Imported measles case prompts vaccination reminder for travelers, warns Health Protection Centre.

CHP investigates imported measles case

The Centre for Health Protection (CHP) of the Department of Health (DH) today (December 23) is investigating an imported measles case and reminded members of the public who are non-immune to measles to ensure that they have completed two doses of measles vaccination before travelling to reduce the risk of infection.

The case involves a seven-month-old boy who developed fever, cough and runny nose on December 17. He was brought to seek medical attention from a private doctor on December 19. The boy developed a rash on December 21. He was brought to the Accident and Emergency Department of Caritas Medical Centre and admitted on the same day for treatment. His clinical specimen was tested positive for the measles virus upon nucleic acid testing. He is isolated for treatment and is currently in stable condition.

The patient stayed outside Hong Kong from October 1 to December 16. As he spent the whole incubation period outside Hong Kong, the case was classified as an imported case.

An epidemiological investigation revealed that the boy has not yet reached the age to receive the first dose of the measles vaccine. His parents are household contacts and also his travel collaterals. They had not received measles vaccination. The patient's mother presented a fever on December 18. The CHP is arranging testing for her.

Apart from seeking medical attention, the patient mainly stayed at home during the communicable period. The CHP is reaching out contacts who visited the private clinic during the same period on December 19, to identify if high risk persons were involved. The CHP will assess if they had immunity against measles and will arrange vaccinations for contacts who are non-immune. The CHP will continue to put the relevant contacts under medical surveillance. Management of relevant private clinic was requested to report to the CHP if any persons develop measles symptoms for follow up.

The CHP's investigation is ongoing.

"Measles remain as an endemic infection in many places around the world. The number of measles cases in some overseas countries has been increasing recently. The outbreaks in North America (including the United States and Canada), Europe and Southeast Asia 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. Overseas cases mainly affected people who were unvaccinated or had unknown vaccination status. This shows the importance of maintaining a high vaccination rate and herd immunity within the community. For those who plan to travel to areas with measles transmission, 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. Pregnant women and women preparing for pregnancy who are non-immune to measles as well as children aged under one year who are not due for the first dose of Measles, Mumps and Rubella (MMR) combined vaccine under theHong Kong Childhood Immunisation Programme, are advised not to travel to places with outbreaks of measles," the Controller of the CHP, Dr Edwin Tsui, said.

"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. If travellers returning from places with high incidence or outbreak of measles develop symptoms of measles (e.g. fever and rash), they should seek medical advice immediately and avoid contact with non-immune persons, especially pregnant women and infants under one year old. They should also report their symptoms and prior travel history to the healthcare workers so that appropriate infection control measures can be implemented at the healthcare facilities to prevent any potential spread," Dr Tsui added.

"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 continued.

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.

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.

Source: AI-found images

Government announces updates on follow-up work on Tai Po fire

The Independent Committee in relation to the fire at Wang Fuk Court in Tai Po today (December 23) conducted a site visit to Wang Fuk Court to gain a better understanding of the actual environment and conditions of the estate; the causes and circumstances that led to the fire and its rapid spread; the fire service installations and equipment used in the buildings; the materials used in building maintenance and renovation works; and construction safety matters. The Fire Services Department, together with relevant departments, joined the site visit with the Independent Committee today and reported the progress of the Inter-departmental Fire Investigation Task Force.

Moreover, the three task forces set up by the Government for the fire at Wang Fuk Court in Tai Po - the Task Force on Investigation and Regulation, the Task Force on Emergency Support and Fund-Raising, and the Task Force on Emergency Accommodation Arrangements - are making full efforts to follow up on the support, relief, and investigation work related to the incident. Details are as follows:

Financial and welfare support

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For the Support Fund for Wang Fuk Court in Tai Po, established by the Government, donations received are about $3.8 billion as of noon today. With the start-up capital of $300 million from the Government, the fund's total has now reached around $4.1 billion. The fund will be used to assist residents in rebuilding their homes and providing long-term and sustained support.

The Government provides a $100,000 living allowance from the Support Fund to each affected household, while families of each deceased victim are provided with a token of solidarity of $200,000, as well as $50,000 to cover funeral costs. All verified cases have been processed so far. In addition, the Government earlier announced three new measures, providing flat owners at Wang Fuk Court with a grant of $100,000; an annual rental grant of $150,000 (to be provided for two years) and a one-off relocation grant of $50,000; as well as a one-off relocation grant of $50,000 for affected tenants. The allowances will be disbursed in phases.

Social workers from the Social Welfare Department (SWD) have been in contact with more than 1 980 affected households, and more than 4 900 residents have been registered for the "one social worker per household" follow-up service. The SWD will maintain liaison with the affected households to provide all necessary assistance while fully supporting the relief work of the Government.

Accommodation support

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Currently, there is still a supply of more than 1 000 units that can provide affected residents with longer-term accommodation. The transitional housing and the Hong Kong Housing Society (HKHS) projects in different districts can altogether provide around 500 units at the moment. Moreover, Po Tin Interim Housing in Tuen Mun and Runway 1331 at Kai Tak can provide a supply of around 900 units.

As of this morning, a total of 504 residents are staying in hotel rooms through the co-ordination of the Home and Youth Affairs Bureau, and 554 residents are staying in youth hostels/camps. Another 3 557 residents are currently living in transitional housing units provided by the Housing Bureau, units from the HKHS, or Po Tin Interim Housing in Tuen Mun.

Relief supplies and donations

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The supplies donation online platform, established by the Government and the information technology sector, continues to operate, facilitating the registration of supplies donations from organisations and the public. The Government has so far received over 2 000 registrations, of which approximately 30 per cent were submitted by organisations, whereas the others were contributed by the public. The various registered donation items include food and beverages, clothing, daily necessities, bedding, and electrical appliances. The Government is actively assessing residents' actual needs through the relevant policy bureau, government departments, and service organisations for the matching of donated supplies in order to distribute appropriate items in phases to places in need. So far, over 45 000 donation items covering various categories have been distributed to different places. The matching and distribution of supplies will continue.

Investigation and regulation

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Relevant policy bureaux and departments continue to follow up on the fire investigation and regulatory efforts.

Source: AI-found images