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首页> 外文期刊>American Journal of Epidemiology and Infectious Disease >Journey from Measles to Modified Measles in Hilly State of Himachal Pradesh
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Journey from Measles to Modified Measles in Hilly State of Himachal Pradesh

机译：喜马al尔邦丘陵州从麻疹到改良麻疹的旅程

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Background and aims: It is commonly observed that in many of the outbreak settings, more than one virus may be infecting the given population. In twin or triple outbreak of measles, german measles (rubella) and varicella in highly immunized hilly areas, maximal number of the case patients in all the hilly villages belonged to the older age group. It suggested an obvious shift to the higher age group, warranting second dose opportunity in such case scenario. The clinical presentations of viral diseases are too similar to differentiate. The aim is to categorize clearly the case patients of modified measles, rubella and atypical measles in outbreak settings. Discussion: Several solitary as well as mixed outbreaks of measles, german measles, chickenpox/herpes zoster have been investigated and documented. In many a time outbreak setting in the hilly areas of Himachal Pradesh, it is a matter of common observation that more than one virus are simultaneously infecting the population. On the basis of outbreak investigation and analytical inference, it has been observed that the symtomatology of modified measles and laboratory confirmed rubella case patients/epidemiologically linked cases are so similar placed that many a time, it becomes much difficult to line list the cases in one section of modified measles or rubella or atypical cases. Conclusion: Similarities of morphological symptoms between modified measles and rubella is the point of challenge and it causes debate between pediatrician and field epidemiologist to differentiate and classify them, thereby causing misleading of the meaning in the outbreak setttings.
机译：背景和目的：通常观察到，在许多暴发地区，可能有不止一种病毒感染给定人群。在高度免疫的丘陵地区，在麻疹，德国麻疹（风疹）和水痘的两次或三次暴发中，所有丘陵村庄中病例病例的最大数量属于老年人群。它建议明显转向较高年龄组，在这种情况下有必要进行第二剂治疗。病毒性疾病的临床表现过于相似，无法区分。目的是清楚地将暴发地区改良麻疹，风疹和非典型麻疹患者分类。讨论：已经调查并记录了几次单独的以及混合的麻疹，德国麻疹，水痘/带状疱疹暴发。在喜马al尔邦丘陵地带的许多时间爆发环境中，普遍观察到有一种以上的病毒同时感染人群。根据暴发调查和分析推断，已观察到，改性麻疹的症状与实验室确诊的风疹病例/流行病学相关病例的位置如此相似，以至于很多次，很难将这些病例一一列出麻疹或风疹或非典型病例的部分。结论：改性麻疹和风疹之间的形态症状相似是挑战的要点，这引起儿科医生和现场流行病学家之间的争论，以对其进行区分和分类，从而引起对暴发场所含义的误导。

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