CHP investigates measles infection case epidemiologically linked to earlier cases
The Centre for Health Protection (CHP) of the Department of Health (DH) today (July 3) 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 10-month-old baby boy who is a close contact of two epidemiologically linked measles infection cases announced by the CHP recently. During the investigation of these two cases, the CHP found that they had visited a private clinic in Jordan during the communicable period. The CHP immediately initiated contact tracing in the clinic and found that 21 people had stayed in the clinic at the same time as the two cases. Hence, they were classified as close contacts, including three high-risk individuals aged below one-year-old who have not yet reached the age to receive the first dose of the measles vaccine. The CHP explained the risk to the parents of the three children and recommended measles immunoglobulin injection to minimise the risk of infection. One of them agreed and received the injection arranged by the CHP at a hospital, and is now asymptomatic. The other two did not accept the injection arrangement (including the 10-month-old baby boy).
During the medical surveillance for the close contacts, the 10-month-old baby boy presented with fever on June 30 and developed skin rash the following day. The CHP arranged him to the Queen Elizabeth Hospital on July 1 for isolation and treatment. His respiratory specimen sample tested positive for the measles virus upon nucleic acid testing. He remains hospitalised and is in stable condition.
An epidemiological investigation revealed that the baby boy has not yet reach the age to receive the first dose of the measles vaccine. He had no travel history during the incubation period. The CHP believed that the source of infection of this case is related to the two recently confirmed measles cases.
The baby boy's five household contacts are currently asymptomatic and are put under medical surveillance. Since two of the household contacts were uncertain whether they had received measles vaccination, the CHP has provided post-exposure vaccination for them. Another household contact is currently not in Hong Kong. The CHP has notified the relevant health authority for necessary follow-up actions. Apart from his family members, the baby boy has no other close contacts.
There are currently four cases in this cluster, including three members of a family and the above-mentioned baby boy. The remaining two members of the family and 20 other close contacts at the clinic remain asymptomatic so far and are under continuous medical surveillance. Preliminary investigations have not revealed any epidemiological linkages between this cluster 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:
Maintain good personal and environmental hygiene;
Maintain good indoor ventilation;
Keep hands clean and wash hands properly;
Wash hands when they are dirtied by respiratory secretions, such as after sneezing;
Cover the nose and mouth while sneezing or coughing and dispose of nasal and mouth discharge properly;
Clean used toys and furniture properly; and
Persons with measles should be kept out of school till four days from the appearance of a rash to prevent the spread of the infection to non-immune persons in school.
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.
CHP reminds public to take precautions against cold weather
The Centre for Health Protection (CHP) of the Department of Health (DH) today (January 3) reminded the public, particularly the elderly, people with chronic illnesses, outdoor workers, pregnant women, infants and children, to adopt appropriate measures to protect their health in view of the cold weather.
Elderly and people with chronic illnesses
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A spokesman for the CHP said that in general, elderly people have less insulating fat, and their body temperature control mechanisms would be weaker. Their body may not respond appropriately to the cold weather. In addition, some senior persons may have decreased mobility, which can impair their ability to generate and conserve body heat.
Chronic illnesses, such as hypertension, diabetes or hypothyroidism, would lower their metabolic rate, subsequently causing their body to generate less heat. Besides, persons with chronic illnesses, such as chronic respiratory illnesses or cardiovascular and cerebrovascular diseases, are vulnerable to disease aggravation due to cold weather.
The spokesman reminded the public, in particular the elderly and persons with chronic illnesses, to adopt the following preventive measures:
Take note of the weather forecast. Wear warm clothing, including hats, scarves, gloves and socks, accordingly;
Consume sufficient food to ensure adequate calorie intake;
Perform regular exercise to facilitate blood circulation and heat production;
Stay in a warm environment. Avoid going out in the morning and at night when the temperature is lower, and avoid prolonged outdoor exposure;
Use heaters with care and maintain adequate indoor ventilation;
Avoid alcoholic beverages. Drinking alcohol cannot keep you warm. Alcohol accelerates the loss of body heat through dilated blood vessels, resulting in chilling instead; and
Seek medical advice if feeling unwell.
Infants, children and pregnant women
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Infants and young children are more susceptible to heat loss during the cold weather. The spokesman reminded parents that they should ensure babies are sufficiently warm, but it is also important to keep babies relatively lightly clothed to avoid overheating them. When children engage in outdoor activities, their clothing should be adjusted accordingly, and changed quickly if soaked. Infants, young children and pregnant women should also try to avoid going out in the morning and at night when the temperature is lower.
Parents should observe the following safety measures when putting their children to bed:
Keep the room well ventilated and at a comfortable temperature;
Always place babies on their backs to sleep. Leave their heads, faces and arms uncovered during sleep;
Babies do not need pillows. Place babies on a firm and well-fitted mattress to sleep. Avoid soft objects, pillows and loose bedding;
Let babies sleep in a cot placed near their parents' bed; and
Maintain a smoke-free environment.
Outdoor workers
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Outdoor workers should take heed of the weather report and wear appropriate warm clothing for work. Clothing should be changed as soon as possible if soaked. When the Cold Weather Warning is in force, they should take appropriate precautions. They should take a break immediately and seek help and medical attention if feeling unwell.
General public
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In addition, many respiratory pathogens, including influenza and SARS-CoV-2, may have increasing activity and community transmission during winter. Seasonal influenza vaccination is recommended for all persons aged 6 months or above, except those with known contraindications. Persons at higher risk of getting influenza and its complications, including the elderly and children, should receive seasonal influenza vaccinations early. Please see details of the vaccination schemes on theCHP'swebsite.
A person who gets influenza and COVID-19 at the same time may become more seriously ill and would have a higher risk of death. It is important for elderly persons, especially those residing in residential care homes, to receive both a seasonal influenza vaccination and a COVID-19 vaccination. They should also receive an additional booster against COVID-19 according to recommendations as soon as possible. The public should also maintain good personal and environmental hygiene against respiratory illnesses and note the following:
Surgical masks can prevent transmission of respiratory viruses from ill persons. It is essential for persons who are symptomatic (even if having mild symptoms) to wear a surgical mask;
Wear a surgical mask when taking public transport or staying in crowded places. It is important to wear a mask properly, including performing hand hygiene before wearing and after removing a mask;
Avoid touching one's eyes, mouth and nose;
Wash hands with liquid soap and water properly whenever possibly contaminated;
When hands are not visibly soiled, clean them with 70 to 80 per cent alcohol-based handrub;
Cover the mouth and nose with tissue paper when sneezing or coughing. Dispose of soiled tissue paper properly into a lidded rubbish bin and wash hands thoroughly afterwards;
Maintain good indoor ventilation;
When having respiratory symptoms, wear a surgical mask, refrain from work or attending classes at school, avoid going to crowded places and seek medical advice promptly; and
Maintain a balanced diet, exercise regularly, take adequate rest, do not smoke and avoid overstress.
Food-borne diseases, particularly those linked to hotpot cuisine, are also common in cold weather. The following preventive measures should be taken:
Wash hands before handling and consuming food;
Do not patronise unlicensed vendors or those with poor hygienic standards while selecting food;
Wash and cook all food thoroughly;
Vegetables should be washed thoroughly in clean running water before cooking and consumption. When appropriate, scrub vegetables with hard surfaces with a clean brush to remove dirt and substances, including pesticide residues and contaminants, from surfaces and crevices;
Shrimps should be fully cooked until the shells turn red and the flesh turns white and opaque;
For shellfish such as scallops and geoduck, scrub the shells thoroughly and remove internal organs;
Do not eat any undercooked freshwater aquatic products. To ensure that the food is thoroughly cooked, the centre of the food should reach a temperature of at least 75 degrees Celsius so as to destroy pathogens;
Most hotpot ingredients should be stored in a refrigerator at 4 degrees C or below, while frozen food should be stored in a freezer at -18 degrees C or below;
Never use raw eggs as a dipping sauce for hotpot; and
Use different sets of chopsticks to handle raw and cooked food to avoid cross-contamination.
In addition, when using fuel-burning appliances, especially in indoor areas, the public should ensure adequate ventilation to avoid harmful exposure to carbon monoxide (CO) and prevent CO poisoning.
Fo more health information, the public may call the DH's Health Education Infoline (2833 0111) or visit theCHP's websiteandFacebook Fanpageas well as press releases of the Labour Department on precautions against cold weather for outdoor workers and their employers when the Cold Weather Warning is in force.
The public may also call Dial-a-Weather (1878 200) or visit thewebsite of the Hong Kong Observatoryfor the latest weather information and forecasts, or itspage on Weather Information for Senior Citizens.
Source: AI-found images
