Intended for healthcare professionals

Rapid response to:

News

Measles: Samoa declares emergency as cases continue to spike worldwide

BMJ 2019; 367 doi: https://doi.org/10.1136/bmj.l6767 (Published 29 November 2019) Cite this as: BMJ 2019;367:l6767

Rapid Response:

Re: Measles: Samoa declares emergency as cases continue to spike worldwide

Further to my previous rapid response, Mr Stone’s rapid response and now Ms Elizabeth Hart’s questions may I cite:

Benenson, Abram S, 1970. Control of Communicable Diseases in Man.
Page 145. Measles is a severe disease among malnourished children of developing countries with fatality of 5 to 10 % or more.

On the matter of immunisation:
In times gone by (fifty years or so), a single injection was supposed to protect 95% of those vaccinated for 10 years or more. If there is shortage of the vaccine, can we be assured that instead of giving everybody TWO injections, first of all, everyone who is NON-IMMUNE, will be offered ONE injection?

Whether Samoa counts as under-developed or developing or developed, I do not know. Given its relative proximity to and travel to and from New Zealand, it surely is in a different class from, say, India, or Nigeria.

Is the vitamin A intake in the majority of the infant population at the optimum level?

Did the children who so tragically died happen-to have debilitating illnesses?

Competing interests: No competing interests

02 December 2019
JK Anand
Retired doctor
Free spirit
Peterborough, England