Question

ay is a public health worker and is charged with developing an immunization tracking program for residents of his county aged birth to 21 years. Jay is primarily interested in measles vaccination rates. There has been a major increase in measles diagnoses in young children and adolescents from the years 2010 to 2015 (10 cases in the county in 2010 up to 20 cases in 2015). The current chance of county residents being diagnosed with measles before the age of 21 is 1 in 200,000. Jay is interested in understanding why this increase occurred over such a short period of time. 4. What are some of the possible explanations for the major increase in measles cases? 5. What could be some of the ways to track immunizations within the county system? 6. Explain how evidence-based practice would have a role in Jay's work. please include the source of your answer.

Answer 1

4. The measles vaccine doesn't work for infants because their immune systems haven't developed enough to create the needed protective immunologic response to the vaccine. For infants who are going to be traveling outside the United States, it's recommended that they receive one dose of their MMR at 6 to 11 months of age rather than waiting until the traditional 12 to 15 months.Some people are unable to get the MMR vaccine because of issues such as being immunocompromised or the fact that they are taking certain drugs, like cancer chemotherapy or high doses of steroids.Those who haven't received a second booster dose of MMR do not have full immunity to measles. Also immunodeficient individuals, individuals not developing immunity and vitamin A deficiency is also a reason.Travel to endemic countries can alsp predisposing factor.

5. WAYS TO TRACK IMMUNIZATION IN THE COUNTRY

The administrative method using reported routine immunization data, i.e. registry system of doses administered immunization coverage surveys using survey methods recommended by WHO. Surveys should be conducted periodically (3-5 years).The Data Quality Self-Assessment (DQS) is a flexible toolbox of methods used to evaluate different aspects of the immunization monitoring system at district and health unit (HU) levels.An antibody titer is a laboratory test where your blood is drawn and measured for antibodies (immunity) for a number of diseases. If antibody numbers are high for specific diseases, you have likely had a vaccination for that disease.

6. Those desiring to improve performance of vaccination programmes can use this base of evidence in conjunction with the recommendations of the task force for the community preventive services to inform and guide their efforts.

We can't provide the source since its not allowed to disclose it. Anuway the information provided is completely reliable from medical professionals.