Measles in Ukraine. The threat of the epidemic and treatments

Корь в Украине. Угроза эпидемии и методы лечения

Measles outbreak in Ukraine to 2017 – 2018: to be the epidemic, how to prevent disease and treated.

Measles outbreaks recorded in several regions of Ukraine in late 2017 or early 2018. Kyiv was under the threat of the epidemic.

Chronicle of the advance of the disease

Odessa. At the end of December 2017 in Odessa for a week sick with measles about 60 children. Later, this figure had grown to two hundred children. A week in 2018 in the region has recorded 60 cases of measles.

Due to the high epidemic threshold and to minimize contact between children in Odessa oblast have extended the winter vacation. Another week the kids will relax, and the parents will have time to vaccinate those who for whatever reason were left without vaccinations.

Zaporizhia. A massive measles outbreak in Zaporizhia and the suburban village of Kushuhum also was at the end of December 2017. Because of illness in Kushuhum were quarantined the school.

In the end of 2017 in the Zaporozhye region recorded 122 cases of infection.

Kiev. In Kiev, in the first days of 2018 for assistance to the infectious diseases with suspected measles addressed the parents of 16 children. The Department of health of KCSA confirmed the diagnosis and reported that the symptoms appeared after the children’s attendance at mass new year’s actions.

In the Kiev state foods and consumer service say that almost everyone who was sick at the time, refused vaccination against measles.

Корь в Украине. Угроза эпидемии и методы лечения

The first measles vaccination at 12 months (photo: EPA/UPG)

As of 9 January 2018, recorded 54 cases of measles, of which only 11 adults, all the rest of the patients are children. We found out that 20 patients have visited the circus “Kobzov”. Carriers of the virus could be employees. The circus, where the children contracted the measles was closed.

10 January 2018, the Kiev authorities decided on the introduction of precautionary and preventive measures to avoid epidemics of measles. Not vaccinated against this disease children should not be allowed to prevent the learning process in schools and preschools.

According to first Deputy Chairman of KSCA Nicholas Povoroznik, the introduction of quarantine until it is.

“In the children’s groups need to be checked for the presence of children immunized against measles. Find those who are missing or there is no reference medical institutions in terms that the child had the measles and is immune, or the child is contraindicated vaccinations,” said Poworoznik.

Thursday, January 11, the number of cases of measles in Kiev has risen to 66.

Kherson. The complication of the epidemiological situation reported in the Kherson regional laboratory center of the Ministry of health of Ukraine. Sub-national laboratory of Ukraine for the diagnosis of measles and rubella confirmed 2 cases in adults 41 and 37 years old. The message Center indicated that those who got sick were not vaccinated. Disease suspect still at 6 people, two of whom are also not vaccinated.

What is the disease and how it is dangerous

Measles – an acute infectious disease characterized by: severe intoxication, fever up to 40 gradusov, inflammation from the respiratory tract, conjunctivitis and the appearance of lesions on the mucous membrane of the mouth and maculopapular rash on the skin.

Корь в Украине. Угроза эпидемии и методы лечения

Rash with measles (Photo:

Measles is a disease with a high percentage of child mortality at an early age. According to who statistics, in 2015, measles killed more than 134 thousand people, most of them children under five years.

The source of infection is sick with measles in any form that is contagious to others from the last days of the incubation period (last 2 days) until the 4th day of the rash. From the 5th day of the rash the patient is considered non-contagious.

The virus is transmitted by airborne droplets, it is released into the environment of a sick person during coughing or sneezing.

The disease affects mostly children 2-5 years, much less those who have not had the measles in childhood. In newborns, colostral immunity transmitted to the baby from the mother, who already suffered from measles. He saved for 3 months.

After an illness in the human body needs to produce strong immunity and recurrent disease is almost impossible. It tells the family doctor Natalia Ivina, the most dangerous period for measles is from December to may. “The rise in the incidence of recorded every 2-4 years. The last major measles outbreak was in 2015”, – said Natalia Ivina.

Measles threat a number of complications. The one who had been ill, there may be problems in the Central nervous system, respiratory system and gastrointestinal tract. For example, laryngitis, croup (laryngeal stenosis), tracheobronchitis, otitis media, primary measles pneumonia, secondary bacterial pneumonia, measles encephalitis, hepatitis, lymphadenitis, mesenteric lymphadenitis. A rather rare late complication is subacute sclerosing panencephalitis.

Hard transferred the disease children who have deficiency in vitamin A.

Prevention of the disease

The only way to prevent measles is vaccination.

To ensure immunity and prevent outbreaks are recommended two doses of vaccine. According to the calendar of vaccinations, the first vaccination combined live measles vaccine in Ukraine are children under the age of 12 months.

The who: measles is a leading cause of death in children

Revaccination is carried out in 6 years, since approximately 15% of children after the first dose fail to develop immunity. After two doses the immune system already produces 95% of children.

Корь в Украине. Угроза эпидемии и методы лечения

Vaccination against measles (photo: EPA/UPG)

Not vaccinated people can be vaccinated at any age. The vaccine protects even when administered within several days after infection.

According to statistics, when the vaccination coverage of the area for more than 90%, measles outbreaks there is not fixed. The protective effect of the vaccine lasts many years.

In Ukraine children vaccinated with the Belgian vaccine “Priorix”. As reported by Nicholas Povoroznik, Kiev it is fully secured and you can get vaccinated in any outpatient facility where equipped classrooms vaccination, and they are equipped practically in all polyclinics of the city.

Get vaccinated every day, including weekends. Now solved the question of the possible extension of the work of the offices of vaccination after 18.00.

Treatment of measles

Today, there are no drugs to treat measles. The disease can be treated symptomatically, for example, expectorant and mucolytic drugs.

To reduce fever and pain use analgesic type of ibuprofen and paracetamol. But aspirin is not recommended.

Relieve itching will help daily rinsing and washing with special solutions.

Eyewash during the illness, use a solution of baking soda or strong tea. Conjunctivitis recommended drops with antibiotics. The oral cavity also caress chamomile extract or chlorhexidine.

In the case of pneumonia or other bacterial complications of measles are shown antibiotics.

For the prevention of measles is possible to use vitamin A.

In Ukraine the incidence of measles has increased 70 times