Many cases of measles happen strange

There are children with morning sickness who are hospitalized but still play, but in the afternoon, they have to breathe quickly. Even a child withdrew his breathing device after 10 days but did not expect to die afterwards.

Sharing at the training workshop to strengthen measles treatment on April 22, Associate Professor Nguyen Tien Dung, Head of Pediatrics Department, Bach Mai Hospital (Hanoi) said that this is the point he saw strange in the measles epidemic of the year. now on.

So far, the department has received more than 160 measles cases, of which there have been 8 deaths. Right from the beginning of the epidemic, the successive department received 3 measles cases that evolved only in one day and severe respiratory failure (1 death). Tests only found the presence of measles virus without other agents.

According to Associate Professor Dung, it is very strange that the measles virus attacks the lungs directly, causing pneumonia and respiratory failure; whereas, usually after measles, children have pneumonia complications. All 4 cases of measles with the same condition die within the first 3-4 days of the disease.

Patients with measles are being treated at Nghe An Children's Hospital.(Photo: Hai Binh)

However, 4 deaths after him felt strange, the children were able to stop breathing, the doctors were relieved that the child had survived. But then the child again had to breathe again and die.

"There are two reasons why the child's disease worsens due to the location and the virus itself. Many children have a full physical examination without any background but treatment is very persistent, even fatal. This is very necessary. experts study more carefully, " said Professor Dung.

The conference attracted the participation of many hospitals. The cause is probably because of the unusually high number of deaths this year as well as the many children under 9 months old - not yet vaccinated.

Dr. Tran Dac Phu, Director of the Department of Preventive Medicine said that the Ministry of Health now assigns the National Institute of Epidemiology and Hygiene, Pasteur Institute in Ho Chi Minh City and hospitals to coordinate the research on measles epidemic this year. . In which an important content is mentioned is to consider vaccination schedule. Injections for children under 9 months of age are a huge change, which may require more injections. It is important to make the right decision. The proportion of children under 1 year old with measles accounts for about 11%.

Not only Hanoi, Ho Chi Minh City, Thanh Hoa, Hai Phong, Nghe An and Ha Nam provinces . also recorded an increase in measles cases.

From February to now, Nghe An has recorded 218 cases of measles, including 1 death, 2 cases of measles infection and other serious illnesses that have been returned to the family by the hospital. 9 severe cases were transferred to the higher level. Mr. Hoang Van Hao, Deputy Director of Nghe An Department of Health said, measles is still under control. The branch advised the provincial committee to issue 7 new ventilators urgently to the pediatric hospital. The department is implementing a measles injection plan for children across the province to complete before 6/5.

In Hai Phong in the last 2 months, 80 cases of measles were recorded, one death. Many cases are complicated, serious complications, concentrated in children under 18 months of age. Many cases of children who have been sick last time have not been vaccinated or have had insufficient doses of the vaccine. Dr. Trinh Thi Ly, deputy director of the Department of Health said, measles shows signs of increasing but Hai Phong still basically controls the disease situation.

Thanh Hoa also reported 71 cases of rash in suspected measles, of which 12 were positive. In the first quarter, the whole province only had 32 cases of measles fever, in the first 21 days of April, there were 39 more cases. The Provincial People's Committee has just instructed localities to urgently implement measles prevention and control in accordance with guidelines and recommendations of the Ministry of Health. The rate of children vaccinated against measles in Thanh Hoa reaches 75%.

Number of cases of measles in many provinces and cities tends to increase.(Photo: Giang Chinh)

In Ha Nam , according to the Provincial Preventive Medicine Center, there are 29 cases showing signs of disease. Since the beginning of the year, the number of children vaccinated in this province is 6,000, reaching nearly 87%. Doctor Le Quang Guat, Head of Pediatrics Department, General Hospital of Ha Nam province, said that there were some cases of suspected measles in the department, right after treatment was isolated to monitor the disease situation, no Which patients are complications, life-threatening.

According to Dr. Tran Dac Phu, Director of Preventive Medicine, the important thing in the medical examination and treatment in the coming time is not to miss the case and limit the misdiagnosis of measles to other diseases.

"I visited Thach That District Hospital, Hanoi and found that they took 37 samples and only 7 samples were positive for measles. Of the 5 patients sharing the room, there was only 1 case of clear signs. However, the remaining 4 cases are all under 9 months of age, there is no sign of measles rash, so there is a high risk of measles transmission so we recommend isolation with a room for measles patients and suspected cases. doubt, " Dr. Phu emphasized.

Besides, according to the provinces, it is necessary to agree on data, it is impossible for a province to have 3 different numbers. Besides, the People's Committee and leaders of the Department of Health should regularly check and supervise the implementing units."In Vietnam there is a problem of not going to inspect and urge, not to do it drastically," said Dr. Phu.