Epidemiology Survey of Measles in Kazakhstan
DOI:
https://doi.org/10.3889/oamjms.2021.6542Keywords:
Measles, Vaccine, Children, Epidemiology, Republic of KazakhstanAbstract
BACKGROUND: Measles (rubella) is a highly contagious disease that is caused by a virus in the Paramyxoviridae family. The measles virus is directly responsible for more than 100,000 deaths each year. Epidemiological studies have linked measles to increased morbidity and mortality many years after infection, but the reasons underlying this phenomenon are poorly understood. The virus attacks immune cells, causing acute suppression of the immune system. The World Health Organization recommends a two-dose vaccination policy, with the first dose administered during the 1st year of life, and coverage should be maintained in at least 90–95% of the population to halt transmission. In many countries, the measles vaccine is included in the immunization program and is freely available to all. Today, despite active immunization of the population, measles still occurs in the Republic of Kazakhstan.
AIM: The objective of our study was to analyze the epidemiological characteristics of measles in the Republic of Kazakhstan during the rise of the disease.
METHODS: Statistical data were obtained from the Committee on Public Health Protection on the incidence of measles in The Republic of Kazakhstan for the period from November 1, 2018 to December 30, 2019.
STUDY DESIGN: Epidemiology survey.
RESULTS: The article contains epidemiological data on the incidence of measles in the regions of the Republic of Kazakhstan among children, age, and gender characteristics.
CONCLUSION: In the period from November 2018 to December 2019, there was a tendency to increase the incidence of measles in the republic. In terms of morbidity, Nur-Sultan was the leader, where the number of cases was 22.9% (n = 3181). The largest number of registered cases, 58.2% (n = 5745), occurred in children aged 1–14 years. Measles remains an unresolved global problem and groups of undervaccinated and unvaccinated populations remain vulnerable during epidemics.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Strebel PM, Orenstein WA. Measles. N Engl J Med. 2019;381(4):349-57. PMid:31184814 DOI: https://doi.org/10.1056/NEJMcp1905181
World Health Organization. Global Measles and Rubella Strategic Plan: 2012-2020. Geneva, Switzerland: World Health Organization; 2012.
Shanks GD, Hu Z, Waller M, Lee SE, Terfa D, Howard A, et al. Measles epidemics of variable lethality in the early 20th century. Am J Epidemiol. 2014;179(4):413-22. https://doi.org/10.1093/aje/kwt282 PMid:24284015 DOI: https://doi.org/10.1093/aje/kwt282
Porter A, Goldfarb J. Measles: A dangerous vaccine-preventable disease returns. Cleve Clin J Med. 2019;86(6):393-8. https://doi.org/10.3949/ccjm.86a.19065 PMid:31204978 DOI: https://doi.org/10.3949/ccjm.86a.19065
World Health Organization. Warns that Progress towards Eliminating Measles has Stalled. Geneva: World Health Organization; 2017. Available from: https://www.who.int/mediacentre/news/releases/2014/eliminating-measles/en. [Last accessed on 2017 Apr 05].
Gans HA, Maldonado Y, Yasukawa LL, Beeler J, Audet S, Rinki MM, et al. IL-12, IFN-gamma, and T cell proliferation to measles in immunized infants. J Immunol. 1999;162(9):5569-75. PMid:10228039
Campos-Outcalt D. Measles: Why it’s still a threat. J Fam Pract. 2017;66(7):446-9. PMid:28700761
Lindberg C, Lanzi M, Lindberg K. Measles: Still a significant health threat. MCN Am J Matern Child Nurs. 2015;40(5):298-305; quiz E21-2. https://doi.org/10.1097/nmc.0000000000000162 PMid:26110575 DOI: https://doi.org/10.1097/NMC.0000000000000162
D’Souza RM, D’Souza R. Vitamin A for treating measles in children. Cochrane Database Syst Rev. 2001;2:CD001479. https://doi.org/10.1002/14651858.cd001479 PMid:11405993 DOI: https://doi.org/10.1002/14651858.CD001479
Bello S, Meremikwu MM, Ejemot-Nwadiaro RI, Oduwole O. Routine Vitamin A supplementation for the prevention of blindness due to measles infection in children. Cochrane Database Syst Rev. 2014;1:CD007719. https://doi.org/10.1002/14651858.cd007719.pub3 PMid:21491401 DOI: https://doi.org/10.1002/14651858.CD007719.pub3
Bichon A, Aubry C, Benarous L, Drouet H, Zandotti C, Parola P, et al. Case report: Ribavirin and Vitamin A in a severe case of measles. Medicine. 2017;96(50):e9154. https://doi.org/10.1097/md.0000000000009154 PMid:29390321 DOI: https://doi.org/10.1097/MD.0000000000009154
Moss WJ, Griffin DE. Measles. Lancet. 2012;379(9811):153-64. PMid:21855993 DOI: https://doi.org/10.1016/S0140-6736(10)62352-5
Imdad A, Herzer K, Mayo-Wilson E, Yakoob MY, Bhutta ZA. Vitamin A supplementation for preventing morbidity and mortality in children six months to five years of age. Cochrane Database Syst Rev. 2010;3(3):CD008524. https://doi.org/10.1002/14651858.cd008524 PMid:28282701 DOI: https://doi.org/10.1002/14651858.CD008524
Patel MK, Gacic-Dobo M, Strebel PM, Dabbagh A, Mulders MN, Okwo-Bele JM, et al. Progress toward regional measles elimination worldwide, 2000-2015. Morb Mortal Wkly Rep. 2016;65(44):1228-33. https://doi.org/10.15585/mmwr.mm6544a6 PMid:27832050 DOI: https://doi.org/10.15585/mmwr.mm6544a6
Kondova IT, Milenkovic Z, Marinkovic SP, Bosevska G, Kuzmanovska G, Kondov G, et al. Measles outbreak in Macedonia: Epidemiological, clinical and laboratory findings and identification of susceptible cohorts. PLoS One. 2013;8(9):e74754. https://doi.org/10.1371/journal.pone.0074754 PMid:24040337 DOI: https://doi.org/10.1371/journal.pone.0074754
Muscat M, Marinova L, Mankertz A, Gatcheva N, Mihneva Z, Santibanez S, et al. The measles outbreak in Bulgaria, 2009-2011: An epidemiological assessment and lessons learnt. Euro Surveill. 2016;21(9):30152. https://doi.org/10.2807/1560-7917.es.2016.21.9.30152 PMid:26967661 DOI: https://doi.org/10.2807/1560-7917.ES.2016.21.9.30152
Ristic M, Milosevic V, Medic S, Malbasa JD, Rajcevic S, Boban J, et al. Sero-epidemiological study in prediction of the risk groups for measles outbreaks in Vojvodina, Serbia. PLoS One. 2019;14(5):e0216219. https://doi.org/10.1371/journal.pone.0216219 PMid:31071124 DOI: https://doi.org/10.1371/journal.pone.0216219
McCarthy M. US sees first measles death in 12 years. BMJ. 2015;351:h3653. https://doi.org/10.1136/bmj.h3653 PMid:26141853 DOI: https://doi.org/10.1136/bmj.h3653
Wyplosz B, Lafarge M, Escaut L, Stern JB. Fatal measles pneumonitis during Hodgkin’s lymphoma. BMJ Case Rep. 2013;2013:bcr2013200252. https://doi.org/10.1136/bcr-2013-200252 PMid:24105383 DOI: https://doi.org/10.1136/bcr-2013-200252
Liu Y, Sun LY, Zhu ZJ, Lin W, Qu W, Zeng ZG. Measles virus infection in pediatric liver transplantation recipients. Transpl Proc. 2015;47(9):2715-8. https://doi.org/10.1016/j.transproceed.2015.07.030 PMid:26680079 DOI: https://doi.org/10.1016/j.transproceed.2015.07.030
Rota PA, Moss WJ, Takeda M, de Swart RL, Thompson KM, Goodson JL. Measles. Nat Rev Dis Primers. 2016;2:16049. https://doi.org/10.1038/nrdp.2016.49 PMid:27411684 DOI: https://doi.org/10.1038/nrdp.2016.49
Georgakopoulou T, Horefti E, Vernardaki A, Pogka V, Gkolfinopoulou K, Triantafyllou E, et al. Ongoing measles outbreak in Greece related to the recent European-wide epidemic. Epidemiol Infect. 2018;146(13):1692-8. https://doi.org/10.1017/s0950268818002170 PMid:30086813 DOI: https://doi.org/10.1017/S0950268818002170
Fragkou PC, Thomas K, Sympardi S, Liatsos GD, Pirounaki M, Sambatakou H, et al. Clinical characteristics and outcomes of measles outbreak in adults: A multicenter retrospective observational study of 93 hospitalized adults in Greece. J Clin Virol. 2020;131:104608. https://doi.org/10.1016/j.jcv.2020.104608 PMid:32877891 DOI: https://doi.org/10.1016/j.jcv.2020.104608
Klein SL, Marriott I, Fish EN. Sex-based differences in immune function and responses to vaccination. Trans R Soc Trop Med Hyg. 2015;109(1):9-15. PMid:25573105 DOI: https://doi.org/10.1093/trstmh/tru167
Blakely KK, Suttle R, Wood T, Stallworth K, Baker N. Measles what’s old is new again. Nurs Womens Health. 2020;24(1):45-51. https://doi.org/10.1016/j.nwh.2019.11.005 PMid:31917147 DOI: https://doi.org/10.1016/j.nwh.2019.11.005
Medic S, Petrovic V, Loncarevic G, Kanazir M, Lazarevic IB, Adrovic SR, et al. Epidemiological, clinical and laboratory characteristics of the measles resurgence in the Republic of Serbia in 2014-2015. PLoS One. 2019;14(10):e0224009. https://doi.org/10.1371/journal.pone.0224009 PMid:31622429 DOI: https://doi.org/10.1371/journal.pone.0224009
Vatev NT, Stoycheva MV, Petrov AI. Reemergence of measles in Bulgaria: A large outbreak in Plovdiv, 2010. Braz J Infect Dis. 2011;15(6):613-6. https://doi.org/10.1590/s1413-86702011000600021 PMid:22218526 DOI: https://doi.org/10.1590/S1413-86702011000600021
Pitigoi D, Sandulescu O, Craciun MD, Draganescu A, Jugulete G, Streinu-Cercel A, et al. Measles in Romania Clinical and epidemiological characteristics of hospitalized measles cases during the first three years of the 2016-ongoing epidemic. Virulence. 2020;11(1):686-94. https://doi.org/10.1080/21505594.2020.1771948 PMid:32507005 DOI: https://doi.org/10.1080/21505594.2020.1771948
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2020 Aygerim Zhuzzhasarova, Dinagul Baesheva, Bayan Turdalina, Aliya Seidullaeva, Alena Altynbekova, Madiyar Nurgaziev, Bakhytzhan Abdullaev, Almagul Kushugulova (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0