A @DrsWithoutBorders team delivers measles vaccines to child | Figure 1
DrsWithoutBorders
International Association
A @DrsWithoutBorders team delivers measles vaccines to children in Conakry, Guinea. MSF recently launched a large-scale measles vaccination campaign in coordination with the Guinean Ministry of Health. Since the beginning of the year, there have been more than 3,000 confirmed cases and 14 deaths due to measles in Guinea. Conakry and Nzérékoré are the most affected districts. A measles epidemic was declared on February 8. MSF, together with the Ministry of Health in Conakry, are mobilizing 126 teams of 13 people, spread out across 164 vaccination sites in the city of three million people. All children from six months up to 10 years of age will be vaccinated. MSF also supports 30 health centers in Conakry to care for children suffering from mild cases of measles, as well as the referral center where severe cases are hospitalized.
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A @DrsWithoutBorders pediatrician treats a little girl with measles who arrived at our hospital in Democratic Republic of Congo (DRC) in a state of shock and severely dehydrated. If not treated on time, children with measles can develop severe medical complications. Since March 2012, @DrsWithoutBorders has been fighting a measles epidemic which affects tens of thousands of children in DRC. Vaccination is the best form of protection against measles; even after the disease has begun to spread, vaccination can still reduce the number of cases and deaths.
Quiz- Acceptable presumptive evidence of immunity against measles in the U.S. includes at least one of the following EXCEPT:
A. Written documentation of adequate vaccination of two doses of measles-containing vaccine for school-age children and adults at high risk, including college students, healthcare personnel, and international travelers
B. Laboratory evidence of immunity
C. Laboratory confirmation of measles
D. Birth before 1987
A nurse administers a vaccine to a young patient. @DrsWithoutBorders launched a free, five-day-long, vaccination campaign against measles and polio in the Palestinaian refugee camp of Shatila and the adjacent neighbourhood of Sabra in South Beirut, Lebanon. Children of all nationalities below 15 years of age were targeted.
@DrsWithoutBorders decided to intervene after witnessing an increase in the number of measles cases among the children in its primary healthcare centre in Shatila. Over the three months preceding the campaign, 33 cases were registered, out of which 19 were confirmed.
A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?