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South Africa: 2022/2023 Measles

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  • #16
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES

    Week 51: 12 to 18 December 2022
    Data as reported by: 17:00; 18 December 2022

    ...

    Measles South Africa

    169 cases
    0 Deaths
    0.0% CFR


    EVENT DESCRIPTION

    A Measles outbreak was declared in Limpopo province on 11
    October 2022. Subsequently, the North West province and
    Gauteng provinces reported measles outbreaks on 2 and 6
    December 2022 respectively.

    From epidemiological week 40 to 49, the country observed an
    increase in laboratory-confirmed measles cases, with a total of
    169 laboratory-confirmed measles cases reported between 11
    October and 07 December across four provinces out of nine in
    the country: Limpopo (98), Mpumalanga (50), Gauteng (13) and
    North West (8).

    The 98 cases of laboratory-confirmed measles in Limpopo, were
    reported from 11 October to 07 December. Of the 98 measles
    cases, 76 had an unknown vaccination status, 10 were vaccinated,
    and 12 were unvaccinated.

    From epidemiological week 41 when the outbreak was declared
    in Limpopo province to EW45, the number of measles cases
    reported weekly, increased steadily, and peaked at week 47.
    The age of reported cases across the country ranges from 2
    months to 42 years. Children between age group 5-9 years are
    the most affected representing 44% of cases; while those among
    the 1-4 years represents 28% of cases. Of the 169 cases, 125
    had an unknown vaccination status against measles, 18 were
    vaccinated and 26 were unvaccinated.

    Vaccination status for laboratory-confirmed measles cases
    in provinces with a declared measles outbreak indicates that
    74% have unknown vaccination status while only 11% where
    vaccinated in the provinces.

    PUBLIC HEALTH ACTIONS

    The South African Health authority are supporting the following
    activities in response to the measles outbreak. The public health
    response to the measles outbreak in provinces is targeted at
    improving measles immunity in all affected provinces.

    Provinces are currently conducting vaccination campaigns
    in the affected areas. Routine immunization should be
    reinforced as the outbreak is an opportunity to identify and
    correct vaccination programme weaknesses.

    Routine Immunization has been strengthened in affected
    districts and provinces

    Strengthening surveillance and coordination of the response
    to the outbreak implemented at both provincial and district
    levels is ongoing.

    Follow up on laboratory-confirmed measles cases for case
    management support

    Follow up and vaccinate the contacts of laboratory confirmed
    cases.

    Continue to support the response with additional logistics
    including, medicines and medical consumables for case
    management

    SITUATION INTERPRETATION

    The measles outbreak in South Africa which has been showing
    an increasing trend in the past month has seen a decline in
    the past seven days. Given the strong laboratory capacity in
    country, all reported cases have been laboratory confirmed.
    Case management tracking and follow up of cases and contacts
    for vaccination is ongoing, however vaccination strengthening
    efforts must continue to get the outbreak under control.

    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

    Comment


    • #17
      Source: https://english.news.cn/20221224/37d...ee713dd/c.html

      Measles cases in South Africa rise to 227Source: Xinhua
      Editor: huaxia
      2022-12-24 00:24:45

      JOHANNESBURG, Dec. 23 (Xinhua) -- The National Institute for Communicable Diseases (NICD) of South Africa said Friday that measles cases in the country had risen to 227 as of Dec. 17.

      The NICD said in a statement that measles has been confirmed in Limpopo, Mpumalanga, North West, Gauteng, and Free State provinces.

      Blood and throat swabs submitted to the NICD for measles serology and polymerase chain reaction testing show that measles cases are increasing, and those with measles are aged between two months and 42 years, the institute said...

      Comment


      • #18
        Source: https://www.outlookindia.com/nationa...58-news-247760

        Mumbai Measles Tally Rises By Six To Touch 512; Maha Cases At 1,158
        The city also has five suspected fatalities, in which it is yet to be confirmed if measles was the cause of death, the Brihanmumbai Municipal Corporation official said.
        PTI
        Updated: 24 Dec 2022 8:06 am

        Mumbai on Friday reported six measles cases, which took the tally here to 512, while the death toll stood unchanged at nine, a civic official said.

        The city also has five suspected fatalities, in which it is yet to be confirmed if measles was the cause of death, the Brihanmumbai Municipal Corporation official said. A civic release said 27 children were admitted in hospitals during the day and 25 were discharged. "Only 116 of the 335 beds earmarked for measles treatment are currently occupied. Of the 20 ventilator beds, only four are occupied," it said...

        Comment


        • #19
          Source: https://www.news24.com/news24/southa...state-20221227

          27 Dec
          Measles outbreak recorded in Bethlehem, Free State
          accreditation
          Nicole McCain

          There has been an outbreak of measles in the town of Bethlehem in the Free State.

          Five cases were reported, said health department acting spokesperson Elke de Witt.

          "Patients affected are currently receiving treatment," said De Witt.

          The Free State cases come as part of a national outbreak that has affected four other provinces.

          The majority of cases have been recorded in Limpopo and Mpumalanga, News24 previously reported. There have been more than 220 cases reported nationally with around half of those in Limpopo...

          Comment


          • #20
            Source: https://ewn.co.za/2022/12/29/measles...provinces-nicd

            Measles outbreak has spread to 5 provinces - NICD
            The highly infectious disease was declared an outbreak by the NICD last week, recording at least 200 cases. Almost 100 more cases have been recorded in just under a week.
            Tamika Gounden | 29 December 2022 13:56

            JOHANNESBURG - The National Institute for Communicable Diseases (NICD) said the measles outbreak has spread to five provinces.

            The highly infectious disease was declared an outbreak by the NICD last week, recording at least 200 cases.

            Almost 100 more cases have been recorded in just under a week.

            This comes after Limpopo recorded the first few cases at the beginning of October. The disease has also now spread across Gauteng, Mpumalanga, Free State and the North West.

            The outbreak in South Africa comes exactly one month after the World Health Organization (WHO) announced that since the pandemic, measles vaccine coverage has declined...

            Comment


            • #21

              Source: https://www.dailymaverick.co.za/arti...-skyrocketing/


              Measles outbreaks confirmed in five provinces, with test positivity rate skyrocketing
              By Estelle Ellis
              09 Jan 2023

              The National Institute for Communicable Diseases (NICD) has urged parents to get their children vaccinated after a measles outbreak that has spread to five provinces in fewer than two months, with data revealing dismal vaccination rates.

              The first outbreak was confirmed in Limpopo in October 2022.

              “It is never too late to vaccinate,” the NICD’s statement reads, adding that major vaccination campaigns have commenced or are being planned countrywide...

              ...Between October and December, the NICD tested 2,252 samples for measles antibodies, of which 14% tested positive.

              Since the first week of December, however, the positivity rate in measles cases jumped to above 20%, with new cases in Limpopo, Mpumalanga (69 cases), North West (80), Gauteng (14) and the Free State (11).

              A single case was reported in the Eastern Cape, five in KwaZulu-Natal, three in the Northern Cape and four in the Western Cape. The World Health Organization (WHO) classifies a measles outbreak as three or more cases reported within 30 days in a defined district. However, the cases in these provinces were confirmed further apart than 30 days.

              “The number of cases continues to increase daily as blood samples and throat swabs are submitted to the NICD for [testing],” a statement from the NICD reads.

              The outbreak was first declared in Limpopo on 11 October 2022, with most patients between the ages of five and nine, while some babies and adults were also infected. Of the 131 measles cases confirmed in the province, 80% had an “unknown” vaccination status, 9% were vaccinated and 11% were unvaccinated.

              In Mpumalanga, an outbreak of measles was declared in November — 63% of those infected had an unknown vaccination status, 13% were vaccinated and 24% were unvaccinated.

              In North West, an outbreak was declared in December. The Lonely Park Clinic in Mafikeng reported 38 cases. Only 10 of the 80 cases confirmed in this province had been vaccinated.

              In Gauteng, 14 cases were reported, and an outbreak was declared on 6 December 2022. Three cases were reported at the Ethafeni Clinic in Ekurhuleni. Five of the 14 cases were reported in Tshwane and 13 of these cases had an “unknown” vaccination status.

              In the Free State, the Bethlehem Clinic reported five of the province’s 11 cases...

              Comment


              • #22
                Source: https://www.nicd.ac.za/south-african...23-12-january/

                South African Measles Outbreak 2023 ( 12 January)
                12 January , 2023

                From epidemiological week 40, 2022 (ending 8 October 2022) to mid-week 01, 2023 (ending 07 January 2023) the NICD has tested 2349 serum samples for measles of which 371 (15,7%) were confirmed measles cases (Table 1).

                From epidemiological week 40 of 2022 to 01 of 2023, a total of 357 laboratory-confirmed cases were reported from five provinces with declared measles outbreaks in Limpopo (140 cases), Mpumalanga (75 cases), North West (114 cases), Gauteng (16 cases), and Free State (12 cases) (Table 2). The geographical distribution of cases across South Africa from week 40 of 2022 until week 01 of 2023 is shown in Figure 1he number of cases continue to increase daily as blood and throat swabs are submitted to the NICD for measles serology and PCR testing...

                Comment


                • #23
                  Source: https://health-e.org.za/2023/01/18/m...cine-roll-out/

                  Measles in SA : Affected provinces ramp up vaccine roll-out
                  Jan 18, 2023
                  by Ndivhuwo Mukwevho

                  As the number of measles cases continues to rise, a national vaccine drive targeting the disease has started earlier in the five provinces battling the outbreak. The health ministry had initially planned to roll out the national vaccine campaign next month...

                  ...On 12 January, the National Institute for Communicable Diseases(NICD) recorded 357 laboratory-confirmed cases from five provinces with declared outbreaks. Limpopo has 140, Mpumalanga has 75, and the Northwest has 114. Gauteng reported 16 patients, and the Free State 12.

                  The NICD defines a measles outbreak as three or more confirmed laboratory measles cases reported within 30 days of the onset of disease in a district.

                  Mohale said that they expect a rise in cases as people have returned home from holidays and schools and pre-schools have reopened...





                  Comment


                  • #24
                    Source: https://mpumalanganews.co.za/419496/...in-mpumalanga/

                    Measles outbreak: 79 confirmed cases in Mpumalanga
                    Parents and caregivers are urged to get their children immunised, and if they see any measles symptoms, they should take them to the nearest health facility.
                    10 hours ago
                    Bridget Mpande 1 minute read

                    The National Institute for Communicable Diseases (NICD) said in a statement on Wednesday January 18 that 79 laboratory-confirmed measles cases had been reported in Mpumalanga since September 1.

                    On Thursday January 12, there were 75 cases reported and before that the spread appeared to had slowed down as the cases reported between December 29 and January 6, was only one. In the statement, the NICD said the people’s age in these cases across Mpumalanga ranged from four months to 60 years...

                    Comment


                    • #25
                      Source: https://www.nicd.ac.za/south-african...23-26-january/

                      South African Measles Outbreak Update 2023 ( 26 January)
                      26 January , 2023

                      Highlights

                      Since the last Situation Report, 24 new laboratory-confirmed measles cases have been detected across the country according to data up until 21 January (mid-week-03, 2023). This brings the number of measles cases in South Africa since epidemiological week 40 of 2022 to 421.
                      In outbreak-affected provinces, a total of 406 measles cases have been detected from week 40 of 2022 until mid-week 03 of 2023. In week 02, 2023, 16 cases were diagnosed, whilst to date, (mid-week through week 03), 14 cases have been identified.
                      The percentage testing positive midway through epidemiological week 03 has risen to 14% (14 positive/103 specimens tested) from a low of 9% during epidemiological week 02 (16 positive / 186 tested).
                      In week 03, 2023, the largest number of cases are from Gauteng Province, with 6 cases arising from clinics within a 2km radius in Ekurhuleni (3 from Daveyton Main clinic, two from Philip Moyo Clinic, one from Crystal Park Clinic and one from Bertha Nxowa Hospital). This focus of infection requires immediate action including a vaccination campaign to prevent exponential spread here, and within and beyond the province over the next few weeks.
                      The age distribution and origin of cases remain largely unchanged with the majority of measles cases in outbreak-affected provinces being among the 5-9-year age group (160/406, 39%), and the highest proportion of cases arising from hospitals as opposed to primary health clinics in the under-1 year age group (15/27, 59%). However, significant numbers of cases in the 10-14 year age group continue to occur (65/406, 16%), justifying the need for a vaccination campaign to include this age group.
                      Members of the public are urged to ensure their children are vaccinated against measles....

                      Comment


                      • #26
                        WEEKLY BULLETIN ON OUTBREAKS
                        AND OTHER EMERGENCIES

                        Week 4: 16 to 22 January 2023
                        Data as reported by: 17:00; 22 January 2023

                        ...

                        Measles South Africa

                        397 cases
                        0 Deaths
                        0.0% CFR


                        EVENT DESCRIPTION

                        The Measles outbreak that was declared in Limpopo province on
                        11 October 2022 continues with an increasing trend.

                        Since the start of the outbreak on 11 October 2022 to 18 January
                        2023, the NICD has tested 3 326 serum samples for measles, of
                        which 397 (11.9%) were confirmed measles cases.

                        As of 18 January, 382 confirmed cases have been reported in
                        the five provinces with active measles outbreaks: Limpopo
                        (145 cases), North West (125 cases), Mpumalanga (79 cases),
                        Gauteng (18 cases), and Free State (15 cases), with Limpopo and
                        North West accounting for 71% of all reported cases. No measles
                        related deaths have been reported.

                        The age of reported cases across the five affected provinces
                        ranges from two months to 60 years. Children between the 5-9
                        years age group are the most affected 153 (40%), followed by
                        112 (29%) in the 1-4 years age group and 64 (17%) in the 10-14
                        year group. Disease severity has been observed within the less
                        than 1-year age group as evidenced by majority of health facility
                        admissions in this age-group (56%).

                        The highest attack rate has been observed among the 5-9 (5.9 per
                        100 000 population) and 1-4 years (5.0 per 100 000 population)
                        age groups.

                        Vaccination status for laboratory-confirmed measles cases
                        in provinces with a declared measles outbreak indicates that
                        75 (20%) have known vaccination status, while 175 have an
                        unknown vaccination history.

                        EVENT DESCRIPTION

                        The South African Health authority are supporting the following
                        activities in response to the measles outbreak. The public health
                        response to the measles outbreak in provinces is targeted at
                        improving measles immunity in all affected provinces.

                        Provinces are currently conducting vaccination campaigns
                        in the affected areas. Routine immunization should be
                        reinforced as the outbreak is an opportunity to identify and
                        correct vaccination programme weaknesses.

                        Routine Immunization has been strengthened in affected
                        districts and provinces

                        Strengthening surveillance and coordination of the response
                        to the outbreak implemented at both provincial and district
                        levels is ongoing.

                        Follow up on laboratory-confirmed measles cases for case
                        management support

                        Follow up and vaccinate the contacts of laboratory confirmed
                        cases.

                        Continue to support the response with additional logistics
                        including, medicines and medical consumables for case
                        management.

                        SITUATION INTERPRETATION

                        South Africa has seen a declining trend in the number of
                        laboratory-confirmed measles cases. Even when this may signify
                        decreasing transmission rates, other reasons for the decline
                        in cases may have arisen through decreased health seeking
                        behaviour. Clinicians should be on high alert as the opening of
                        schools may lead to localised outbreaks where vaccination rates
                        are sub-optimal. Vaccination strengthening efforts must continue
                        to get the outbreak under control.


                        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                        -Nelson Mandela

                        Comment


                        • #27
                          Source: https://www.nicd.ac.za/south-african...23-2-february/

                          South African Measles Outbreak Update 2023 ( 2 FEBRUARY )
                          2 February , 2023
                          Highlights

                          The NICD has currently tested 3156 serum samples for measles of which 459 (14.5%) were confirmed positive from epidemiological week 40, 2022. In the past weeks (week 03 up until mid-week 04, 2023), there have been 43 new laboratory-confirmed measles cases detected across the country.
                          In outbreak-affected provinces, a total of 441 measles cases have been detected from week 40 of 2022 until week 04 of 2023.
                          In Gauteng Province, in weeks 03 and 04, 2023, 6 cases were notified at clinics in Daveyton, Ekurhuleni (3 from Daveyton Main clinic, two from Philip Moyo Clinic, one from Crystal Park Clinic) and 3 from the Germiston area (1 from Bertha Nxowa Hospital, one from Germiston City clinic and 1 from Wannenburg clinic). A single case was identified in Soshanguve, City of Tshwane.
                          In North West province, in weeks 03 and 04, 12 of 15 cases originate from Mahikeng (Lonely Park, Mocoseng and Setlopo clinics, and Mahikeng provincial hospital). Two cases are reported from Ramabesa clinic and Makapanstad health Centre in Bojanala
                          Amongst the 11 cases reported from Limpopo province, in weeks 03 and 04, three are from Giyani (Mapayeni clinic) and two from Makhado (Louis Trichardt Hospital and Clinic)
                          The age distribution and origin of cases remain largely unchanged with the majority of measles cases in outbreak-affected provinces being among the 5-9 year age group (39%), and the highest proportion of cases arising from hospitals as opposed to primary health clinics in the under-1 year age group (54%). However, there is a significant number of cases in the 10–14-year age group (17%), justifying the need for a vaccination campaign to include this age group.
                          Members of the public are urged to ensure their children are vaccinated against measles....

                          Comment


                          • #28
                            Source: https://www.news24.com/news24/southa...ation-20230203

                            03 Feb
                            Measles infection climb to 37 as Gauteng health department ramps up vaccination
                            Cebelihle Bhengu

                            Measles cases in Gauteng have climbed to 37.

                            The provincial health department said Ekurhuleni had 25 infections, Tshwane six, Johannesburg four, and Sedibeng had two infections.

                            The recent developments come amid the department's measles vaccination campaign in which children between 6 months and 15 years are immunised at community health care centres...

                            The department set an ambitious target to immunise 4 million children in Gauteng.

                            On Friday, it had vaccinated 436 884 children in the five cities with 124 010 children vaccinated in Ekurhuleni, 153 383 in Johannesburg, 21 267 in Sedibeng, 87 180 in Tshwane and 51 044 in West Rand...

                            Comment


                            • #29
                              Source: https://www.iol.co.za/capetimes/news...a-69c9dba5750a

                              Five measles cases detected in the Western Cape, City health officials to visit schools
                              Published 4h ago

                              Cape Town – Officials from the City of Cape Town’s health department are joining a national campaign to curb a measles outbreak.

                              The campaign, from 6 February to 31 March, comes in the wake of a measles outbreak in five provinces.

                              The Western Cape has not experienced a measles outbreak, but there have been five reported cases in the province, the City said.

                              According to the NICD, a measles outbreak is classified as three or more confirmed laboratory measles cases reported within 30 days of the onset of disease, in a district...

                              Comment


                              • #30
                                Source: https://www.nicd.ac.za/south-african...3-10-february/


                                South African Measles Outbreak Update 2023 ( 10 FEBRUARY )
                                10 February , 2023

                                Highlights

                                The NICD has tested 3279 serum samples for measles since epidemiological week 40, 2022, of which 506 (15.4%) were confirmed positive. In outbreak-affected provinces, 484 cases have been reported since week 40, 2022. In the past weeks (week 04 up until mid-week 05, 2023), there have been 58 laboratory-confirmed measles cases detected across the country of which 56 are from outbreak-affected provinces.
                                In week 04, the percentage of samples testing positive (PTP) increased to 25% of the 330 samples tested, compared with a lower PTP (under 10%) in week 03, 2023. Whilst the PTP for week 05 looks lower, the data for epidemiological week 05 will be reviewed in the next situation report when all samples collected during week 05 have been tested.
                                All Gauteng cases, except two, originate from Ekurhuleni (Daveyton and Germiston). The two cases not from Ekurhuleni are from Tshwane (Hammanskraal) and Johannesburg (Olievenhoutbosch).
                                In provinces where an outbreak has been declared, the most affected age groups are still the 5–9-year-olds (40%) with a considerable proportion of cases reported among the 1-4 (28%) and 10-14 age groups (17%). Vaccination campaigns should therefore also include children aged 10 to 14
                                The majority of cases (73%) were reported from primary healthcare facilities, and the highest proportion of cases reported from hospitals (52%) was reported in children under the age of one.
                                Members of the public are urged to ensure their children are vaccinated against measles...

                                Comment

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