KLP-1 Task 2 Community Outbreak.docx C228 KLP1-KLP Task:2 Community Outbreak Western G

KLP-1 Task 2 Community Outbreak.docx    C228 KLP1-KLP Task:2 Community Outbreak  Western Governors University  A. Description of the Disease and Case Study: Community Outbreak of Measles   Measles (Rubeola) is a viral infection and is preventable with the Measles, Mumps and Rubella (MMR) vaccine. Symptoms typically develop 7-14 days post exposure. Common symptoms are high fever (can spike to 104o), cough, runny nose, red, watery eyes, maculopapular rash and tiny white spots on the oral mucosa (Koplik spots).1 The outbreak discussed in this paper occurred in Clark County, Washington December 31, 2018. A 10 year old unvaccinated child arrived in Clark County from the Ukraine and several days after arrival the child was evaluated at an Urgent Care for complaint of Fever, cough and maculopapular rash. January 3, 2019 a confirmed diagnosis of Measles was made. Measles virus was detected in the childs urine and nasopharyngeal specimens. BY March 28, 2019 there were 71 confirmed Measles in Clark County. Of the 71 cases 86% were unvaccinated, 4% had received 1 dose of the MMR vaccine and 10% unknown vaccine status. Clark County Health Department determined that all the exposures were linked to the child from Ukraine and were spread from the school/daycare and church the child attended (CDC Morbidity and Mortality Weekly Report. May 17, 2019)  B1. B2. Epidemiological Determinants  Measles virus is present in the Nasopharyngeal and oropharyngeal secretions of infected persons and can spread by airborne respiratory dro