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Australia: Measles fear in wake of Thai tragedy

Shiloh

Editor, Senior Moderator
Source: http://www.thewest.com.au/default.aspx?MenuID=77&ContentID=101596

Measles fear in wake of Thai tragedy
8th October 2008, 6:00 WST

Hundreds of people in Perth may have been exposed to measles after coming into contact with a Year 11 Winthrop Baptist College student caught in a lightning strike in Thailand who has since been found to have the highly infectious virus.

The Health Department issued a warning yesterday to about 130 people who were on the same flights as 11 students when they returned to Perth last week after the freak accident which saw teacher Greg Crombie and trainee youth worker Thomas McGuinness killed by lightning on September 27.

More than 600 people who attended Mr McGuinness? funeral last Friday have also been warned they may have been exposed to measles, which can cause complications, including pneumonia in one in 25 cases and encephalitis, or inflammation of the brain, in one in 2000 cases.


Measles is spread when a person breathes in the virus that has been coughed or sneezed into the air by an infectious person.

The department said babies, unimmunised pregnant women and people with poor immune systems were most at risk and might need treatment with immunoglobulin to prevent infection or lessen its severity.

Medical co-ordinator of communicable disease control Paul Effler said the department was trying to contact the passengers on Royal Brunei Airways flights BI516, which left Thailand on September 30, and BI76, which left Brunei on October 1. The department was particularly concerned because six infants were known to be on the flights.

Dr Effler said the plane passengers and people at the funeral service who were unlikely to be immune to measles were at risk because measles was contagious for up to five days before a rash developed.

People were considered immune if they had received two doses of the measles mumps rubella vaccine, or were born before 1966.

?People who develop a fever and cough or runny nose in the next few weeks should stay at home and promptly consult their GP,? he said.

?The patient should mention their possible contact with measles when they call so they can be isolated when they arrive at the surgery and prevent the potential spread of measles to other patients.?

Measles is rare in WA because of childhood vaccination, with only six cases so far this year. Dr Effler said some people wrongly regarded measles as a harmless childhood illness but the complications could be very serious.

People who think they might be at risk should phone 9431 0200 or 1800 022 222.

CATHY O?LEARY MEDICAL EDITOR
 
Re: Australia: Measles fear in wake of Thai tragedy

Source: http://www.emaxhealth.com/2/39/25563/measles-risk-perth-airline-flight.html

Measles Risk From Perth Airline Flight

The Department of Health has today confirmed measles in a passenger who arrived in Perth aboard a Royal Brunei Airlines flight from Thailand on 1 October.

The passenger also attended funeral services held on Friday 3 October before developing a measles rash the following day .

Medical Coordinator Communicable Disease Control Dr Paul Effler said measles was contagious for up to five days before the development of the rash and passengers on the same flights and those at the funeral service may be at risk of developing measles if they were not immune.

"A person is considered immune to measles if they have received two doses of the Measles Mumps Rubella (MMR) vaccine or were born before 1966," he said.

"People who attended the funeral held at 2pm Friday 3 October in the auditorium of Winthrop Baptist College in Murdoch, followed by a burial service at Fremantle Cemetery and a reception at Mount Pleasant Uniting Church, and are not immune to measles, should contact the South Metropolitan Public Health Unit at 9431 0200 as soon as possible (after hours contact Health Direct at 1800 022 222).

"They will determine if the individual might benefit from receiving immune globulin (IG), which, if given early, can prevent or lessen the severity of measles infection.


"This is especially important for infants, unimmunised pregnant women, and people with poor immune systems."

The Department is attempting to contact those passengers on Royal Brunei Airways flight BI516 departing Thailand on 30 September and connecting Flight BI76 departing Brunei on 1 October who are at greatest risk of developing measles because of their age or seating arrangements.

Dr Effler said it was important that all people on these flights and those who attended the funeral services be aware of the possibility of measles illness.

"Individuals who develop a fever and cough or runny nose in the next several weeks should stay at home and promptly consult their GP," he said.

"The patient should mention their possible contact with measles when they call so they can be isolated when they arrive at the surgery and prevent the potential spread of measles to other patients."

Measles is a highly contagious viral illness that can cause serious disease. Early symptoms include fever, cough, runny nose and sore eyes followed by a red blotchy rash about three days later, starting on the face and spreading to the rest of the body.

Complications following measles can be very serious and may include ear infections and pneumonia in about one in every 25 cases. About one person in every 2,000 will develop encephalitis, an inflammation of the brain.

All children who have not been vaccinated against measles should be considered at risk of getting measles. The first measles vaccination is usually given at 12 months followed by a second dose at four years.
By: Department of Health - Mon, 10/20/2008 - 05:25
 
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