Home 2014 - Volume 14(2) RUBELLA AND SCARLET FEVER OUTBREAK AMONG TRAINEES AT A TRAINING CAMP IN MERSING, JOHOR
RUBELLA AND SCARLET FEVER OUTBREAK AMONG TRAINEES AT A TRAINING CAMP IN MERSING, JOHOR PDF Print E-mail
Friday, 08 August 2014 15:25

Mohamad Nizam Subahir1, Suraiti Hasim1 , Mohd. Badri Yacob1, Mohd Rohaizat Hassan2

1Mersing District Health Office, Jalan Ismail, 86800 Mersing, Johor

2Department of Community Health, Faculty of Medicine, UKM Medical Centre, 56000, Kuala Lumpur, Malaysia

ABSTRACT

Rubella is an acute and contagious disease which is mainly characterized by fever, rash, and cervical lymphadenopathy. This contagious disease spreads easily through nasopharyngeal secretions, droplet or direct contact with patients. Meanwhile clinical features of scarlet fever include a sore throat, skin rash and strawberry tongue. A descriptive study was conducted to describe the epidemiological characteristic of diseases at a Training Camp in Mersing. Data obtained on demographic details, onset and time of fever and rash or contact with ill person 14 to 21 days prior to symptoms.  Screening and interview conducted for all suspected cases of Rubella. 47.4% of the cases presented on 5th June 2012 followed by 15.8% on 11th June 2012 and 13.5% on 12th June 2012. Maculo papular rash was the predominant presenting symptom among students with acute infection in this outbreak (100%) followed by fever (36.8%). Measles specific IgM was not detected in the serum taken but rubella specific IgM was detected in 66.7% (6/19) of samples.  55% (11/20) were positive for ASOT.  4 trainees had Rubella and Scarlet Fever co-infection. It was found out that the outbreak occurred among 391 residents in the camp who shared common places for activities such as lecture, physical activity and meal. Rapid dissemination was due to overcrowded environment and close contact during common activities of the residents. Theoretically co-infection would be presented with severe clinical symptoms but not in this outbreak where all affected trainees only presented with mild fever and rashes.

Keywords: rubella, scarlet fever, outbreak, national service trainee.

Full text (PDF)

 

Highlight

ISSN No : 1675-0306
e-ISSN No : 2590-3829

"This is an Open Access Journal"

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Indexed By

Sample imageSCImago Journal & Country Rank

Sample image

Visitor Counter

You are visitor number :-
mod_vvisit_countermod_vvisit_countermod_vvisit_countermod_vvisit_countermod_vvisit_countermod_vvisit_countermod_vvisit_counter
mod_vvisit_counterToday94
mod_vvisit_counterAll606384

Who's Online

We have 25 guests online