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Rubella and scarlet fever outbreak among trainees at a training camp in Mersing, Johor
Mohamad Nizam Subahir1, Suraiti Hasim2, Mohd. Badri Yacob3, Mohd Rohaizat Hassan4.
Rubella is an acute and contagious disease which is mainly characterized by fever, rash, and cervical lymphadenopathy. This contagious disease spreads easily through nasopharyngeal secretions, droplet or direct contact with patients. Meanwhile clinical features of scarlet fever include a sore throat, skin rash and strawberry tongue. A descriptive study was conducted to describe the epidemiological characteristic of diseases at a Training Camp in Mersing. Data obtained on demographic details, onset and time of fever and rash or contact with ill person 14 to 21 days prior to symptoms. Screening and interview conducted for all suspected cases of Rubella. 47.4% of the cases presented on 5th June 2012 followed by 15.8% on 11th June 2012 and 13.5% on 12th June 2012. Maculo papular rash was the predominant presenting symptom among students with acute infection in this outbreak (100%) followed by fever (36.8%). Measles specific IgM was not detected in the serum taken but rubella specific IgM was detected in 66.7% (6/19) of samples. 55% (11/20) were positive for ASOT. 4 trainees had Rubella and Scarlet Fever co-infection. It was found out that the outbreak occurred among 391 residents in the camp who shared common places for activities such as lecture, physical activity and meal. Rapid dissemination was due to overcrowded environment and close contact during common activities of the residents. Theoretically co-infection would be presented with severe clinical symptoms but not in this outbreak where all affected trainees only presented with mild fever and rashes.
Affiliation:
- Pejabat Kesihatan Mersing, Malaysia
- Pejabat Kesihatan Mersing, Malaysia
- Pejabat Kesihatan Mersing, Malaysia
- Universiti Kebangsaan Malaysia Medical Centre, Malaysia
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Indexation |
Indexed by |
MyJurnal (2018) |
H-Index
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3 |
Immediacy Index
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0.000 |
Rank |
5/17,Q2(Medical & Health Sciences ) 5/17,Q2(Medical & Health Sciences ) 5/17,Q2(Medical & Health Sciences ) 5/17,Q2(Medical & Health Sciences )
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Indexed by |
Scopus (SCImago Journal Rankings 2016) |
Impact Factor
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- |
Rank |
Q4 (Public Health, Environmental and Occupational Health) |
Additional Information |
0.141 (SJR) |
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