South Island
Area Wellington, Motueka, Kaikoura and Christchurch
Settlement
Coordinate 41° 7.443,173° 0.059

Number of affected people / Humanities loss

Dead person(s) 0
Injured person(s) 0
Missing person(s) 0
Evacuated person(s) 0
Affected person(s) 0
Foreign people 0

Biohazard information

Biohazard level
Disease, agent name Measles
Infected person(s) 0
Species Human
Status suspected

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A measles warning has been issued in several areas after an infected tourist traveled the country. A 28-year-old European man carrying the virus traveled from Wellington, to Motueka, Kaikoura and Christchurch from December 3 to 11. The Canterbury District Health Board now is asking anyone who may have come in contact with him and is now presenting symptoms to call their doctor. He is believed to have contracted the highly-infectious virus while in Australia and is in private accommodation in Christchurch until the end of his infectious period. Canterbury medical officer Alistair Humphrey said it was a particularly risky time for the tourism industry. “Over the next few years there is a heightened risk of measles as a result of the decision by parents in the 1990s not to get their children immunized,” he said. Where He Stayed: December 3-5: Comfort Hotel, Cuba Street, Wellington,5 December 5: BlueBridge Ferry,December 5-7: Motueka Holiday Top 10,December 8-10: Lazy Shag Backpackers, Kaikoura,December 11: Travels to residence outside Christchurch

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news

Sick tourist prompts measles warning

NZ Newswire
Measles is untreatable but easily preventagle through vaccinations© Getty Images Measles is untreatable but easily preventable through vaccinations A measles warning has been issued in several areas after an infected tourist traveled the country.

 

A 28-year-old European man carrying the virus traveled from Wellington, to Motueka, Kaikoura and Christchurch from December 3 to 11.The Canterbury District Health Board now is asking anyone who may have come in contact with him and is now presenting symptoms to call their doctor.

He is believed to have contracted the highly-infectious virus while in Australia and is in private accommodation in Christchurch until the end of his infectious period.

 

Read More Here

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9 November 2013, 20:14

US East Coast: dolphins dying in record numbers of viral infection

 

US East Coast: dolphins dying in record numbers of viral infection

 

According to America’s National Oceanic and Atmospheric Administration, a whopping 753 bottlenose dolphins washed up dead on the Atlantic coast from New York to Florida between July 1 and November 3.

 

This represents a roughly tenfold increase in the number of dolphins that would typically turn up dead along the East Coast during this four-month period.

The killer is a measles-type virus which causes fatal pneumonia and brain inflammation.

The previous similar outbreak occurred in 1987 and 88, resulting in 740-plus dolphin strandings.

Officials say the current die-off is only halfway through its expected time frame, and the final beach death toll in the bottlenose population may climb to around 1,500.

And without a way to vaccinate the wild population, there is little officials can do but collect the carcasses and examine them. The Virginia Aquarium alone has performed necropsies on 333 dead dolphins.

Scientists have already speculated about a possible link between marine die-offs and phenomena like climate change and human-produced pollution.

Al-Jazeera America, AFP

 

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Dolphin virus kill in U.S. East soars

AFP-JIJI

The deadliest known outbreak of a measleslike virus in bottlenose dolphins has killed a record number of the mammals along the U.S. Atlantic coast since July, officials said Friday.

A total of 753 bottlenose dolphins have washed up from New York to Florida from July 1 until Nov. 3, the National Oceanic and Atmospheric Administration said. That is more than 10 times the number of dolphins that would typically turn up dead along East Coast beaches, said Teri Rowles, program coordinator of the NOAA Fisheries Marine Mammal Health and Stranding Response Program.

“Historic averages for this same time frame, same geographic area is only 74, so you get an idea of the scope,” she told reporters.

The toll is also higher than the more than 740 strandings in the last major Atlantic morbillivirus outbreak in 1987-1988.

And they have come in a much shorter time period, leading officials to anticipate this event could get much worse.

“It is expected that the confirmed mortalities will be higher,” Rowles said. “If this plays out similar to the ’87-88 die-off, we are less than halfway through that time frame.”

 

Read More Here

 

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Largest ‘dolphin measles’ outbreak in history kills 753 and threatens whales as Bottlenose herds migrate south

  • Hundreds of dolphins have washed up on East Coast beaches since July
  • Researchers say the problem hasn’t stopped and that Bottlenose dolphins threaten to spread the disease during their yearly migration south
  • The bodies of five whales have also washed ashore, and may be suffering from the same measles-like virus
  • Current outbreak of morbillivirus is largest in history, recently eclipsing previous outbreak in the late 80s which killed 740 dolphins

By Steve Nolan and Ashley Collman

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An outbreak of a measles-like virus affecting Bottlenose dolphins has become the largest in history – resulting in 753 dolphins washing up on beaches along the East Coast since July.

And it’s only getting worse. As Bottlenose herds migrate south for the winter, they may spread morbillivirus to local groups in Florida.

The only other time an outbreak this bad happened was between August 1987 and April 1988 when the virus killed 740 dolphins. The current outbreak has already exceeded that death toll and if it plays out on the same time frame – it isn’t even halfway over.

Outbreak: Since July, 753 dolphins have washed up dead on East Coach beaches, most having died form a strain of a measles-like virus

Outbreak: Since July, 753 dolphins have washed up dead on East Coach beaches, most having died form a strain of a measles-like virus

 

Spreading: Researchers now fear that the outbreak will get worse with herbs moving south for the winter. Above, researchers conduct a necropsy on a dead dolphin in Virginia Beach, Virginia in August

Spreading: Researchers now fear that the outbreak will get worse with herbs moving south for the winter. Above, researchers conduct a necropsy on a dead dolphin in Virginia Beach, Virginia in August

 

Largest in history: The current outbreak has already eclipsed the last largest outbreak of morbillivirus which killed 740 dolphins between August 1987 and April 1988

Largest in history: The current outbreak has already eclipsed the last largest outbreak of morbillivirus which killed 740 dolphins between August 1987 and April 1988

 

 

While the virus hasn’t impacted other species of dolphins in the North and Mid-Atlantic, there is evidence that it may be killing some whales after the bodies of three humpback whales and two pygmy whales were recently found decaying on beaches.

Researchers at the National Oceanic and Atmospheric Administration (NOAA) haven’t been able to confirm yet whether these whales were suffering from the same virus since their bodes were ‘very decomposed’.

Teri Rowles, of the NOAA Fishers Marine Mammal Stranding Response Program, said in a conference call today that the number of dead beached whales is ‘slightly’ elevated’ from usual but that it’s too early to know if it’s an outbreak in the whale population.

 

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Dolphin-killing virus reaches Florida, and is infecting whales, too

 

 

 

Nov. 8, 2013 at 3:11 PM ET

 

Wild bottlenose dolphins play off the bow of a sportfishing boat Friday, Aug. 8, 2008, off the Florida Keys near Islamorada, Fla. (AP Photo/Florida Ke...

Michael Newman / Florida Keys News Bureau via AP
Wild bottlenose dolphins, off the Florida Keys near Islamorada, Fla.

The bottlenose dolphin die-off that began in July has been traveling steadily south with migrating Atlantic herds, and now diseased and dead dolphins are turning up in Florida. The culprit, a measles-like virus, has claimed 753 victims and counting, making this the worst outbreak ever recorded. Recently, the bug has also been spotted in two species of whale.

Three humpback whales and two pygmy whales, stranded and decaying, tested positive for the dolphin morbillivirus, preliminary sequencing has confirmed. NOAA researchers are doing more tests to find out if it was the virus, usually rare in these animals, that killed them.

“Most of them are very decomposed,” Teri Rowles, of the NOAA Fishers Marine Mammal Stranding Response Program, told reporters on a teleconference call Friday. This has made observing the appearance of the disease in tissue samples harder, she said.

“Slightly elevated” stranding numbers for whales have been recorded in New York and Delaware, but it is too early to say if there is an outbreak. Researchers have tested three other marine mammal species for the virus: Common dolphins, spotted dolphins and harp seals sampled in various locations off the East coast seem free of the infection so far.

Meanwhile, the bug continues to take its toll on bottlenose herds. The last great die-off — classified by NOAA as an Unusual Mortality Event — killed about 740 dolphins off the Atlantic coast between August 1987 and April 1988. If this year’s outbreak follows the same pattern, “we are less than half way through the time frame” the disease will take to fizzle out, Rowles said, and the death toll has already crossed that historical mark.

Resident Florida bottlenose herds could catch the virus, which spreads through close contact or shared air, Rowles said. Researchers are studying how much the local hosts interact with the visiting migrants, but they can’t stop the virus from hopping.

“There is no vaccine that can be deployed for a large bottlenose dolphin population or any cetacean species,” Rowles said. “Currently there is nothing that can be done to prevent the infection spreading, or prevent animals that get infected from having severe clinical disease.”

 

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Earth Watch Report  –  Epidemic  Hazards

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15.06.2013 Epidemic Hazard USA State of New Jersey, Watchung [BJ’s Wholesale Club] Damage level Details

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Epidemic Hazard in USA on Saturday, 15 June, 2013 at 10:16 (10:16 AM) UTC.

Description
A public health alert has been issued for anyone who visited the BJ’s Wholesale Club in Watchung, N.J., between 1:30 and 4 p.m. on June 3. State health officials say a person confirmed to have measles may have exposed those at the store to the highly contagious illness. The state is urging anyone who visited the BJ’s at the time to contact a health provider to discuss potential exposure and risk of measles. Measles is spread through the air when an infected person talks, coughs or sneezes. People can also get sick when they come in contact with mucus or saliva from an infected person. Symptoms include a rash, high fever, cough, runny nose and watery eyes. Those exposed at the BJ’s may develop symptoms as late as June 24.
Biohazard name: Measles
Biohazard level: 2/4 Medium
Biohazard desc.: Bacteria and viruses that cause only mild disease to humans, or are difficult to contract via aerosol in a lab setting, such as hepatitis A, B, and C, influenza A, Lyme disease, salmonella, mumps, measles, scrapie, dengue fever, and HIV. “Routine diagnostic work with clinical specimens can be done safely at Biosafety Level 2, using Biosafety Level 2 practices and procedures. Research work (including co-cultivation, virus replication studies, or manipulations involving concentrated virus) can be done in a BSL-2 (P2) facility, using BSL-3 practices and procedures. Virus production activities, including virus concentrations, require a BSL-3 (P3) facility and use of BSL-3 practices and procedures”, see Recommended Biosafety Levels for Infectious Agents.
Symptoms:
Status: confirmed

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Measles Case Confirmed at Popular NJ Supermarket

State health officials say a person confirmed to have measles may have exposed those at the store to Measles

Friday, Jun 14, 2013  |  Updated 11:19 AM EDT
Measles Case Confirmed at Popular NJ Supermarket

A public health alert has been issued for anyone who visited the BJ’s Wholesale Club in Watchung, N.J., between 1:30 and 4 p.m. on June 3.

State health officials say a person confirmed to have measles may have exposed those at the store to the highly contagious illness.

The state is urging anyone who visited the BJ’s at the time to contact a health provider to discuss potential exposure and risk of measles.

Read More Here

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Measles outbreak: City hospitals continue to receive new cases

Published: April 27, 2013

According to reports, OPDs of Pakistan Institute of Medical Sciences (Pims) and Polyclinic receive 20 to 25 measles cases every day. PHOTO: REUTERS / FILE

ISLAMABAD: There has been no respite from the outbreak of measles, as city hospitals continue to receive children suffering from the infectious disease.

On the other hand, health authorities claim that the situation was not alarming.

According to reports, the outpatient departments (OPDs) of Pakistan Institute of Medical Sciences (Pims) and Polyclinic receive 20 to 25 measles cases every day. Sources at the Children Hospital at Pims said that the OPD receives over 120 plus cases every month.

“There has been an outbreak of measles in the twin cities since December 2012, but the health authorities are still declining to accept it,” said Dr Tabish Hazir, head of the paediatrics department at the Children Hospital.

“It is a bitter fact that despite mass anti-measles vaccinations and all-out efforts to contain the disease, cases continue to surface,” he said.

Dr Tabish said that since January this year, over 550 children have been clinically diagnosed with measles at Pims. Out of these, 180 plus cases were reported from urban areas of Islamabad, 40 from Bhara Kahu, 25 from Alipur Farash, 15 from Bari Imam and 126 from Rawalpindi. The rest were from other parts of the country. So far only one death has been reported at Pims, he said.

 

Read Full Article Here

UK Measles Epidemic Claims Life Of 25-Year-Old Man

04/19/13 05:19 PM ET EDT AP

LONDON — U.K. authorities say a 25-year-old man is suspected to have died from measles as an epidemic continues to sweep across south Wales.

The outbreak has led to more than 800 infections and renewed discussions over the failure of some parents to vaccinate their children against the potentially fatal virus.

Read Full Article Here

 

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Doctors warn of measles fatalities in south Wales as man, 25, found dead

 

Friday 19 Apr 2013 11:01 pm
Queues have been forming for measles vaccinations as the measles epidemic grows (Picture: Reuters)

A leading local doctor in south Wales has warned the current measles outbreak could result in multiple deaths as speculation grows that a first victim has already been claimed.

Dr Marion Lyons, the director of health protection with Public Health Wales (PHW), has issued the stark warning after a 25-year-old man was found dead in a flat in Swansea while suffering from measles.

In a development that could point to the potentially fatal nature of the disease, which has broken out in south Wales, the man – named locally as Gareth Williams – was discovered on Thursday at a flat in Port Tennant Road, Swansea.

 

Read Full Article Here

 

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Swansea measles epidemic: Man who died had measles

The man who died lived at this flat in Swansea

A man who died in Swansea had been suffering from measles at the time, says Public Health Wales.

The 25-year-old, named locally as Gareth Williams, was found dead at a flat on Thursday.

Public Health Wales (PHW), which is tackling an epidemic of more than 800 cases, said tests confirmed only that the man had measles at the time of his death.

A post mortem examination has yet to take place to confirm cause of death.

“Public Health Wales laboratory tests have today confirmed a diagnosis of measles in a 25-year-old male from Swansea who died on Thursday 18 April,” said Dr Marion Lyons, PHW’s director of health protection.

Whatever the cause of death in this case, we should not be surprised if, as the outbreak grows, we start to see deaths in Wales”

Dr Marion Lyons Public Health Wales

Further investigations are being undertaken by the Swansea coroner to establish the cause of death.

If confirmed, it would be the first death in the measles epidemic.

“My sympathies are with the family at such a tragic time,” said Dr Lyons.

“Whatever the cause of death in this case we should not be surprised if, as the outbreak grows, we start to see deaths in Wales”.

Mr Williams’ body was discovered in a flat at Port Tennant Road, Swansea at about 08:15 BST on Thursday.

Earlier, police called the death “sudden and unexplained”.

Analysis

Between one in 1,000 and one in 3,000 people infected with measles will die.

Globally it is one of the leading causes of death in children.

Like many childhood diseases, it is worse when adults are infected as the risks of complications are higher.

Two doses of the MMR vaccine give near total protection against the disease.

But confidence in the vaccine dived after, now discredited, claims of a link with autism by Andrew Wakefield a decade ago.

Experts believe the MMR scare has left more than a million school children vulnerable to the infection.

Many people now have no recollection of measles epidemics in the UK.

Health officials say the man who died in Swansea had been infected with measles although more tests are needed to confirm a cause of death.

But it still acts as a warning of how rampant and deadly the disease can be.

‘Disappointing’

There have been 808 cases of measles confirmed so far in the Swansea epidemic, which also includes the neighbouring Neath Port Talbot and Bridgend areas, and further into mid and west Wales.

 

Read Full Article Here

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Earth Watch Report  –  Epidemic  Hazards

19.04.2013 Epidemic Hazard USA State of North Carolina, [Stokes and Orange Counties] Damage level
Details

Epidemic Hazard in USA on Friday, 19 April, 2013 at 06:58 (06:58 AM) UTC.

Description
Public health officials from the N.C. Department of Health and Human Services are working with local health departments to investigate an outbreak of measles. To date, seven cases have been identified in residents of Stokes and Orange Counties, according to a news release from the NC Department of Health and Human Services. Local public health departments are contacting other people who might have been exposed to these cases and providing vaccine to limit the spread of infection. “Measles is very uncommon in North Carolina, so many people aren’t aware of the symptoms,” said Dr. Laura Gerald, State Health Director. “Measles spreads quickly, particularly in children and adults who aren’t vaccinated. We want to make the public aware of this outbreak so individuals can take steps to protect themselves and their families.” Measles is a highly contagious disease that is spread through the air by coughing and sneezing. It also can be transmitted through contact with secretions from the nose or mouth of an infected person. Initial symptoms may include fever, runny nose, watery red eyes and cough. After a few days, a rash appears on the head and spreads over the entire body. Measles can lead to pneumonia and other complications, especially in young children. The disease poses serious risks for pregnant women, including miscarriage and premature birth. “Vaccine is readily available,” said Dr. Gerald. “Anyone interested in getting vaccinated should contact their primary health care provider or their local health department.”
Biohazard name: Measles
Biohazard level: 2/4 Medium
Biohazard desc.: Bacteria and viruses that cause only mild disease to humans, or are difficult to contract via aerosol in a lab setting, such as hepatitis A, B, and C, influenza A, Lyme disease, salmonella, mumps, measles, scrapie, dengue fever, and HIV. “Routine diagnostic work with clinical specimens can be done safely at Biosafety Level 2, using Biosafety Level 2 practices and procedures. Research work (including co-cultivation, virus replication studies, or manipulations involving concentrated virus) can be done in a BSL-2 (P2) facility, using BSL-3 practices and procedures. Virus production activities, including virus concentrations, require a BSL-3 (P3) facility and use of BSL-3 practices and procedures”, see Recommended Biosafety Levels for Infectious Agents.
Symptoms:
Status: confirmed

 

 

Earth Watch Report  –  Epidemic  Hazards

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5 11.01.2013 Epidemic Hazard Pakistan State of Sindh, Karachi Damage level
Details

Epidemic Hazard in Pakistan on Friday, 28 December, 2012 at 04:53 (04:53 AM) UTC.

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Updated: Friday, 11 January, 2013 at 03:52 UTC
Description
At least four more children died of measles here on Thursday. The death toll now has risen to 29 in the city and its surroundings in the last 40 days. In Madaiji area, two children, Zaheer Ahmed and Abdul Rehman, died of the disease. Two minor girls, Shumaila, 03, and Rehana also fell prey to the deadly disease. The campaign of anti-measles vaccination will last till January 15 during which children will be vaccinated against measles. In this regard, special camps have been set up at basic health centres and dispensaries. Dr Imdadullah, EDO Karachi, said that during the campaign 2.1 million children will be vaccinated in the city for which 534 teams have been posted in camps while 694 teams will work in outskirt areas of the city.

 

Earth Watch Report –  Epidemic Hazards

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09.01.2013 Epidemic Hazard Pakistan State of Punjab, [Punjab-wide] Damage level
Details

Epidemic Hazard in Pakistan on Wednesday, 09 January, 2013 at 03:55 (03:55 AM) UTC.

Description
During a surveillance drive, 800 cases of measles were reported in different parts of Punjab, a majority of which were reported from Lahore, Punjab EPI Director Health Services Dr Tanveer Ahmed said on Tuesday. “Only one death, that of a five-year-old boy, Sohail, was reported in Gujranwala. On investigation, it was found that the boy was vaccinated but due some other reasons, he did not become immune to the disease,” he said. “A majority of the patients who live in Lahore have actually migrated from Narowal, Sheikhupura and Kasur,” he said. He said in a meeting of the health department, it was decided that the vaccination and surveillance drive should be escalated to control the disease. Dr Tanveer said measles vaccination was available in bulk to treat patients in all the hospitals of Lahore. However, he advised parents to get their children vaccinated to save them from the fatal disease.
Biohazard name: Measles
Biohazard level: 2/4 Medium
Biohazard desc.: Bacteria and viruses that cause only mild disease to humans, or are difficult to contract via aerosol in a lab setting, such as hepatitis A, B, and C, influenza A, Lyme disease, salmonella, mumps, measles, scrapie, dengue fever, and HIV. “Routine diagnostic work with clinical specimens can be done safely at Biosafety Level 2, using Biosafety Level 2 practices and procedures. Research work (including co-cultivation, virus replication studies, or manipulations involving concentrated virus) can be done in a BSL-2 (P2) facility, using BSL-3 practices and procedures. Virus production activities, including virus concentrations, require a BSL-3 (P3) facility and use of BSL-3 practices and procedures”, see Recommended Biosafety Levels for Infectious Agents.
Symptoms:
Status: confirmed

 

Earthh Watch Report –  Epidemic Hazards

 

2 31.12.2013 Epidemic Hazard Pakistan State of Sindh, Karachi Damage level
Details

Details of Situation Update

Epidemic Hazard in Pakistan on Friday, 28 December, 2012 at 04:53 (04:53 AM) UTC.

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Updated: Monday, 31 December, 2013 at 03:43 UTC
Description
At least seven children died of measles in Pakistan’s southern province of Sindh on Sunday, bringing the death toll to 154 in such incidents over the last 29 days, local media reported. Hospital sources as saying that the disease broke out in the children of two to nine years of age during the last week of October in the Upper Sindh areas which were affected by floods earlier in August and September this year. The health officials said that over 1200 measles-affected children have been shifted to various hospitals since November and more such patients are being brought into hospitals and dispensaries. Local health officials said that the major reason behind such a massive spread of disease is malnutrition and unhygienic condition in which the affected kids are living.

Health Secretary Dr. Aftab Ahmed Khatri said that most of the affected children were living together in congested streets and were passing the disease to other children. Measles is highly contagious and it spreads by a virus that is preventable by proper immunization but the disease became fatal in the province due to negligence of the health authorities. Talking to media, families of the affected kids said that the concerned authorities did not provide any relief to them, and the stagnant rain water is still surrounding their houses even after the passage of three months. According to an official press release by the Sindh health ministry, an anti-measles vaccination drive has been launched in the affected areas during which 130,004 children have been vaccinated so far. Over 20 camps have been set up in the province where children are being vaccinated under the supervision of district health officials.

Sindh Chief Minister took notice of the situation and lashed provincial health authorities of their negligence, saying that the disease could have been controlled if proper vaccination was given to the children at early stage of the eruption of the disease. This is the second major outbreak of the disease in Sindh since the beginning of this year. Earlier in June, World Health Organization (WHO) said that an estimated 27 children under five years died due to measles in the province.

 

Earth Watch Report  –  Epidemic Hazards

Measles

1 30.12.2012 Epidemic Hazard Pakistan State of Sindh, Karachi Damage level
Details

Deatils of Situation Update

Epidemic Hazard in Pakistan on Friday, 28 December, 2012 at 04:53 (04:53 AM) UTC.

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Updated: Sunday, 30 December, 2012 at 05:14 UTC
Description
There is rising numbers of death of children in various districts of province due to measles reported death toll reached to 88 among 9 children died within 24 hours in Shikarpur, Jacobabad, Ghotki and other parts of province in the different flood affected areas on Friday. According to the sources, death toll reached to 88 children under 5 years due to the measles, spreading fast in different districts of Larkana, Sukkur, Kandhkot-Kashmore, Ghotki, Jacobabad, Sukkur and other parts of Sindh. About 500 children suffering from measles out of which 88 have already been died of the deadly disease within one and half month. Recent deaths of 9 children under 5 years died on Thursday and Friday, among these names were identified children under 3 years age Rafique S/o Habib Shaikh died in Kandhkot Garib Abad Muhalla, another two children in village Sobdar Jacobabad district among Kashif (2) S/o Gul Muhammmed Bugti and Mohammed Ali (3) S/o Ahmed Ali Mangi, while in Sinjhoro in Thatta district two kids among 8 month Ania and Mania (2) S/o Dadan Bheel and others died here on the occasion.

The health department have been failed to take the issues in the flood affected areas and death toll surprisingly increasing day to day, deaths of children due to measles and other health diseases said the relatives in the flood affected areas of province. The Health Department authorities closed their eyes and done nothing to take preventive measures in the flood affected areas and other parts of province. Before this, seven children had been died because of measles and malnutrition in Thull taluka among three-year-old girl, Rani, died in Khan Muhammad Soomro village and a seven-year-old boy, Zahoor Ahmed Noonari, died in Yar Ali Pahor. According to the residents of the area they told that their villages completely submerged and there have been nothing for children to eat for the past three days or any medicines. The people also lamented the lack of medical facilities for children they told. Their parents said that about 40 other children in the village were suffering from fever and diarrhea; they added that no medical team has visited their village.