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Measles Outbreak in Cornwall

Measles Outbreak in Cornwall

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Measles Outbreak in Cornwall

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  1. Measles Outbreak in Cornwall Mary-Ann McKibben Regional Public Health Group Government Office for the SW

  2. Measles Outbreak in Cornwall:Management of Cases • Development of measles action checklist • Ensure consistent collection of information • Clarity of recording • Collects information about high risk contacts • Avoids returning to case for more information once confirmed BUT • Significant additional workload which may later prove unnecessary • Advice to GPs about risks of cases in surgery

  3. Measles Outbreak in Cornwall:High Risk Contacts • No single source of guidance, wide range of reference texts • Brought together in clinical decision trees • Risk assessment using decision trees • Designed to be used as clinical record • No clear guidance on balance of risks and benefits of HNIG • Liaison with paediatricians about immunosuppressed children

  4. Measles Outbreak in Cornwall:Supplies of Testing Kits and HNIG • Salivary testing kits • Labelling of kits/ samples • Adequate supplies to each practice • HNIG • Small supply HNIG stored Truro Hospital • Automatic reordering system

  5. Measles Outbreak in Cornwall:Laboratory Testing • Urgent processing of initial samples and samples from pregnant women • Testing of frozen antenatal bloods for pregnant women where possible • Delays in lab receiving samples/ labelling • Delays in processing samples – weekly run • Implications for managing outbreak • Increased role for Truro lab

  6. Measles Outbreak in Cornwall:Media Handling • Important role in encouraging MMR uptake • Media response included focus on MMR/ autism links • Lesson to anticipate negative coverage and refer to research supporting safety of MMR/ refuting links to autism

  7. Measles Outbreak in Cornwall:Immunisation Strategy • Immediate response to encourage vaccination as part of outbreak management • Short and longer term strategy: • Stage 1 – affected schools • Stage 2 – nearby schools • Stage 3 – schools low coverage/ high risk children • Stage 4 – Cornwall-wide awareness raising • Stage 5 – raise awareness among professionals • Value of PCT child health data