Measles outbreak in Gothenburg urban area, Sweden, 2017 to 2018: low viral load in breakthrough infections.

The objective of this study was to compare measles RNA levels between naïve (i.e. primary) and breakthrough infections. We also propose a fast provisional classification of breakthrough infections. Medical records were reviewed and real-time PCR-positive samples genotyped. Cases were classified as naïve, breakthrough or vaccine infections. We compared clinical symptoms and measles RNA cycle threshold (Ct) values between breakthrough and naïve infections. Sixteen of 28 confirmed cases of measles in this outbreak were breakthrough infections. A fast provisional classification, based on previous history of measles vaccination and detectable levels of measles IgG in acute serum, correctly identified 14 of the 16 breakthrough infections, confirmed by IgG avidity testing. Measles viral load was significantly lower in nasopharyngeal samples from individuals with breakthrough compared with naïve infections (median Ct-values: 32 and 19, respectively, p 
Source: Euro Surveill - Category: Infectious Diseases Authors: Tags: Euro Surveill Source Type: research

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Trust in US health care has declined precipitously in the past half century. In 1966, 73% of US residents had confidence in medical leaders, whereas in 2012, only 34% did. In a survey of 1009 participants in 2017, only 18% expressed high levels of confidence in the US health system, and in a 2014 survey of 1608 participants, only 31% indicated that they trusted public health officials to share complete and accurate information during disease outbreaks. Recent high-profile events —such as those involving health care companies like Purdue Pharmaceuticals, Johnson&Johnson, and Theranos; vaccine misinformation contri...
Source: JAMA - Journal of the American Medical Association - Category: General Medicine Source Type: research
Health workers have started a massive measles vaccination campaign in north-east Democratic Republic of the Congo (DRC), a region that ’s in the grip of the second deadliest Ebola virus outbreak on record. 
Source: UN News Centre - Health, Poverty, Food Security - Category: International Medicine & Public Health Source Type: news
[Unicef] Vaccination to contain severe measles outbreak underway in DR Congo amidst Ebola and mass displacementCampaign led by the Ministry of Health with support from UNICEF and MSFHealth workers are urgently rolling out a complex measles vaccination campaign targeting 67,000 children in Ituri, northeast DR Congo, a region ravaged by armed conflict that is now also the hub of the second deadliest Ebola outbreak on record.At least 1,981 deaths due to measles have been reported across DR Congo this year, over two-th
Source: AllAfrica News: Health and Medicine - Category: African Health Source Type: news
As the U.S. endures its largest measles outbreak in 25 years— one that ’s almost certainly going to get worse before it gets better— we ’re getting a lot of calls and questions at my office. What’s measles, what’s the best way to prevent it, when should the vaccine be given to adults and children? […]Find jobs at  Careers by  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Meds Pediatrics Source Type: blogs
This study was undertaken to determine the persistence of maternal tr...
Source: BMC Infectious Diseases - Category: Infectious Diseases Authors: Tags: Research article Source Type: research
[Vaccine rejection and vaccination management: the grey areasRecusa vacinal e gestão da imunização: nuances e contrastes]. Rev Panam Salud Publica. 2019;43:e54 Authors: Hortal M, Di Fabio JL Abstract Vaccinating children has been an unquestioned tradition for many years. However, there is now great concern over the growing rejection of childhood vaccination, as well as other less evident obstacles that affect vaccination coverage.Multiple factors are involved in the rejection of a specific vaccine or vaccination in general, including actions by anti-vaccination groups, as well as d...
Source: Pan American Journal of Public Health - Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research
It ’s the biggest outbreak of measles since 1994 and — although there have been no cases found in the Carolinas (through mid-June) — parents should be aware of the risks as they organize summer travel plans. That’s why we spoke to two pediatric doctors from Atrium Health Levine Children's about getting vaccinated and staying healthy in the midst of this outbreak. Common symptoms, serious risks The initial symptoms of measles are fairly familiar — you’ll see fever, runny nose and red…
Source: Health Care:Pharmaceuticals headlines - Category: Pharmaceuticals Authors: Source Type: news
ConclusionsUnderstanding who posts what on social media during an infectious disease outbreak allows public health agencies to better assess the public's attitudes, sentiments, and needs in order to provide timely and effective information.
Source: American Journal of Infection Control - Category: Infectious Diseases Source Type: research
(Baylor College of Medicine) Baylor College of Medicine has issued a response to the measles outbreak, calling on the public to communicate with elected officials, family and friends about the importance of vaccinations and evidence-based vaccine policies that promote public health.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
PHE and travel industry call on holidaymakers and other travellers to check their MMR vaccinations are up-to-date, as measles outbreaks continue across Europe.
Source: NHS Networks - Category: UK Health Source Type: news
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