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A low-cost, community-based measles outbreak investigation with follow-up…

- - - - The high coverage for BCG immunizations(85%) compared with children immunized against measles (48%) shows that failure to complete the immunization schedule was the major obstacle to obtaining effective coverage. Responses from the mothers demonstrated that utilization of immunization services can be improved by repeatedly and frequently informing them.
        
        Prevention
        -wear a mask
        -Personal items such as water glass and towels
        -Personal hygiene products such as water glass and keep patients' personal hygiene.
        -Keep clean, such as patients often wash their hands.
- - - - a randomized household survey
      - a house-to-house community investigation
    - - Two zone
        
        Zone 1 : through a nearby hospital
        
        Living quarters in these zones were frequently crowded, at times consisting of only one room per family. Residents were employed primarily as daily labourers or vendors in the local market.
        
        Zone 2 : by a non government mobile clinic
    - - recorded
        
        immunization history of all children aged under 5 years
        
        the date of birth
      - collected the same information on anyone with a history of measles during the previous 9 months
      - followed the WHO definition for measles
        
        history of a generalized rash of 3 or more days duration
        
        a fever
        
        anyone of three symptoms
        
        Cough
        
        Rhinitis
        
        Conjunctivitis
- - - - The efficacy of the vaccine is low
      - A mother lacks information on how to vaccinate her child.
    - - According to data compiled from the National Population and Health Survey from selected hospitals in the city, 28% of the Ministry of Health in 1988-89 showed that measles cases were children under the mortality rate. 100 babies per 1000 babies and 9 months
      - The report mentioned above also indicates that the mortality rate under five years is 180 per 1000.