2013 Swansea Measles Epidemic
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2013 Swansea Measles Epidemic
The 2012–2013 Swansea measles epidemic began in November 2012 and was declared over on 3 July 2013. There were a total of 1,219 measles notifications (suspected cases) in Swansea, Neath Port Talbot, Bridgend, Carmarthenshire, Ceredigion, Pembrokeshire and Powys, with 1,455 measles notifications for the whole of Wales, 664 of which were in Swansea alone. A total of 88 people were hospitalised for measles infection during the epidemic. One death was reported: a 25-year-old man with giant cell pneumonia brought on by measles infection died on 18 April 2013. The cost associated with treating the sick and controlling the outbreak exceeded £470,000 ($701,898). History Some sources linked the outbreak with the MMR vaccine controversy and a campaign in the ''South Wales Evening Post'' in the 1990s against the MMR vaccine, as the majority of those who became infected were not immunised as infants during the MMR scare. Uptake of the MMR vaccine fell from 94% of two-year-olds in Wale ...
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Measles
Measles is a highly contagious infectious disease caused by measles virus. Symptoms usually develop 10–12 days after exposure to an infected person and last 7–10 days. Initial symptoms typically include fever, often greater than , cough, runny nose, and inflamed eyes. Small white spots known as Koplik's spots may form inside the mouth two or three days after the start of symptoms. A red, flat rash which usually starts on the face and then spreads to the rest of the body typically begins three to five days after the start of symptoms. Common complications include diarrhea (in 8% of cases), middle ear infection (7%), and pneumonia (6%). These occur in part due to measles-induced immunosuppression. Less commonly seizures, blindness, or inflammation of the brain may occur. Other names include ''morbilli'', ''rubeola'', ''red measles'', and ''English measles''. Both rubella, also known as ''German measles'', and roseola are different diseases caused by unrelated viruses. Mea ...
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Forbes
''Forbes'' () is an American business magazine owned by Integrated Whale Media Investments and the Forbes family. Published eight times a year, it features articles on finance, industry, investing, and marketing topics. ''Forbes'' also reports on related subjects such as technology, communications, science, politics, and law. It is based in Jersey City, New Jersey. Competitors in the national business magazine category include ''Fortune'' and ''Bloomberg Businessweek''. ''Forbes'' has an international edition in Asia as well as editions produced under license in 27 countries and regions worldwide. The magazine is well known for its lists and rankings, including of the richest Americans (the Forbes 400), of the America's Wealthiest Celebrities, of the world's top companies (the Forbes Global 2000), Forbes list of the World's Most Powerful People, and The World's Billionaires. The motto of ''Forbes'' magazine is "Change the World". Its chair and editor-in-chief is Steve Fo ...
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Health In Wales
Health in Wales refers to the overall health of the population of Wales. Public Health Wales The Public Health Wales Observatory produces annual Demography Profiles for the Welsh local health boards and has done since 2009. The Observatory is part of the Health Intelligence Division of Public Health Wales. Health Service As health is a devolved power, from the UK Government, it is the responsibility of the Minister for Health and Social Services for Wales and the Welsh Government, which are responsible for the running of the National Health Service in Wales, all aspects of public health and health protection in Wales, the Food Standards Agency in Wales, post-graduate medical education and any charges for NHS services. Prescriptions In 2007, Wales became the first UK country to introduce free prescriptions. to all its citizens. Smoking and drinking In April 2007, ahead of England, it became the first to ban smoking in NHS hospitals and in 2019, the first country i ...
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Vaccine-naive
Vaccine-naive is a lack of immunity, or immunologic memory, to a disease because the person has not been vaccinated. There are a variety of reasons why a person may not have received a vaccination, including contraindications due to preexisting medical conditions, lack of resources, previous vaccination failure, religious beliefs, personal beliefs, fear of side-effects, phobias to needles, lack of information, vaccine shortages, physician knowledge and beliefs, social pressure, and natural resistance. Effect on herd immunity Communicable diseases, such as measles and influenza, are more readily spread in vaccine-naive populations, causing frequent outbreaks. Vaccine-naive persons threaten what epidemiologists call herd immunity. This is because vaccinations provide not just protection to those who receive them, but also provide indirect protection to those who remain susceptible because of the reduced prevalence of infectious diseases. Fewer individuals available to transmit the ...
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Pulse Vaccination Strategy
The pulse vaccination strategy is a method used to eradicate an epidemic by repeatedly vaccinating a group at risk, over a defined age range, until the spread of the pathogen has been stopped. It is most commonly used during measles and polio epidemics to quickly stop the spread and contain the outbreak. Mathematical model Where T= time units is a constant fraction p of susceptible subjects vaccinated in a relatively short time. This yields the differential equations for the susceptible and vaccinated subjects as : : \frac = \mu N - \mu S - \beta \frac S, S(n T^+) = (1-p) S(n T^-) n=0,1,2,\dots : \frac = - \mu V, V(n T^+) = V(n T^-) + p S(n T^-) n=0,1,2,\dots Further, by setting , one obtains that the dynamics of the susceptible subjects is given by: : S^*(t) = 1- \fracE^ and that the eradication condition is:Stone L., Shulgin, B., Agur, Z. Theoretical examination of the pulse vaccination policy in the SIR epidemic model. Mathematical and computer modelling, 2000, 31 (4 ...
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Outbreak
In epidemiology, an outbreak is a sudden increase in occurrences of a disease when cases are in excess of normal expectancy for the location or season. It may affect a small and localized group or impact upon thousands of people across an entire continent. The number of cases varies according to the disease-causing agent, and the size and type of previous and existing exposure to the agent. Outbreaks include many epidemics, which term is normally only for infectious diseases, as well as diseases with an environmental origin, such as a water or foodborne disease. They may affect a region in a country or a group of countries. Pandemics are near-global disease outbreaks when multiple and various countries around the Earth are soon infected. Definition The terms "outbreak" and "epidemic" have often been used interchangeably. Researchers Manfred S. Green and colleagues propose that the latter term be restricted to larger events, pointing out that '' Chambers Concise Dictionary'' and ' ...
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Public Health Wales
Public Health Wales (PHW; ) is an NHS Trust which was established on 1 October 2009 as part of a major restructuring of the health service in Wales. It aims to protect and improve health and wellbeing and reduce health inequalities in Wales. Mission and resources The Trust has four statutory functions: *Provide and manage public health, health protection, healthcare improvement, health advisory, child protection and microbiological laboratory services and services relating to the surveillance, prevention and control of communicable diseases; *Develop and maintain arrangements for making information about matters related to the protection and improvement of health in Wales available to the public; to undertake and commission research into such matters and to contribute to the provision and development of training in such matters; *Undertake the systematic collection, analysis and dissemination of information about the health of the people of Wales in particular including cance ...
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Local Health Board
NHS Wales has been organised into administrative units known as Local Health Boards (LHB, ) since 2003. Following a reorganisation in 2009, there are currently seven local health boards in Wales. Local health boards may use an operational name of either University Health Board () or Teaching Health Board (). The LHBs were operationally launched on 1 April 2003, following "The Local Health Boards (Establishment) (Wales) Order 2003" coming into force on 10 February 2003, replacing the five Health Authorities in Wales. In 2003, there were 22 LHBs in Wales, corresponding to one LHB for each principal area of Wales. These new boards would receive roughly three-quarters of the allocated budget for NHS Wales, and the boards were set up to effectively plan services for the populations of their respective local authorities. The boards were given the responsibility of financing hospital trusts, G.Ps, dentists, and other healthcare professionals to provide these services. The Health Commi ...
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England
England is a country that is part of the United Kingdom. It shares land borders with Wales to its west and Scotland to its north. The Irish Sea lies northwest and the Celtic Sea to the southwest. It is separated from continental Europe by the North Sea to the east and the English Channel to the south. The country covers five-eighths of the island of Great Britain, which lies in the North Atlantic, and includes over 100 smaller islands, such as the Isles of Scilly and the Isle of Wight. The area now called England was first inhabited by modern humans during the Upper Paleolithic period, but takes its name from the Angles, a Germanic tribe deriving its name from the Anglia peninsula, who settled during the 5th and 6th centuries. England became a unified state in the 10th century and has had a significant cultural and legal impact on the wider world since the Age of Discovery, which began during the 15th century. The English language, the Anglican Church, and Engli ...
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Department Of Health (United Kingdom)
The Department of Health and Social Care (DHSC) is a department of His Majesty's Government responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the secretary of state for health and social care with three ministers of state and three parliamentary under-secretaries of state. The department develops policies and guidelines to improve the quality of care and to meet patient expectations. It carries out some of its work through arms-length bodies (ALBs), including executive non-departmental public bodies such as NHS England and the NHS Digital, and executive agencies such as the UK Health Security Agency and the Medicines and Healthcare products Regulatory Agency (MHRA). The DHSC also manages the work of the Nation ...
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The Independent
''The Independent'' is a British online newspaper. It was established in 1986 as a national morning printed paper. Nicknamed the ''Indy'', it began as a broadsheet and changed to tabloid format in 2003. The last printed edition was published on Saturday 26 March 2016, leaving only the online edition. The newspaper was controlled by Tony O'Reilly's Irish Independent News & Media from 1997 until it was sold to the Russian oligarch and former KGB Officer Alexander Lebedev in 2010. In 2017, Sultan Muhammad Abuljadayel bought a 30% stake in it. The daily edition was named National Newspaper of the Year at the 2004 British Press Awards. The website and mobile app had a combined monthly reach of 19,826,000 in 2021. History 1986 to 1990 Launched in 1986, the first issue of ''The Independent'' was published on 7 October in broadsheet format.Dennis Griffiths (ed.) ''The Encyclopedia of the British Press, 1422–1992'', London & Basingstoke: Macmillan, 1992, p. 330 It was produc ...
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London
London is the capital and largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary down to the North Sea, and has been a major settlement for two millennia. The City of London, its ancient core and financial centre, was founded by the Romans as '' Londinium'' and retains its medieval boundaries.See also: Independent city § National capitals The City of Westminster, to the west of the City of London, has for centuries hosted the national government and parliament. Since the 19th century, the name "London" has also referred to the metropolis around this core, historically split between the counties of Middlesex, Essex, Surrey, Kent, and Hertfordshire, which largely comprises Greater London, governed by the Greater London Authority.The Greater London Authority consists of the Mayor of London and the London Assembly. The London Mayor is distinguished fr ...
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