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In a Facebook post earlier this week Sears, who declined a Guardian interview request, accused the media of misrepresenting his ideas and repeated his view that measles should be respected, not feared.

Thanks to the wonder of inoculation, measles should be entirely nonexistent in this country, but yesterday the Center for Disease Control reported 159 cases from January through August of this year.

Furthermore, mild cases of measles should be considered.

" " The more important thing is that every case of measles should be reported so that proper information is available in the health system.

We conclude that all adults who have measles should be assessed for vitamin A and retinol-binding protein levels and should be considered for vitamin A supplementation, as are children (8 ).

In complex cases of measles, it was easier to avoid negative consequences for the referring physician by not using formal reporting channels, but instead referring them directly to a pediatrician, outside the PHC system: " The more important thing is that every case of measles should be reported so that proper information is available in the health system.

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Similar(52)

While measles vaccination coverage was slightly less than 90% in affected areas and disease incidence in those areas did not increase post-Nargis, it has been suggested that if measles vaccination coverage rates are lower than 90%, measles vaccination should be given priority to prevent an outbreak of measles in emergency situations [ 5, 6].

Regional measles elimination surveillance standards stipulate that >80% of measles cases should be fully investigated (31 ); however, Papua New Guinea investigates only ≈5% of suspected measles cases.

Recently, though, it has been recommended that primary measles vaccination should be at 12 months of age in countries where measles infection has been controlled.

Several guidelines for measles vaccination in emergencies recommend that the primary targets for measles vaccination should be children aged 6 months to 5 years [ 6, 52].

Maria Morales, head of the "Infectious Disease Control" unit of the Ministry of Health of the State X, is asked by her minister to make a suggestion if measles immunisation should be made mandatory in their region as recently 2 children died after a measles outbreak.

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