Measles Flashcards

1
Q

measles was eliminated in the United States in ___, but almost lost its elimination status in ___

A

2000; 2019

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2
Q

measles is ___ since it is found in other countries

A

not eradicated

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3
Q

new measles cases are from ___ and usually ___

A

travel; resolve themselves

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4
Q

lose elimination status after ___

A

one year

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5
Q

measles virus

A

1 negative strand of RNA

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6
Q

2 membrane proteins important for pathogenesis

A

F-fusion and H-hemagglutinin

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7
Q

inactivated easily by ___

A

heat, sunlight, acidic pH, ether

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8
Q

the H-hemagglutinin binds to the ___ and then the F-fusion will insert into the ___

A

receptor; membrane

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9
Q

transmission

A

only in humans; resides in the nose and throat mucus; coughing and sneezing; inhale directly or touch surface; no animal reservoir;

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10
Q

infectious for ___ hours in airspace

A

2

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11
Q

___ will become infected if not immune

A

90%

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12
Q

incubation period

A

7-14 days

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13
Q

sypmtoms

A

high fever, couch, runny nose, red and watery eyes, Koplik spots inside the mouth, rash, flat red spots on face at hairline, spread down to the rest of body, fever spikes again

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14
Q

contagious

A

4 days before and 4 days after rash appears

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15
Q

pathogenesis of measles

A

entry infection of local lymph nodes, systemic dissemination, prodromal, symptomatic, recovery, immune suppression

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16
Q

would have the ___ for other diseases, get measles, and then the ____ for the other diseases are gone

A

immunity; antibodies

17
Q

vaccine

A

live attenuated

18
Q

measles vaccine ___ cause immune suppression

A

does not

19
Q

vaccination numbers death ___ until 2019 when they ___ again

A

decrease; increase

20
Q

If the US eliminated measles over 20 years ago, do we need to worry about measles/why does the CDC get involved?

A

there has been an increasing number of cases that are not just from traveling

21
Q

what are some current U.S. cases?

A

prevalent in Minnesota, New Jersey, and Arizona

22
Q

if almost everyone used to get measles, why does it matter if there are outbreaks now?

A

contraction of measles can cause the loss of antibodies and decrease effectivity of the immune system. Long term complications after contraction and quality of life can go down

23
Q

what do people die from?

A

respiratory and neurological complications

24
Q

what is the current US vaccination rate for measles?

A

In 2016 was 90.8%, in 2021 it was 81% of children get 1 dose and 71% get the 2nd dose.

25
Q

what would give us herd immunity?

A

95% vaccination rate

26
Q

how much does the measles vaccine cost?

A

$23.67 for the CDC and $89.87 for private sectors

27
Q

what has happened to measles vaccination in the past several years?

A

COVID-19 stopped some of the measles vaccination, however it also stopped some international travel

28
Q

where are the current outbreaks in the world?

A

Afghanistan, Ethiopia, Nigeria, Somalia, Zimbabwe, DCR, and Yemen

29
Q

diagnosis

A

throat swab, blood sample, serology, or reverse transcription real time PCR

30
Q

treatment

A

no antivirals, vaccine, nutrition and fluid intake, antibiotic for eye and ear infections, vitamin A supplements in developing countries