Clinical News – Apr ’16
Measles in NSW Alert
- Four cases of measles have been reported in Sydney in the past two weeks.
- Whilst infectious, the cases spent time in:
- Hostels in Cairns and Magnetic Island
- Flights from Cairns to Sydney: Virgin Airlines on 28 March and Tiger Airlines on 29 March.
- Royal North Shore Hospital Emergency Department on 29 March
- A flight from Delhi, India arriving in Sydney on 30 March
- Mount Druitt Emergency Department
- A medical centre in Blacktown on 2 April.
- Be aware that those who are too young to be vaccinated (<12 months) and those who have not received two doses of measles containing vaccine are at risk infection.
- Be alert to travellers who may have been exposed in youth hostels – this population is likely highly mobile. However, suspect measles in people with fever and rash irrespective of travel history.
How does measles present?
- Two to four days of prodromal illness with fever, cough, coryza, and conjunctivitis.
- While febrile a maculo-papular rash then typically begins on the face and neck and becomes generalised.
- Measles cases are infectious from the day before the prodrome illness to 4 days after the onset of rash.
How to manage suspected cases
- Isolate – arrange to see suspected cases in their homes or at the end of the day.
- Notify – inform your public health unit (PHU) immediately – don’t wait for test results before calling. The earlier a PHU knows about a suspected case the more effective containment interventions can be.
- Test – Collect a nose and throat specimen, and a first pass urine sample for nucleic acid testing and blood for measles serology. Your PHU can assist in expediting testing, if indicated.
- Continue to display travel posters and measles posters and be on the look out for new imports following holiday travel:
Advocate for immunisation
- The best way for people to protect themselves and others is to get vaccinated.
- Remember to vaccinate children at 12 and 18 months of age.
- Discuss vaccination with your patients opportunistic vaccination is important, overseas travel is an opportunity to encourage vaccination.
- Health care workers are at increased risk ensure that you and your staff are vaccinated.
- Measles containing vaccines (MMR) are safe and available free in NSW for those born during or after 1966 who have not previously had two documented doses.
- Contact your local public health unit on 1300 066 055.
- NSW Measles control guidelines:
CLICK HERE to download PDF
On the back of the latest revision of the COPD-X Guidelines (copdx.org.au), Lung Foundation Australia has updated the corresponding resources including the COPD-X Concise Guide – a useful summary of the COPD-X Guidelines which is available online as a fully searchable PDF with practice tips to aid clinical care.
Other valuable resources updated include the Stepwise Management of Stable COPD, COPD Action Plan and the COPD Medicine Wall Chart. All the resources now include the latest pharmacotherapies which were updated in the COPD-X Guidelines after an extensive review of the published evidence in COPD up to December 2015.
Download the latest versions of these valuable resources by clicking on the links: