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Community Health Nursing Task 2

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Measles Outbreak 2013

Amanda Beasley

Western Governor’s University

Describe a Specific Communicable Disease Outbreak
In early April 2013 a measles outbreak was discovered in North Carolina. By mid-May the outbreak had been identified in Stokes and Orange Counties via 23 active cases. Every case was linked back to a family that had spent 3 months in India and had not been vaccinated. By the 16th of April the state laboratory of Public Health was able to confirm the diagnosis, with the last known case being confirmed on May 7th. The investigation of this outbreak revealed 4 patients with a confirmed diagnosis that had received one of vaccination of the two part series. The other 19 cases had not ever been vaccinated.
The North Carolina Department of Health and Human Services issued a letter informing the community of the outbreak, and offering recommendations for providers in the area. The suggestion was to consider anyone with fever and rash to be positive for measles. They were also directed to contact their health department immediately for suggestions on laboratory testing and control measures. In mid-May the state and county health officials declared the outbreak to be resolved. The spreading of the disease was simple and rapid.

Measles is a highly contagious illness that is originated from a virus. The virus is so contagious that well before the rash develops, the patient is contagious and spreading the illness to susceptible people. It is spread via the airborne route. The virus lives inside the mucus of nose and throat of people that are infected. Coughing, sneezing and even talking resulting in infected droplets being released in air. For two hours after hitting a surface the droplets are contagious as well.
Upon investigation of the outbreak, it was determined that the occurrence was linked to one family that had not been vaccinated for

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