South Africa measles outbreak rises to 99 cases
by NewsDesk Lord, save her
in Follow-up of measles outbreaks In South Africa, the National Institute of Communicable Diseases (NICD) reports that from 1 September to 30 November 2022, 99 laboratory-confirmed measles cases were reported in Limpopo and Mpumalanga provinces. The number of laboratory confirmed measles cases in Limpopo province has risen to 77 and 22 in Mpumalanga province.
The most affected areas in Limpopo province are Greater Sikhokhon District, Mopane District and Waterberg District. In Mpumalanga Province, an increase in laboratory-confirmed measles cases has been reported in the Elukwatini District of Gert Sibande District.
Measles cases in Limpopo province ranged in age from 3 months to 42 years, while measles cases in Ihlanzini district in Mpumalanga province ranged in age from 4 months to 13 years. The most affected age group are school-going children, 5-9 years (n = 37, 37%) in Mpumalanga province and 1-4 years (n = 29; 29%) in Limpopo. Three laboratory-confirmed measles cases have been hospitalized and no measles deaths have been reported in Limpopo Province and Mpumalanga Province.
In Limpopo province, there were 53 laboratory-confirmed measles cases with unknown vaccination history, 12 had not received any doses of measles vaccine, 10 were fully immunized with two doses, and 2 were partially immunized with one dose. In Mpumalanga Province, vaccination history in 13 laboratory confirmed cases was unknown, 6 had not received any dose of measles vaccine and 3 were fully immunized. Overall, 18 of the 33 laboratory-confirmed measles cases (55%) with a known vaccination history had not received a single dose of measles vaccine making them susceptible to infection with the measles virus. Information should be collected on why children are not vaccinated with the measles vaccine to improve the vaccination program in both affected counties.