「Measles」の版間の差分
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| 13行目: | 13行目: | ||
==relation with malnutrition== | ==relation with malnutrition== | ||
| − | *still controversial | + | *still controversial, malnutrition first or measles first |
| + | |||
| + | ==strategies to control== | ||
| + | *isolation, theoretically good but useless in reality | ||
| + | *effective treatment with vit. A and antimicrobials | ||
| + | **vit. A and antimicrobials for secondary bacterial infection can reduce mortality | ||
| + | *vaccination | ||
| + | **maternal passive immunity wane in 6-9 months after birth | ||
| + | ***rational for the first vaccination after 9 months of age | ||
| + | **10% of primary vaccine failure in the first vaccination | ||
| + | ***rational for the second vaccination | ||
2021年6月4日 (金) 11:10時点における版
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history
- 1970-80s sub-Saharan children mortality &50%, majority of which owing to measles
- 1880s devastating measles outbreak in Fiji introduced by foreign ships resulted in 20-30% of Fijian population died from measles
complications
- acute phase death directly due to viral damage
- black-pigmented rashes
- blindness by measles accompanied by vitamin A deficiency
- ketatitis
- immune paralysis
relation with malnutrition
- still controversial, malnutrition first or measles first
strategies to control
- isolation, theoretically good but useless in reality
- effective treatment with vit. A and antimicrobials
- vit. A and antimicrobials for secondary bacterial infection can reduce mortality
- vaccination
- maternal passive immunity wane in 6-9 months after birth
- rational for the first vaccination after 9 months of age
- 10% of primary vaccine failure in the first vaccination
- rational for the second vaccination
- maternal passive immunity wane in 6-9 months after birth
