2019–2020 Measles Outbreaks
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2019–2020 Measles Outbreaks
The 2019 measles outbreaks refer to a substantial global increase in the number of measles cases reported, relative to 2018. As of April 2019, the number of measles cases reported worldwide represented a 300% increase from the number of cases seen in the previous year, constituting over 110,000 measles cases reported in the first three months of 2019. In the first half of 2019, the World Health Organization received reports of 364,808 measles cases from 182 countries, up 182% from the same time period of 2018 when 129,239 confirmed cases were reported by 181 countries. Countries affected In the United States, the number of measles cases was set to reach a 25-year high by the middle of the year, beginning with a large concentration of cases in the Pacific Northwest followed by another in New York, as well in the U.S. state of California with two quarantines ordered at two colleges in Los Angeles on April 28, 2019. Other countries reporting large increases included Brazil, Nigeri ...
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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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2019 Philippines Measles Outbreak
The 2019 Philippines measles outbreak began in early 2019. An outbreak of measles was officially declared in February 2019 in select administrative regions in Luzon and Visayas including Metro Manila by the Philippine government. The outbreak is attributed to lowered vaccination rates, from a high of 88% 10 to 15 years previous to 74% at the time of the outbreak, allegedly caused by the Dengvaxia controversy. Epidemiology The Department of Health (DOH) of the Philippines declared a measles outbreak in Metro Manila due to a 550% increase of the number of patients from January 1 to February 6, 2019, compared to figures of the equivalent period from 2018. Outbreaks were also officially declared in Central Luzon, Calabarzon, Western Visayas, Central Visayas. and Northern Mindanao. A joint report by the United Nations Children's Fund (UNICEF) and World Health Organization has stated in the report that the outbreak started much earlier in late-2017 in Mindanao. Metro Manila and Calabarzo ...
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Vaccine Hesitancy
Vaccine hesitancy is a delay in acceptance, or refusal, of vaccines despite the availability of vaccine services and supporting evidence. The term covers refusals to vaccinate, delaying vaccines, accepting vaccines but remaining uncertain about their use, or using certain vaccines but not others. The scientific consensus that vaccines are generally safe and effective is overwhelming. Vaccine hesitancy often results in disease outbreaks and deaths from vaccine-preventable diseases. Therefore, the World Health Organization characterizes vaccine hesitancy as one of the top ten global health threats. "Anti-vaccinationism" refers to total opposition to vaccination; in more recent years, anti-vaccinationists have been known as "anti-vaxxers" or "anti-vax". Vaccine hesitancy is complex and context-specific, varying across time, place and vaccines. It can be influenced by factors such as lack of proper scientifically based knowledge and understanding about how vaccines are made or wo ...
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Jerome Adams
Jerome Michael Adams (born September 22, 1974) is an American anesthesiologist and a former vice admiral in the U.S. Public Health Service Commissioned Corps who served as the 20th surgeon general of the United States from September 5, 2017 until January 20, 2021. Prior to becoming Surgeon General, he served as the Indiana state health commissioner, from 2014 to 2017. On June 29, 2017, President Donald Trump nominated Adams to become Surgeon General of the United States. Adams was confirmed by the United States Senate on August 3, 2017. Early life and education Adams is the son of Richard and Edrena Adams of Mechanicsville, Maryland, and grew up on the family farm. He attended Chopticon High School, graduating in 1992, in the top 5% of his class. He then attended the University of Maryland Baltimore County through a full-tuition Meyerhoff Scholarship, a grant dedicated to minority students interested in the sciences. Adams received his Bachelor of Science in biochemistry and ...
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Surgeon General Of The United States
The surgeon general of the United States is the operational head of the United States Public Health Service Commissioned Corps (PHSCC) and thus the leading spokesperson on matters of public health in the federal government of the United States. The Surgeon General's office and staff are known as the Office of the Surgeon General (OSG), which is housed within the Office of the Assistant Secretary for Health. The U.S. surgeon general is nominated by the president of the United States and confirmed by the United States Senate, Senate. The surgeon general must be appointed from individuals who are members of the United States Public Health Service Commissioned Corps, regular corps of the United States Public Health Service, U.S. Public Health Service and have specialized training or significant experience in public health programs. However, there is no time requirement for membership in the Public Health Service before holding the office of the Surgeon General, and nominees traditional ...
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Donald Trump
Donald John Trump (born June 14, 1946) is an American politician, media personality, and businessman who served as the 45th president of the United States from 2017 to 2021. Trump graduated from the Wharton School of the University of Pennsylvania with a bachelor's degree in 1968. He became president of his father's real estate business in 1971 and renamed it The Trump Organization. He expanded the company's operations to building and renovating skyscrapers, hotels, casinos, and golf courses. He later started side ventures, mostly by licensing his name. From 2004 to 2015, he co-produced and hosted the reality television series ''The Apprentice (American TV series), The Apprentice''. Trump and his businesses have been involved in more than 4,000 state and federal legal actions, including six bankruptcies. Trump's political positions have been described as populist, protectionist, isolationist, and nationalist. He won the 2016 United States presidential election as the Repu ...
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Dengvaxia Controversy
The Dengvaxia controversy () occurred in the Philippines when the dengue vaccine Dengvaxia was found to increase the risk of disease severity for some people who had received it. A vaccination program run by the Philippine Department of Health (DOH) administered Sanofi Pasteur's Dengvaxia to schoolchildren. The program was stopped when Sanofi Pasteur advised the government that the vaccine could put previously uninfected people at a somewhat higher risk of a severe case of dengue fever through antibody-dependent enhancement. A political controversy erupted over whether the program was run with sufficient care and who should be held responsible for the alleged harm to the vaccinated children. In late November 2017, the DOH suspended the school-based vaccination program. The DOH subsequently banned the vaccine's use and sale in the Philippines. The scare caused by the controversy has been suggested as a factor in the country's loss of confidence in vaccines and low immunization ra ...
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Francisco Duque III
Francisco Tiongson Duque III (; born February 13, 1957) is a Filipino physician and government official who served as Secretary of Health in the Cabinet of President Rodrigo Duterte from 2017 to 2022, a position he had previously held from 2005 to 2009 in the Cabinet of President Gloria Macapagal Arroyo. From 2010 to 2015, he served as the chair of the Civil Service Commission. Early life and education Duque earned his high school diploma from Lourdes School of Quezon City in 1974 and his bachelor's degree in zoology from the University of Santo Tomas (UST) in 1978. He then obtained his Doctor of Medicine degree from the UST Faculty of Medicine and Surgery in 1982. Duque continued his education in the United States, where he earned his Master of Science degree in pathology from Georgetown University in 1987. It was at Georgetown where he underwent scientific training in women's health from 1985 to 1988. In 1992, Duque finished a post-graduate course on executive education Harva ...
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2019 Samoa Measles Outbreak
The 2019 Samoa measles outbreak began in September 2019. As of 6 January 2020, there were over 5,700 cases of measles and 83 deaths, out of a Samoan population of 200,874. Over three percent of the population were infected. The cause of the outbreak was attributed to decreased vaccination rates, from 74% in 2017 to 31–34% in 2018, even though nearby islands had rates near 99%. A state of emergency was declared on 17 November, ordering the closure of all schools, keeping children under 17 away from public events, and vaccination became mandatory. On 2 December 2019, the government imposed a curfew and cancelled all Christmas celebrations and public gatherings. Families seeking MMR vaccination were asked by the government to display an item of red cloth in front of their homes so as to alert mobile medical teams traveling the island during the lockdown. Some added messages like "Help!" or "I want to live!". On 5 and 6 December, the government shut down everything to bring civ ...
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2019–2020 New Zealand Measles Outbreak
The 2019–2020 New Zealand measles outbreak was an epidemic that affected New Zealand, primarily the Auckland Region, Auckland region. The outbreak was the worst epidemic in New Zealand since an influenza epidemic in 1999, and is the worst measles epidemic since 1938. The D8 strain was confirmed to be the main strain of the epidemic, but the B3 strain has also been identified and the epidemic has spread to several other countries. In Samoa more than 72 people have died. Cases in Tonga and Fiji have also been recorded, and an outbreak in Perth, Australia, Perth began in October 2019 after a New Zealander visited while infectious. In New Zealand, two unborn fetuses in second trimester have died as a result of the outbreak. Policy Response The New Zealand Government has been criticised for its response to the epidemic, particularly due to shortages in the supply of vaccines. Scientists have also criticised the Ministry of Health (New Zealand), Ministry of Health for not acting ...
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2019 New York Measles Outbreak
The 2019 New York City measles outbreak was a substantial increase in the number of measles cases reported in the state of New York, primarily in New York City and neighboring Rockland County, New York in 2019, relative to the previous year. __TOC__ History The areas of Williamsburg and Borough Park, two Brooklyn neighborhoods with a high concentration of Orthodox Jews, have been most heavily affected. New York City mayor Bill de Blasio declared a public health emergency on April 9, 2019. At that point, 285 cases of measles had been reported in Brooklyn and Queens since the October 2018. By the beginning of May 2019, 423 confirmed cases of measles had been reported in New York City. De Blasio's declaration required mandatory vaccinations in the neighborhoods corresponding to the zip codes 11205, 11206, 11211, and 11249. This required that everyone living or working in the neighborhood who is more than six months old receive a vaccination or be subject to a $1,000 fine. Prior to ...
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2019 Kuala Koh Measles Outbreak
The 2019 Kuala Koh measles outbreak was a measles outbreak that occurred among the Orang Asli sub-group of Batek people in Kuala Koh Village in the state of Kelantan, Malaysia, from May until July. Following the sudden deaths of several villagers, the disease became a mystery among the villagers and public for nearly a month until it was identified by the Malaysian Health Ministry in mid-June as measles. Background of the disease The sudden deaths of 14 Orang Asli villagers in Kuala Koh Village was at first considered a mystery with two people dying from pneumonia complications between 2 May and 7 June, while the remaining people's causes of death remain unknown as their bodies were buried by locals prior to reports of the outbreak. On 8 June, a further 83 villagers presented pneumonia with two of them, a 36-year-old woman and three-year-old baby, in critical condition. Thirty-seven of the villagers received outpatient treatment with 32 treated at Gua Musang Hospital, 11 at K ...
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