Sunday, August 19, 2018

PRO/EDR> Measles update (52): Americas, Pacific

A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases

In this update:
[1] USA: Arizona (Sedona) tourist-related
[2] USA: California (Los Angeles county, Santa Monica)
[3] Brazil
[4] Argentina

[5] Western Australia (Perth) travel-associated

[1] USA (Arizona, Sedona)
Date: Sat 18 Aug 2018
Source: ABC15 [edited]

Health officials have issued a warning of a potential measles exposure
after an out-of-state visitor with the measles traveled to northern

A spokesperson for the Arizona Department of Health Services says the
tourist was potentially contagious from 6 to 8 Aug 2018 and visited
multiple locations in northern Arizona.

There are currently no cases of measles in the state, but health
officials say the visitor may have exposed the public at the locations
[listed in the URL above] during the listed times...

"As more and more people become unvaccinated, it creates more pathways
to those susceptible individuals. You can develop pneumonia; you can
develop swelling of the brain, and 2-3 people out of every 1000
infected with measles will die," Dr. Cara Christ, director of the
Arizona Department of Health Services said. "We have a lot of people
going from Phoenix to cooler weather right now -- Sedona, the Grand
Canyon -- so it could just be one person that brings it back to

[Byline: Jeff Popovich, John Genovese]

Communicated by:

[ProMED-mail HealthMap:
Arizona, United States: <>]

[2] USA: California (Los Angeles county, Santa Monica) case in
non-resident tourist
Date: Sat 18 Aug 2018
Source: City News Service [edited]

Amid reports of measles cases in several states, the Los Angeles
County Department of Public Health on Friday [17 Aug 2018] announced
that one case has been confirmed in a non-resident tourist who visited
Santa Monica while infectious earlier this month [August 2018].

[See URL for locations tourist visited.]

"No current risk related to measles exists at these venues at this
time, as the period of possible exposure was more than one week ago,"
according to a Department of Public Health statement. "In addition,
because measles is spread from person to person by the respiratory
route, there is no risk present related to food that may have been
consumed at these locations. However, individuals who were present at
these locations during these times, especially those with weakened
immune systems or persons who may not have been vaccinated against
measles, may be at risk of developing measles and should watch for
symptoms of the illness.''

Symptoms include fever, cough, runny nose, red eyes and a rash that
appears 10-12 days after exposure, and anyone experiencing these
should contact their health care provider.

"Getting vaccinated is the best way to keep from getting and spreading
measles," Los Angeles County Health Officer Dr. Muntu Davis said.

Those who may have been exposed and have not been immunized can get a
measles shot and still be protected from developing the disease, Davis

Communicated by:

[Reports 1, 2, and 5 highlight the importance of maintaining
vaccination against diseases that are considered eliminated because of
the risk of exposure during travel or from an infected tourist.
Complacency will only lead to an overall decrease in the level of herd
immunity, putting individuals who cannot get vaccinated at risk,
besides oneself. - Mod.LK

ProMED-mail HealthMap:
California, United States: <>]

[3] Brazil
Date: Sat 18 Aug 2018
Source: Outbreak News Today [edited]

In a follow-up on the imported measles situation in Brazil, the
Ministry of Health reported this week that 910 cases of measles have
been confirmed in Amazonas; 5630 remain under investigation.

In addition, the state of Roraima has confirmed 296 cases of the
disease, and 101 are still under investigation. All the cases are
imported from Venezuela.

The genotype of the virus (D8) that is circulating in the country is
the same that circulates in Venezuela, a country that has been facing
an outbreak of the disease since 2017. Some isolated and
import-related cases were identified in the states of São Paulo (1),
Rio de Janeiro (14); Rio Grande do Sul (13); Rondônia (1) and Pará

To date, in Brazil, 6 deaths have been confirmed for measles, 4 deaths
in the state of Roraima (3 in foreigners and one in a Brazilian) and 2
deaths in the state of Amazonas (Brazil).

The National Campaign on Poliomyelitis and Measles Vaccination will
last until 31 Aug 2018 and intends to vaccinate 11.2 million children.
The D-day of national mobilization will be on Sat 18 Aug 2018, when
more than 36 000 stations will be open in the country. The goal is to
vaccinate at least 95% of children to reduce the possibility of polio
return and reemergence of measles, diseases already eliminated in
Brazil. All children between the ages of one year and under 5 years
should be taken to the vaccination posts, regardless of their previous
vaccination situation.

In related news, the Pentagon is sending a U.S. Navy hospital ship to
Colombia to help treat some of the hundreds of thousands of people who
have poured over the border fleeing violence in Venezuela, according
to a Stars and Stripes report.

"We're not sending soldiers; we're sending doctors," Mattis said. "It
is absolutely a humanitarian mission," he told reporters returning
with him to Washington after a 6-day tour of South America.

The Comfort has 12 fully-equipped operating rooms, a 1000-bed hospital
facility, digital radiological services, a medical laboratory, a
pharmacy, an optometry lab, a CAT scan, and 2 oxygen-producing

Jason Marczak, director of the Adrienne Arsht Latin America Center at
the Atlantic Council, told VOA that the situation in Venezuela has led
to a migration crisis of global proportions "that is on track to
potentially parallel or surpass the numbers that (have been) coming
out of the Middle East."

As of June 2018, an estimated 2.3 million people had fled Venezuela,
mainly to Colombia, Ecuador, Peru and Brazil, according to the United

Communicated by:
ProMED-mail from HealthMap Alerts

[The economic situation and the consequent violence in Venezuela are
dire and affecting public health and the mental wellbeing of the
population. A humanitarian mission is certainly welcome, but even more
support is needed, as an estimated 2.3 million people have fled the
country. - Mod.LK

ProMED-mail HealthMap:
Brazil: <>]

[4] Argentina
Date: Sun 19 Aug 2018
Source: Elan Casti [machine trans. edited]

The measles outbreaks that were detected in Argentina and that
threaten the region have arrived in Catamarca.

According to Nelly Castro, director of school head No. 224, Province
of Entre Rios, this week there was a student who presented a medical
certificate indicating that he had measles. In the face of the onset
of this disease, a group of parents asked for the suspension
activities to disinfect the institution.

In dialogue with Radio San Francisco de Fiambalá about measles
outbreaks, Castro, when consulted on respiratory diseases within the
institution, responded that while in July 2018 there were numerous
cases, currently, the number of sick boys has been reduced
considerably. "Now, we have some guys with chickenpox, not many, 3.
And we also have a certificate from a student who has measles," he

In addition, he commented regarding the Ministry of Health that no one
came to the institution, and he admitted that there was a group of 5
parents who came by the school to ask for disinfection in these cases,
to which the director responded that she was aiming for this weekend,
but indicated that "it should be shared jointly between the
institution and the parents, because the fluids used for disinfection
are expensive, and the school does not have the resources to buy them.
We would need parents to collaborate so that we can do the
disinfection, because it is impossible for us. We don't have the
resources," he acknowledged, thus revealing the lack of funds for
these health cases. "I also [cannot ask] the municipality to help us
because I have a single certificate of a case of measles. I should
have more cases for the municipality to help us," he said.

This newspaper tried to communicate with different officials of the
Ministry of Health to confirm this case but did not obtain answers.

Communicated by:
ProMED-mail from HealthMap Alerts

[If the school has no funds to disinfect, one would hope the Ministry
of Health could step in to assist. - Mod.LK

ProMED-mail HealthMap:
Argentina: <>]

[5] Western Australia [Perth] travel associated
Date: Fri 17 Aug 2018
Source: from Australian Associated Press [edited]

Health authorities have warned of an increased risk of measles in
Perth after 6 people reported being infected in the past week.

They had contact with 2 people who recently brought their infections
in from overseas, at a workplace, and in a hospital Emergency

The Department of Health said the latest cases visited various public
places while they were infectious, so other people may have been
exposed to measles, which is highly contagious.

Communicated by:
ProMED-mail from HealthMap Alerts

[ProMED-mail HealthMap:
Western Australia, Australia: <>]

[See Also:
Measles update (51): Americas, Europe
Measles update (50): Americas, Europe
Measles update (49): Americas, Europe, Asia
Measles update (48): Americas, Europe
Measles update (47): Americas, Europe
Measles update (46): Americas, Asia, Indian Ocean, Europe
Measles update (45): Europe, Americas, Africa
Measles update (44): Americas, Europe, Asia
Measles update (43): Libya
Measles update (42): Somoa, MMR vaccine recall
Measles update (41): Americas, Europe, Pacific
Measles update (40): Middle East, Europe, Americas
Measles update (39): Americas, Europe, Pacific
Measles update (38): Americas, Europe, Pacific
Measles update (37): Americas, Europe, Africa, Asia
Measles update (36): Europe, South America, Africa
Measles update (35): Europe, Americas, Asia
Measles update (34): Europe, Asia, Pacific
Measles update (33): Asia, Africa, Europe, USA
Measles update (32): Europe, Pacific, Asia
Measles update (31): Asia, Africa, Europe, Americas
Measles update (30): Americas, Asia, Africa, Europe
Measles update (29): Europe, US, Pacific and Asia
Measles update (28): Europe, Asia, Pacific, USA
Measles update (27): South America, Asia, Europe, Africa, USA
Measles update (26): Europe, Pacific, Asia, USA
Measles update (25): Asia, Pacific, Africa, Middle East, Europe, USA
Measles update (24): Europe, Mexico, South America, USA, Pacific
Measles update (23): Asia, Pacific, Europe, USA, Africa
Measles update (22): USA, South America, Europe, Pacific, epi update,
Measles update (21): WHO, South America, Europe, Asia, Pacific, Africa
Measles update (20): Europe, Pacific, Americas
Measles update (19): Pacific, Americas, Europe, Asia
Measles update (18): USA, Asia, Europe, South America, WHO, PAHO
Measles update (17): Asia, Pacific, Africa, Europe
Measles update (16): Asia & Pacific, Europe, South America
Measles update (15): Europe, Asia, Pacific
Measles update (14): Europe, Asia and Pacific, USA
Measles update (13): Europe (France), USA (TX)
Measles update (12): Africa, Europe, North America, Pacific
Measles update (11): Pacific, Europe, USA
Measles update (10): Europe, Pacific, South America, USA
Measles update (09): Europe, Caribbean, Central America
Measles update (08): Asia, Central America, North America, Europe
Measles update (07): Africa, USA, Caribbean, Canada, Europe
Measles update (06): Americas, Europe, Asia/Pacific
Measles update (05): Europe, Pacific-Asia, USA
Measles update (04): Europe, USA
Measles update (03): Europe, Pacific, USA
Measles update (02): Europe, South America
Measles update (01): Asia, Europe]
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