Abstract
Measles is an ever-growing threat, a major public health issue, being responsible for a large number of deaths, especially in children. This paper aims to study all cases of measles in Romanian hospitals, cases reported by National School of Public Health, Management and Professional Development, Bucharest on a two year period of time; the study focuses on frequency and pattern territorial distribution of cases, temporal evolution, complication rates and the social pressure the such an infectious disease is putting onto the national health system. Data gathered shows a total number of 2,985 for 2016, 10,181 for 2017 and 8,364 for the entire 2018, with a grand total of 21,530 patients analyzed by our study. The analysis clearly shows, on one hand, a descending rate in vaccination coverage, compared with the national assigned target and, on the other hand, a continuous drop in vaccination rates with the first dose of Measles-mumps-rubella vaccine (MMR), both being in equal manner dangerous situations for the entire health system in Romania. Keywords: measles, evolution, vaccination rate
Highlights
Measles continue to represent a major public health problem, being responsible for many deaths in children, despite the fact that modern medicine provides a simple and effective method of preventing it
In Romania, according to World Health Organization (WHO) vaccine-preventable diseases: monitoring system 2018 global summary, vaccination coverage in 2017 for the first dose was up to 87% and second dose of measles was up 75%, in 2016 for first dose was up to 86% and for second dose was up to76% [7]
Experimental part This paper aims to study the cases of measles admitted in hospitals in Romania and reported back to the National School of Public Health, Management and Professional Development, Bucharest (NSPHMPDB) during 01.01.201631.10.2018, in order to analyze the frequency and territorial distribution, temporal evolution, rate of complications and the economic burden that such a preventable disease, by means of vaccination, puts on the health care system
Summary
Measles continue to represent a major public health problem, being responsible for many deaths in children, despite the fact that modern medicine provides a simple and effective method of preventing it. After a period of incubation of 10 to 11 days, the condition begins with fever, altered general condition, mule, conjunctivitis, characteristic enanthem, followed shortly after the occurrence of eruption. Rash is generally observed from three to five days following onset of fever. To protect against the consequences of vitamin A deficiency the World Health Organization (WHO) recommends that high-dose vitamin A supplements be given together with routine vaccines to children between 6 months and 5 years of age in more than 100 low-income countries [4]. In Romania, according to WHO vaccine-preventable diseases: monitoring system 2018 global summary, vaccination coverage in 2017 for the first dose was up to 87% and second dose of measles was up 75%, in 2016 for first dose was up to 86% and for second dose was up to76% [7]. According to the same global summary, in Romania were 9076 number of reported cases of measles in 2017 and 2435 cases in 2016
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