An Investigation of Measles Outbreak in a Factory, Rayong Province, 2018
Keywords:
Measles, Outbreak, FactoryAbstract
This descriptive epidemiological study was conducted by a joint investigation team to confirm the diagnosis and the existence of a measles outbreak among employees in a factory in 2018, to describe its epidemiological characteristics, to determine the source, and to provide recommendations in prevention and control of this infectious disease. The study was done by reviewing the measles situation, using the Measle elimination database, and the Event-based Program from Department of disease control. We operated active case-finding and laboratory study in the factory. The data were analysed by using frequency, percentage, median, maximum and minimum We also surveyed the environment in the factory and the work pattern followed by the employees.
There were 12 confirmed case and 21 suspected cases without severe complications or deaths. The median age was 25 years (Min-Max: 18-29 years). The overall attack rate was 0.9%. The highest specific attack rate was found in 25-29 years age group (1.2%). Male to female ratio was 1:1.2. All of the cases had fever and rash (100%), 70% of them had cough. The employees shared some working zones, air conditioning system, canteen, and shuttle bus. In 2018, coverage of the first and second dose of measles, mumps, and rubella (MMR)vaccine in Pluak Daeng District were 92.4% and 84.3%, respectively. Measles-Rubella vaccine was provided to 1,558 contacts in the factory.
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