Measles Burden: Bangladesh

In large parts of the world vaccination has successfully eliminated measles as a significant causes of morbidity & mortality. However, an estimated 4,54,000 measles deaths were still recorded worldwide in 2004, half of which occurred in Africa. Measles virus is highly infections & is transmitted by aerosols generated during coughing or by direct contact with contaminated respiratory secretion, After an incubation time of almost two weeks, disease starts with a prodromal phase of fever cough &coryza. A few days later a generalized maculopapular skin rash appears, often in combination with conjuctivities. measles is associated with a transient butprofound immunosuppression, resulting in an increased susceptibility to opportunistic infections. This often leads to complications like pneumonia, diarrhoea & otitis media which are the most important determinants of measles morbidity & mortality. Paradoxically, the disease is also associated with the induction of strong measles virus specific humoral & cellular immune response, resulting in life-long immunity.

Autorentext

El Dr. Mohammed Rizwanul Ahsan se graduó en 2003 en el Sylhet M. A. G. Osmani Medical College. Completó su MPH en 2013 en la Universidad ASA de Bangladesh y su DCH en la Universidad Médica Bangabandhu Sheik Mujib.