A Record-Based Study on Epidemiological and Clinical Characteristics of Measles Patients Admitted in a Tertiary Care Hospital of Ahmedabad City, Gujarat

  • Arpit Prajapati PhD Student, Gujarat University, Professor, Community Medicine Department, GCS Medical College, Hospital and Research Centre Ahmedabad, Gujarat, India.
  • Sahil Kumari Chaudhari Second year Resident Doctor, Community Medicine Department, GCS Medical College, Hospital and Research Centre Ahmedabad, Gujarat, India.
  • Himadri Patel Second year Resident Doctor, Community Medicine Department, GCS Medical College, Hospital and Research Centre Ahmedabad, Gujarat, India.
  • Margi Sheth Assistant Professor, Community Medicine Department, GCS Medical College, Hospital and Research Centre Ahmedabad, Gujarat, India.
Keywords: Childhood, Fever, Immunisation, Measles, Rash

Abstract

Introduction: Measles is an acute and highly infectious disease of childhood, transmitted by droplets from the nose, mouth or throat. In India, doses of measles-containing vaccine are postponed or missed due to a lack of
awareness among people to utilise immunisation services, rural residence, COVID-19 pandemic, home birth, low birth weight for newborns, early age at first birth, and lower maternal education. This delayed or missed
vaccination increases the risk of bigger outbreaks around the world.
Objective: To determine the epidemiological and clinical characteristics of patients with measles.
Material and Method: A record-based study on all clinically or laboratoryconfirmed patients admitted in the years 2019 to 2023 was conducted at a tertiary care hospital in Ahmedabad city. Data collection was done
using a pre-tested and pre-designed questionnaire to include all the recorded cases diagnosed with measles.
Results: Among a total of 150 participants, there were 52.7% males and 47.3% females. The mean age of patients was 37 months ± 32 SD. Around 61.3% of cases were in the age group of 1–5 years. In 96.6% of patients, fever and rash were the most common symptoms, followed by coryza in 88% and conjunctivitis in 29.3% of the patients. An increase in the number of cases was observed during the winter months of 2022–23, while there were fewer cases admitted duringthe COVID-19 pandemic period. About 62.7% of patients who were admitted had not taken any dose of measles vaccine.
Conclusion: There were more cases observed in the winter months. The important epidemiological factors found were age group (1–5 years) and unvaccinated status of the children. There is an increasing
need for awareness about measles immunisation in order to reduce morbidity among children.

How to cite this article:
Prajapati A, Chaudhari S K, Patel H, Sheth M.
A Record-Based Study on Epidemiological
and Clinical Characteristics of Measles
Patients Admitted in a Tertiary Care Hospital
of Ahmedabad City, Gujarat. J Commun Dis.
2024;56(3):5-9.

DOI: https://doi.org/10.24321/0019.5138.202442

References

Park K. Park’s textbook of preventive and social medicine. 27th ed. Banarsidas Bhanot; 2023. p. 164-5.

Asma, Pulla A, Thomas V. A study on epidemiological and clinical characteristics of measles patients admitted to Sir Ronald Ross Institute of Tropical and Communicable Diseases, Hyderabad, India. Int J Community Med Public Health. 2019;6(3):1345. [Google Scholar]

Minta AA, Ferrari M, Antoni S, et al. Progress Toward Regional Measles Elimination — Worldwide, 2000–

MMWR Morb Mortal Wkly Rep 2022;71:1489– 1495. DOI: http://dx.doi.org/10.15585/mmwr. mm7147a1[cited 2024 Sep 28]. Available from: https://www.cdc.gov/mmwr/volumes/71/wr/mm7147a1.htm

CNBCTV18 [Internet]. India ranks fourth in global measles outbreak — what’s causing it; 2024 Feb 28

[cited 2024 Apr 16]. Available from: https://www.cnbctv18.com/healthcare/india-recorded-4th-highestmeasles-cases-in-second-half-of-2023-whats-thereason-behind-this-19154271.htm

Measles and rubella strategic framework 2021–2030. Geneva: World Health Organization; 2020.;

[cited 2024 Sep 27]. Available from: https://www.immunizationagenda2030.org/images/documents/

measles_rubella_initiative_Digital3.pdf

World Health Organization [Internet]. Measles outbreak toolkit; 2022 Sep [cited 2024 Apr 16].

Available from: https://www.who.int/emergencies/outbreak-toolkit/disease-outbreak-toolboxes/measlesoutbreaktoolbox#:~:text=An%20illness%20in%20a%20patient%20with%20fever%20and,and%3A%20cough%2C%20or%20coryza%20%28i.e.%2C%20runny%20nose%29%20or

Panda BK, Mishra S, Awofeso N. Socio-demographic correlates of first dose of measles (MCV1) vaccination

coverage in India. BMC Public Health. 2020;20(1):1221. [PubMed] [Google Scholar]

Walekhwa AW, Ntaro M, Kawungezi PC, Achangwa C, Muhindo R, Baguma E, Matte M, Migisha R, Reyes R,

Thompson P, Boyce RM, Mulogo EM. Measles outbreak in Western Uganda: a case-control study. BMC Infect

Dis. 2021;21(1):596. [PubMed] [Google Scholar]

Michael F, Mirambo MM, Misinzo G, Minzi O, Beyanga M, Mujuni D, Kalabamu FS, Nyanda EN, MwanyikaSando M, Ndiyo D, Kasonogo R, Ismail A, Bahati A, Hassan F, Kaale E, Chai JJ, Kinyunyi P, Kyesi F, Tinuga F, Mongi D, Salehe A, Muhindi B, Mdachi J, Magodi

R, Mwenesi M, Nyaki H, Katembo B, Tenga K, Kasya M, Mwengee W, Mshana SE. Trends of measles in

Tanzania: a 5-year review of case-based surveillance data, 2018-2022. Int J Infect Dis. 2024;139:176-82.

[PubMed] [Google Scholar]

Sharma M, Singh SK, Sharma L, Dwiwedi MK, Agarwal D, Gupta GK, Dhiman R. Magnitude and causes of routine immunization disruptions during COVID-19 pandemic in developing countries. J Family Med Prim Care. 2021 Nov;10(11):3991-7. [PubMed] [Google Scholar]

Idé HA, Yanogo PK, Barry D, Togola OB, Adehossi E, Meda N. Epidemiological profile of measles in Niger:

analysis of measles case-based surveillance data from 2010 to 2019. Pan Afr Med J. 2022;43(1):18. [PubMed]

[Google Scholar]

Indwar P, Debnath F, Sinha A. Reporting measles case fatality due to complications from a tertiary care

hospital of Kolkata, West Bengal 2011-2013. J Family Med Prim Care. 2016;5(4):777. [PubMed] [Google Scholar]

Mehta KP, Patel AM, Patel A. Clinical profile, complications and outcomes of measles among

children: an observational study from a tertiary care hospital, South Gujarat, India. J Clin Diagn Res. 2023;17(1):SC30-3. [Google Scholar]

Nas FS, Ali M, Yahaya A, Kabiru AG. Retrospective study on incidence of measles in Kumbotso Kano, Northern

Nigeria. Virol Immunol J. 2018;2(6):1-6.

Published
2024-10-08