CHP investigates measles infection case epidemiologically linked to earlier case
The Centre for Health Protection (CHP) of the Department of Health (DH) today (June 30) is investigating a case of measles infection and reminded the public that vaccination is the most effective way to prevent measles.
The case involves a five-month-old baby girl who is a family member of a local measles infection case announced by the CHP recently. She developed cough, runny rose, a generalised skin rash and fever on June 27 and was brought to the Accident and Emergency Department of Queen Elizabeth Hospital on June 28. She was admitted for treatment on the same day. Her blood sample tested positive for antibodies of measles virus upon laboratory testing.She remains hospitalised and is in stable condition.
An epidemiological investigation revealed that the baby girl has not yet reached the age to receive the first dose of measles vaccine. She had no travel history during the incubation period. The CHP believes that she acquired the infection from her family member who was recently confirmed to have measles infection. Her remaining five household contacts are currently asymptomatic and put under medical surveillance. Apart from the baby girl's household contacts, no other close contacts were identified. Initial investigation revealed that no epidemiological linkages have been established between these two cases from the same family and other confirmed cases previously recorded in Hong Kong.
"The incubation period of measles (i.e. the time from infection to onset of illness) is seven to 21 days. Symptoms include fever, skin rash, cough, runny nose and red eyes. When such symptoms appear, people should wear surgical masks, stay home from work or school, avoid crowded places and contact with unvaccinated people, especially those with weak immune systems, pregnant women and children under 1 year old. Those who suspect they are infected should consult their doctors as soon as possible and inform healthcare workers of their history of exposure to measles," the Controller of the CHP, Dr Edwin Tsui, said.
"Under the Hong Kong Childhood Immunisation Programme, the overall immunisation coverage in Hong Kong has been maintained at a very high level through the immunisation services provided by the DH's Maternal and Child Health Centres and School Immunisation Teams. As evidenced by the findings on vaccination coverage of primary school students and the territory-wide immunisation surveys conducted regularly by the DH, the two-dose measles vaccination coverage has remained consistently high, well above 95 per cent, and the local seroprevalence rates of measles virus antibodies reflect that most people in Hong Kong are immune to measles. However, Hong Kong, as a city with a high volume of international travel, still faces the potential risk of importation of the measles virus and its further spread in the local community. Hence, a small number of people who have not completed a measles vaccination (such as non-local-born people including new immigrants, foreign domestic helpers, overseas employees and people coming to Hong Kong for further studies) are still at risk of being infected and spreading measles to other people who do not have immunity against measles, such as children under 1 year old who have not yet received the first dose of the measles vaccine," he added.
People born before 1967 could be considered to have acquired immunity to measles through natural infection, as measles was endemic in many parts of the world and in Hong Kong at that time. People born in or after 1967 who have not yet completed the two doses of measles vaccination or whose measles vaccination history is unknown, should consult their family doctors as soon as possible to complete the vaccination and ensure adequate protection against measles.
The number of measles cases in some overseas countries remains at a high level this year. The outbreaks in North America (including the United States and Canada), Europe and neighbouring areas (including Vietnam, Cambodia and the Philippines) are ongoing due to the relatively low vaccination rate. Furthermore, an increasing number of measles cases have also been recorded in Japan and Australia this year. For those who plan to travel to measles-endemic areas, they should check their vaccination records and medical history as early as possible. If they have not been diagnosed with measles through laboratory tests and have never received two doses of measles vaccine or are not sure if they have received a measles vaccine, they should consult a doctor at least two weeks prior to their trip for vaccination.
Besides being vaccinated against measles, members of the public should take the following measures to prevent infection:
For more information on measles, the public may visit the CHP'smeasles thematic page. Members of the public who are going to travel can visit the website of the DH'sTravel Health Servicefor news of measles outbreaks outside Hong Kong.
