2019 Samoan Measles Outbreak
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2019 Samoan Measles Outbreak
The 2019 Samoa measles outbreak began in September 2019. By 6 January 2020, over 5,700 cases of measles and 83 deaths had been reported, out of a population of 200,874, an infection rate of over three per cent. The cause of the outbreak was decreased vaccination rates among newborns, from 74% in 2017 to 31–34% in 2018. Nearby islands had rates near 99%. On 17 November, a state of emergency was declared, closing all schools, keeping children under 17 away from public events, and mandatory vaccination. On 2 December, the government imposed a curfew and cancelled all Christmas celebrations and public gatherings. Families seeking MMR vaccination were asked by the government to display a red cloth in front of their homes 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, and reposted civil servants to the vaccination campaign. On 7 December, the cu ...
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Measles
Measles (probably from Middle Dutch or Middle High German ''masel(e)'', meaning "blemish, blood blister") is a highly contagious, Vaccine-preventable diseases, vaccine-preventable infectious disease caused by Measles morbillivirus, measles virus. Other names include ''morbilli'', ''rubeola'', ''9-day measles, red measles'', and ''English measles''. 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, Rhinitis, runny nose, and conjunctivitis, inflamed eyes. Small white spots known as Koplik's spots, Koplik 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), Otitis media, middle ear infection (7%), and pneumonia (6%). These occur i ...
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Niue
Niue is a self-governing island country in free association with New Zealand. It is situated in the South Pacific Ocean and is part of Polynesia, and predominantly inhabited by Polynesians. One of the world's largest coral islands, Niue is commonly referred to as "The Rock", which comes from the traditional name "Rock of Polynesia". Niue's position is inside a triangle drawn between Tonga, Samoa, and the Cook Islands. It is northeast of New Zealand, and northeast of Tonga. Niue's land area is about and its population was 1,689 at the Census in 2022. The terrain of the island has two noticeable levels. The higher level is made up of a limestone cliff running along the coast, with a plateau in the centre of the island reaching approximately above sea level. The lower level is a coastal terrace approximately 0.5 km (0.3 miles) wide and about 25–27 metres (80–90 feet) high, which slopes down and meets the sea in small cliffs. A coral reef surrounds the island; the ...
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American Samoa
American Samoa is an Territories of the United States, unincorporated and unorganized territory of the United States located in the Polynesia region of the Pacific Ocean, South Pacific Ocean. Centered on , it is southeast of the island country of Samoa, east of the International Date Line and the Wallis and Futuna Islands, west of the Cook Islands, north of Tonga, and some south of Tokelau. American Samoa is the southernmost territory of the United States, situated southwest of the U.S. state of Hawaii, and one of two U.S. territories south of the Equator, along with the uninhabited Jarvis Island. American Samoa consists of the eastern part of the Samoan Islands, Samoan archipelagothe inhabited volcanic islands of Tutuila, Aunuʻu, Ofu-Olosega, Ofu, Ofu-Olosega, Olosega and Taʻū and the uninhabited Rose Atollas well as Swains Island, a remote coral atoll in the List of islands of Tokelau, Tokelau volcanic island group. The total land area is , slightly larger than Washing ...
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Immunodeficiency
Immunodeficiency, also known as immunocompromise, is a state in which the immune system's ability to fight infectious diseases and cancer is compromised or entirely absent. Most cases are acquired ("secondary") due to extrinsic factors that affect the patient's immune system. Examples of these extrinsic factors include HIV infection and environmental factors, such as nutrition. Immunocompromisation may also be due to genetic diseases/flaws such as SCID. In clinical settings, immunosuppression by some drugs, such as steroids, can either be an adverse effect or the intended purpose of the treatment. Examples of such use is in organ transplant surgery as an anti- rejection measure and in patients with an overactive immune system, as in autoimmune diseases. Some people are born with intrinsic defects in their immune system, or primary immunodeficiency. A person who has an immunodeficiency of any kind is said to be immunocompromised. An immunocompromised individual may par ...
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Vitamin A Deficiency
Vitamin A deficiency (VAD) or hypovitaminosis A is a lack of vitamin A in blood and tissues. It is common in poorer countries, especially among children and women of reproductive age, but is rarely seen in more developed countries. Vitamin A plays a major role in phototransduction, so this deficiency impairs vision, often presenting with nyctalopia (night blindness). In more severe VAD cases, it can progress to xerophthalmia, keratomalacia, and complete blindness. Vitamin A deficiency is the leading cause of preventable childhood blindness worldwide and is a major cause of childhood mortality. Each year, approximately 250,000 to 500,000 malnourished children in the developing world go blind from a VAD, with about half of whom dying within a year of losing their sight. Addressing VAD has been a critical focus of global health initiatives, including Sustainable Development Goal 2: to end hunger, achieve food security and improved nutrition and promote sustainable agriculture. ...
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Herd Immunity
Herd immunity (also called herd effect, community immunity, population immunity, or mass immunity) is a form of indirect protection that applies only to contagious diseases. It occurs when a sufficient percentage of a population has become immune to an infection, whether through previous infections or vaccination, that the communicable pathogen cannot maintain itself in the population, its low incidence thereby reducing the likelihood of infection for individuals who lack immunity. Once the herd immunity has been reached, disease gradually disappears from a population and may result in eradication or permanent reduction of infections to zero if achieved worldwide. Herd immunity created via vaccination has contributed to the reduction of many diseases. Effects Protection of those without immunity Some individuals either cannot develop immunity after vaccination or for medical reasons cannot be vaccinated. Newborn infants are too young to receive many vaccines, either for sa ...
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Infection Fatality Rate
In epidemiology, case fatality rate (CFR) – or sometimes more accurately case-fatality risk – is the proportion of people who have been Medical diagnosis, diagnosed with a certain disease and end up Cause of death, dying of it. Unlike a disease's mortality rate, the CFR does not take into account the time period between disease onset and death. A CFR is generally expressed as a percentage. It is a measure of disease lethality, and thus may change with different therapy, treatments. CFRs are most often used for with discrete, limited-time courses, such as acute infections. Terminology The ''mortality rate'' – often confused with the CFR – is a measure of the relative number of deaths (either in general, or due to a specific cause) within the entire population per unit of time. A CFR, in contrast, is the number of deaths among the number of diagnosed cases only, regardless of time or total population. From a mathematical point of view, by taking values between 0 and 1 or 0% ...
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Upolu
Upolu is an island in Samoa, formed by a massive basaltic shield volcano which rises from the seafloor of the western Pacific Ocean. The island is long and in area, making it the second largest of the Samoan Islands by area. With approximately 145,000 inhabitants, it is by far the most populous of the Samoan Islands. Upolu is situated to the southeast of Savai'i, the "big island". Apia, the capital, is in the middle of the north coast, and Faleolo International Airport at the western end of the island. The island has not had any historically recorded eruptions, although there is evidence of three lava flows, dating back only to between a few hundred and a few thousand years ago. In the Samoan branch of Polynesian mythology, Upolu was the first woman on the island. James Michener based his character Bloody Mary in ''Tales of the South Pacific'' (later a major character in the Rodgers and Hammerstein musical, '' South Pacific'') on the owner of Aggie Grey's Hotel on the so ...
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Auckland
Auckland ( ; ) is a large metropolitan city in the North Island of New Zealand. It has an urban population of about It is located in the greater Auckland Region, the area governed by Auckland Council, which includes outlying rural areas and the islands of the Hauraki Gulf, and which has a total population of as of It is the List of cities in New Zealand, most populous city of New Zealand and the List of cities in Oceania by population, fifth-largest city in Oceania. The city lies between the Hauraki Gulf to the east, the Hunua Ranges to the south-east, the Manukau Harbour to the south-west, and the Waitākere Ranges and smaller ranges to the west and north-west. The surrounding hills are covered in rainforest and the landscape is dotted with 53 volcanic centres that make up the Auckland Volcanic Field. The central part of the urban area occupies a narrow isthmus between the Manukau Harbour on the Tasman Sea and the Waitematā Harbour on the Pacific Ocean. Auckland is one of ...
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The Guardian
''The Guardian'' is a British daily newspaper. It was founded in Manchester in 1821 as ''The Manchester Guardian'' and changed its name in 1959, followed by a move to London. Along with its sister paper, ''The Guardian Weekly'', ''The Guardian'' is part of the Guardian Media Group, owned by the Scott Trust Limited. The trust was created in 1936 to "secure the financial and editorial independence of ''The Guardian'' in perpetuity and to safeguard the journalistic freedom and liberal values of ''The Guardian'' free from commercial or political interference". The trust was converted into a limited company in 2008, with a constitution written so as to maintain for ''The Guardian'' the same protections as were built into the structure of the Scott Trust by its creators. Profits are reinvested in its journalism rather than distributed to owners or shareholders. It is considered a newspaper of record in the UK. The editor-in-chief Katharine Viner succeeded Alan Rusbridger in 2015. S ...
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New York Times
''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of the longest-running newspapers in the United States, the ''Times'' serves as one of the country's Newspaper of record, newspapers of record. , ''The New York Times'' had 9.13 million total and 8.83 million online subscribers, both by significant margins the List of newspapers in the United States, highest numbers for any newspaper in the United States; the total also included 296,330 print subscribers, making the ''Times'' the second-largest newspaper by print circulation in the United States, following ''The Wall Street Journal'', also based in New York City. ''The New York Times'' is published by the New York Times Company; since 1896, the company has been chaired by the Ochs-Sulzberger family, whose current chairman and the paper's publ ...
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Tuilaʻepa Saʻilele Malielegaoi
Susuga Tuilaepa Lupesoliai Neioti Aiono Sailele Malielegaoi (born 14 February 1944) is a Samoan politician and economist who served as the sixth prime minister of Samoa from 1998 to 2021. Tuilaepa is Samoa's longest serving prime minister and was leader of the opposition from 2021 to 2022. Since 1998, he has led the Human Rights Protection Party (HRPP). Tuilaepa first entered parliament in 1981 when he won a by-election to represent the electorate of Lepā. He also served as deputy prime minister and minister of finance in the government of Prime Minister Tofilau Eti Alesana, and also held the portfolios of Tourism and Trade, Commerce & Industry. Tuilaepa lost his majority in the 2021 election but refused to leave office, leading to the 2021 Samoan constitutional crisis. The crisis was resolved by Samoa's Court of Appeal on 23 July 2021, which ruled that Fiamē Naomi Mataafa had been prime minister since 24 May. On 26 July, Tuilaepa conceded defeat and assumed the role of o ...
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