《儿科学》课程教学课件（PPT讲稿）17 Measles

MEASLES

Introduction Acute respiratory infectious diseasecaused by measles virusClinical feature: Fever, Cough, Coryza,Conjunctivitis, ExanthemSpecific signs:Koplik' s Spots口Branny desquamationBrownish discolorationDivision Oof Infecarolog

□ Acute respiratory infectious disease caused by measles virus □ Clinical feature: Fever, Cough, Coryza, Conjunctivitis, Exanthem □ Specific signs: Koplik’s Spots Branny desquamation Brownish discoloration Division Of Infectious Diseases And Gastroenterology Introduction

Measles historyEXANTHEMATOLOGIARational ACCOUNTEruptiveFEVERS,ECIAMeaslesandSmall Par.RMERDivision Of Infectious Diseases And Gastroenterology

Measles history Division Of Infectious Diseases And Gastroenterology

Measles1980:lncidenceandlmmunizationhnmunization(MCV1)coverageWJ3a0-100%1336.150%%NoDataIncideper100000people0-15155050:00100Sm1111500+NoData

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Measles1990:IncidenceandImmunization

Division Of Infectious Diseases And Gastroenterology

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Key facts(WHO)164, 000 measles deaths globally nearly 450 deaths every day 18 deaths every hour2008Division Of Infectious Diseases And Gastroenterology

Key facts (WHO) 164, 000 measles deaths globally □ nearly 450 deaths every day □ 18 deaths every hour 2008 Division Of Infectious Diseases And Gastroenterology

Recent outbreaks(WHO)Since the beginning of September, 2009, Johannesburg, a city inGauteng,SouthAfricareported about48 cases of measles.On February 19, 2009, 505 measles cases were reported in twelveprovinces in the North of Vietnam, with Hanoi accounting for 160 cases.OnThelstof April2009,an outbreakhas happened intwo schoolsin口NorthWales.In 2007, a large measles outbreak in Japan caused a number ofuniversitiesand other institutions toclose inan attempt to contain thediseaseApproximately 1ooo cases of the disease were reported in IsraelbetweenAugust 2007 and May 2008 (insharp contrast to justsomedozencasestheyearbefore)Asof2008thediseaseisendemic intheUnitedKingdomwithl,217cases diagnosed in 2008 and epidemics have been reported inAustria,Italyand Switzerland.In March 2010, Philippines declared an epidemic about thecontinuouslyrising cases of measles.Division Of InfectiousAnd Gastroenterolog

□ Since the beginning of September, 2009, Johannesburg, a city in Gauteng, South Africa reported about 48 cases of measles. □ On February 19, 2009, 505 measles cases were reported in twelve provinces in the North of Vietnam, with Hanoi accounting for 160 cases. □ O n The 1st of April 2009, an outbreak has happened in two schools in North Wales. □ In 2007, a large measles outbreak in Japan caused a number of universitiesand other institutions to close in an attempt to contain the disease Approximately 1000 cases of the disease were reported in Israel between August 2007 and May 2008 (in sharp contrast to just some dozen cases the year before) . □ As of 2008 the disease is endemic in the United Kingdom with 1,217 cases diagnosed in 2008 and epidemics have been reported inAustria, Italy and Switzerland. □ In March 2010, Philippines declared an epidemic about the continuously rising cases of measles. Recent out br eaks (WHO) Division Of Infectious Diseases And Gastroenterology

Measles casesof in-patientsinCHCMU(1964-2010)2000日18001-82MeaslesVaccine1600Inoculationinwhole14001200China (1966)1125100080060059549340038329625029320019219515213911215715512025P064 C6 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 00 02 04 06 07 08 09 10 11Division Of Infectious Diseases And Gastroenterology

1782 1125 192 493 595 383 250 293 195 152 139 22 13 7 21 297 110 155 120 112 157 296 1126 713 128 33 0 200 400 600 800 1000 1200 1400 1600 1800 2000 64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 00 02 04 06 07 08 0910 11 Measles Vaccine Inoculation inwhole China (1966) Measles cases of in-patients in C H C M U (1964-2010) Division Of Infectious Diseases And Gastroenterology

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Division Of Infectious Diseases And Gastroenterology