Measles outbreak in Vietnam 2014

Measles outbreak in Vietnam 2014A brief for discussion Initially outbreak in adultsFrom remote provinces with low vaccine coverageYen Bai, Lao Cai, Ha Giang, Lai Chau, Son LaSporadic adult cases were reported in the last quarter of 2013In 2013 there were several problems of health systems affected peoples attitude to vaccinationSome deaths after vaccinationA health staff stole clients vaccineMedical errors were kicked up by the mediaOutbreak started from January 2014 (1)61/63 provincesAs of April 23 20143569 confirmed cases9932 morbilliform eruptive fever37% reported cases in HanoiPeak of epidemic curve: Mid of March 2014Outbreak started from January 2014 (2)Age68.3% under 10 year old16.1% under 1 year old11% under 9 monthOutbreak started from January 2014 (3)History of vaccination of cases84.6% never or unknown vaccinated9.9% got 1-shot vaccinationOutbreak started from January 2014 (4)Mortality119 deaths associated with measles25 deaths of measles without underlying conditionsDistribution111 (93.2%) at the National Pediatric hospital6 at Bach Mai hospital (Pediatric Department)1 at the National hospital for Tropical Diseases1 at home (Yen Bai province)Some pictures of Koplik spots

Some pictures of Koplik spots

Some pictures of Koplik spots

Measles in adults

Measles and varicella

In immunocompromised patients

Chest X ray

A patient with post-measles encephalitis

CT scan

Overcrowded in central hospitals

Measles in pre-vaccination aged infants

Responses to the outbreakAggressive steering of leadersStrengthening inspection and supervisionVaccination campaignLowering patient load of central hospitalsTechnical guiding and supportMOH issued updated Guidelines for diagnosis, treatment and prevention of measlesCommunicationLogisticsAggressive steering of leaders

Strengthening inspection and supervision

Vaccination campaign

Lowering patient load of central hospitals

Technical guiding and support

Communication

Logistics