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Two more U.S. children have measles, say specialist


By the A.M. Costa Rica staff 
 


The Ministry of Health confirmed this weekend that two more U.S. children are infected with measles.  Doctors state that, "the two recent cases confirmed are one boy of 3-year-old, one girl of 10-years-old. Last Thursday confirmed two boys, one of 7 years old and another of 9 years old," with measles.

At the close of the edition, there are four sick children who remain in isolation at their home in Cobano, Puntarenas*. Two of the children had previously tested positive for the virus.



Technicians are still in the process of testing the rest of the 11 member U.S. family.

The Ministry reported that the parents have nine children who have not been vaccinated against the disease. The children are not registered in any school and so are presumed to be home-schooled so the risk that they have infected other children is low.

As A.M. Costa Rica reported last week, The National Board of Children, known as PANI,  will intervene with the entire family during the measles incubation period, keeping them in isolation.



The authorities confirmed that the minors were not vaccinated and, in addition, do not attend any educational center.

The National Board of Children agreed that they will wait for the medical treatment of the family to end in order to carry out an intervention. The reason that the investigation continues is that the doctors had reported that the children do have not had any of the vaccinations required by law and none of them attend school.



Due to security policies regarding the privacy of patients, the names of the children and their parents will not be published.




Daniel Salas, Minister of Health, reported that "the children could have acquired the virus from a U.S. citizen woman who recently visited the family and had measles symptoms, and she has left the country."


The children, who were treated at the Social Security Cóbano Clinic*, have had a fever since March 15 and skin breakouts since March 18.




Given this situation, the Ministry of Health, together with Social Security, activated the protocol established in these cases:



1. Isolation was ordered, medical attention in the home for the eleven members of the family: father, mother and nine children, of whom four are confirmed to be ill with the virus.


2. All the medical tests have already been carried out.


3. The specialists are investigating the possible contacts that the children had with other people in the community.



4. Doctors will review the basic vaccinations, which have or are still pending in children. Based on this study, it will proceed to apply the vaccines that are pending, if necessary.



Doctors are calling on health authorities to remind caregivers that children need a complete vaccination scheme (two doses for measles, one year and three months and on admission to school).



In case any person has the following symptoms: fever, nasal congestion, cough, conjunctivitis, skin rash that starts on the head and expands through the body towards the feet, reaching the hips around the second day, you must go immediately to the clinic in your area.



This case is not related to the latest case involving a French tourist family. The last case of measles infection was from that family of French tourists.



A.M. Costa Rica wire services photo

The children could have acquired the virus from a U.S. citizen woman who recently visited the family and had measles symptoms, and she has left the country.





In that case the parents and 5-year-old son, arrived in the country on February 18, after having been infected with the disease in France. They entered the country with measles and spent one week in isolation at the Monseñor Sanabria hospital in Puntarenas* on February 26.



The report in that case showed that the child and his mother had not been vaccinated against the virus and the father did not have a complete vaccination record. The parents stated that some of their son’s classmates had measles.

The family remained in isolation for the standard seven day period set by national and international precautionary standards to prevent the spread of the virus. Social Security activated the isolation protocol because there are no native cases of transmission of the measles virus.




Social Security has not reported the costs of the week-long medical service provided to the French family but did confirm that the government will cover the child’s expenses under the Code of Childhood and Adolescence. The international insurance company Europ Assistance France will pay the cost of care for the parents.



According to Dr. Ramírez "measles is considered the most contagious disease worldwide, with a transmissible rate of 90 percent, means that of 10 unvaccinated people exposed to the virus, 9 have the possibility of getting sick."



The virus spreads easily through the air through drops coming from the nose, mouth or pharynx due to coughs and sneezes of infected people and the ability of the virus to replicate is high.




While there is an international transmission of the virus, there is a high risk of getting measles. Doctors are calling on Costa Ricans to have their children vaccinated. Social Security will maintain the ‘extraordinary day of vaccination against measles’ until March 31.



The vaccination campaign is aimed at all children between 15 months and 9 years.



According to Social Security, 770 thousand doses of vaccines were purchased with an investment that reached $1.2 million.



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Should Costa Rica close its borders to anyone who has not been vaccinated for measles or who has had the disease and is immune? We would like to know your thoughts on this story. Send your comments to news@amcostarica.com

*Link to reach the place map.




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