Measles Outbreak and Epidemiological Determinants, Thesis of Business Accounting

The measles outbreak in Ohio in 2014, which was caused by Amish missionaries who contracted the disease in the Philippines. the symptoms of measles, its causes, and the importance of vaccination. It also identifies the epidemiological determinants and risk factors that contributed to the outbreak in both the Philippines and Ohio.

Typology: Thesis

2023/2024

Available from 01/17/2024

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Running head: Measles outbreak 1
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Task 2
International Outbreak
Task 2
Western Governors University
International Outbreak
A. Measles also known as Rubeola is a contagious disease spread in the air when the infected
person coughs or sneezes. For up to two hours the virus can live in the air, even after the infected
person has left. The initial symptoms of measles appear as a common cold but then a ash forms
and spread throughout the body. The cause of death in measles is often encephalitis or swelling
of the brain. Now, we have a Measles vaccine which has led to a 99% reduction in Measles since
the vaccine program started in 1963. Before the start of the measles vaccine program 3-4 million
people were infected with the disease (CDC), June 2019
B. Description of a chosen international outbreak
Includes:
As stated above measles is a very contagious disease that can spread rapidly. However, it
is preventable as long as people continue to immunize against it. The Ohio measles outbreak of
2014 began when Amish missionaries traveled to the Philippines, contracted the measles virus
and brought it back to Ohio. In the Amish community it is very common to not be vaccinated so
this is why the missionaries were so susceptible to contracting the disease. Symptoms of measles
in the Philippines were first recognized in February 2013 and because people in the Philippines
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Running head: Measles outbreak 1 Task 2 International Outbreak Task 2 Western Governors University International Outbreak A. Measles also known as Rubeola is a contagious disease spread in the air when the infected person coughs or sneezes. For up to two hours the virus can live in the air, even after the infected person has left. The initial symptoms of measles appear as a common cold but then a ash forms and spread throughout the body. The cause of death in measles is often encephalitis or swelling of the brain. Now, we have a Measles vaccine which has led to a 99% reduction in Measles since the vaccine program started in 1963. Before the start of the measles vaccine program 3-4 million people were infected with the disease (CDC), June 2019 B. Description of a chosen international outbreak Includes: As stated above measles is a very contagious disease that can spread rapidly. However, it is preventable as long as people continue to immunize against it. The Ohio measles outbreak of 2014 began when Amish missionaries traveled to the Philippines, contracted the measles virus and brought it back to Ohio. In the Amish community it is very common to not be vaccinated so this is why the missionaries were so susceptible to contracting the disease. Symptoms of measles in the Philippines were first recognized in February 2013 and because people in the Philippines

do not vaccinate for Measles it spread rapidly. The Outbreak in Ohio was discovered in March 2014 after the Amish missionaries returned home. In the Amish community it is very uncommon to be vaccinated and this is why the disease spread through the community so quickly. In the Philippines outbreak the number of reported cases were 36,030 with 41 reported deaths (CDC, June 2014). In 2014 Ohio had a total of 382 confirmed cases (ODH, June 2019). B1. Epidemiological Determinants and Risk Factors A determinant for those living in the Philippines would be lack of access to health care, which would lead to a decrease of people being vaccinated for diseases such as measles. Another determinant for the outbreak in the Philippines would be the living arrangements. It is very common for multiple families to be living in the same home. This would lead to the disease spreading quickly due to the close quarters and it being spread by a cough or a sneeze. Not having easy access to healthcare may have some people believing that they may just have the flu due to some of the symptoms being similar. The outbreak in Ohio had similar determinates due to the outbreak taking place in a predominantly Amish community. In the Amish culture new age medicine is not really accepted and therefore many of them do not seek any type of medical attention when they are sick. This also being the reason the Amish do not vaccinate. So when the Amish missionaries traveled to the Philippines none of them were vaccinated against Measles. Once the Measles started spreading throughout the Amish community many decided to go again their customs and get themselves and their children vaccinated. While this was a good start to trying to combat the outbreak many still did not get vaccinated (NPR, June2014). As with many

greatly burden our healthcare system because we would have staff that may not be able to come to work because they are fearful, sick, or caring for sick family members. The government would also be impacted do to people not being able to come to work and setting up help and aid for those who have fallen ill. An outbreak is something that doesn’t just affect the sick it affects everyone. B4. Reporting Protocol for an Outbreak in My Community In the state of California there is no informed consent required for vaccines. People who receive a vaccine are just required to receive a vaccine information statement. As far as reporting a measles case, health care providers are mandated reported and are required to submit paperwork to the California department of public health (CDPH). This paperwork included information about the patient, disease onset, possible exposures, family members living with infected person, and what symptoms they are experiencing. The CDPH has a form specific to different reportable diseases. In the state of California if a provider believes their patient has measles they must contact public health in their jurisdiction for a measles consultation and a testing approval (CDPH, n.d). B5. Two Strategies to Prevent an Outbreak in My Community Education I think is one of the biggest factors in preventing an outbreak. If you educate the community about symptoms, vaccines, complications of the disease, and how to avoid exposure then you are tackling a major portion of what leads to an outbreak. Many people do not know what to look for or how to prevent many diseases because they don’t have access to the information. If you have a patient come in that does test positive, then your education need to be focuses on preventing the spread to others. Proper hand hygiene and how to properly wear a

mask. As well as taking medications correctly to try to get rid of the virus. Educating parents on what to look for in their children is also very important. Children being in school and in close quarters with one another major contributor to the disease spreading rapidly. Teaching parent of signs and symptoms and the important of seeking medical attention for a sick child and not sending them to school. Last, in my local area we have an increased homeless population. Like many communicable diseases people living together in unclean conditions is a major problem with the spread of diseases. References Retrieved from https://odh.ohio.gov/wps/portal/gov/odh/media-center/odh-news-releases/health- director-reports-first-measles-case-in-ohio Laws and Regulations. Retrieved from https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/laws.aspx Tribble, S. J. (2014, June 24). Measles Outbreak In Ohio Leads Amish To Reconsider Vaccines. Retrieved from https://www.npr.org/sections/health-shots/2014/06/24/323702892/measles- outbreak-in-ohio-leads-amish-to-reconsider-vaccines Vaccine for Measles (MMR Shot) | CDC. Retrieved from https://www.cdc.gov/measles/vaccination.html