Outbreak Investigation of Measles in Farash Town, Islamabad, April 2017
Notice bibliographique
Résumé
Background: On April 14, 2017, two measles cases were reported by local health practitioner from Farash Town. A team of FELTP fellows were deputed to investigate the outbreak. Objective: On the request of district health authorities an outbreak investigation was conducted to assess magnitude, identify risk factors and recommend control measures. Methods: Outbreak investigation was carried out from April 18 to May 05, 2017. Active case finding was conducted through a house-to-house survey. A case was defined as onset of maculopapular rash with fever and presence of any of the sign/symptoms like coryza, conjunctivitis and cough in a resident of Farash Town from March 25, 2017 to April 30, 2017. Community-based age and sex-matched controls were selected. Vaccine coverage survey was conducted in a cluster of 245 houses. Frequencies were calculated, attack rates computed, and vaccine efficacy was determined. Blood samples of 03 suspected cases were sent to Public Health Laboratories at NIH Islamabad for confirmation. Results: A total of 15 cases were identified; 13 through active case finding. Mean age was 44.5 months (range 05-120 months). The cases were predominantly male n=9(60%). Overall attack rate was 1.15% and most severely affected age group was 24-36 months (n=4, AR=10.81%) followed by 12-24 months (n=3, AR=8.10%). Diarrhea developed in n=12 (80%) and pneumonia developed in n=2 (13.3%). Immunization coverage survey showed that AR in unvaccinated was 25% and AR in vaccinated was 10%, hence the vaccine efficacy was calculated to be 60%. The most significant reason for non-vaccination was misconception about vaccination (OR: 24.0, CI: 4.9-116.1). All blood samples were positive for measles-specific IgM on ELISA. Conclusions: Low immunization status was the most probable cause of outbreak. The results were communicated to district health authorities for mass vaccination. Health awareness session was conducted for all households. No new case was reported during the two weeks follow-up.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».