Measles Outbreak in Village Manzoor Sawand District Ghotki, Province Sindh, Pakistan- 2016
Notice bibliographique
Résumé
Background: On 3rd December 2016, District Health office Ghotki reported three suspected measles cases from Village Manzoor Sawand to DG Health Office Hyderabad. On 4th December 2016, two FELTP Fellows were deputed to initiate an outbreak investigation. Objective: The objectives of the investigation were to assess the magnitude, evaluate risk factors, and suggest control measures. Methods: A review of the reported cases was conducted. Active case finding was undertaken to identify more cases in the village. A case was defined as sudden onset of fever, maculopapular rash, and any of cough, coryza, conjunctivitis in a resident of village Manzoor Sawand, from 10th November to 10th December 2016. Data was collected using a structured questionnaire. Vaccination coverage survey was done by using 30 x 7 cluster sampling technique. Six blood samples were sent to NIH for lab confirmation. Results: A total of 15 cases including 2 deaths (CFR13.3%) were identified; 12 through active case finding. Mean age was 24 Months (range 9-54 months). Overall attack rate was 1/1000 and the most affected age group was 12-48 months n=13 (AR 3.8/1000). Apart from fever and rash cough (100%), coryza (80%) and conjuctivitis (60%) were the most prominent symptoms. A total of 210 children were assessed for vaccination status. Attack rate in unvaccinated children was 2.1% and in vaccinated children was 4.3%; vaccine efficacy was 51%. Reasons for non-vaccination was unawareness (n=12, 80%) followed by vaccinator did not visit (n=7, 46.6%). Ice-lined-refrigerator (ILR) was found to be non-functional at the EPI Centre. All blood samples were positive for measles. Conclusions: The most probable cause of the outbreak was low immunization status. Awareness sessions were conducted. Vaccinator was assigned to conduct outreach activities. A total of 713 eligible children were vaccinated against measles and Vitamin A was administered. On our recommendations ILR was made functional.
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 ».