Pathology and Microbiology; Paediatrics and Child Health
We have reviewed various strategies involved in containment of measles in healthcare facilities during community outbreaks. The strategies that are more applicable to resource-poor settings, such as natural ventilation, mechanical ventilation with heating and air-conditioning systems allowing unidirectional air-flow, and protection of un-infected patients and healthcare workers (HCWs), have been examined. Ventilation methods need innovative customization for resource-poor settings followed by validation and post-implementation analysis for impact. Mandatory vaccination of all HCWs with two doses of measles-containing vaccine, appropriate post-exposure prophylaxis of immunocompromised inpatients, and stringent admission criteria for measles cases can contribute toward reduction of nosocomial and secondary transmission within facilities.
Emerging Health Threats Journal
(2015). Hospital preparedness in community measles outbreaks-challenges and recommendations for low-resource settings. Emerging Health Threats Journal, 8(24173), 1-13.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_pathol_microbiol/599