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17 Jul 2024 | 08:12 AM UTC

Afghanistan: Elevated measles activity reported nationwide in July /update 1

Elevated measles activity reported nationwide in Afghanistan in July. Obtain vaccination; use basic health precautions.

Warning

Health officials have reported elevated measles activity nationwide in Afghanistan, with an additional 3,284 cases reported June 22-July 6, bringing the total case count to 36,618 (4,969 confirmed cases) with 160 associated deaths since Jan.1. This is compared to roughly 17,289 measles cases and 48 deaths reported over a similar period in 2023. Khost is the most affected (37.2 measles cases per 10,000 population at risk), followed by Balkh (23.0 measles cases per 10,000 population), Samangan (18.8 measles cases per 10,000 population), and Jawzjan (17.4 measles cases per 10,000 population). Health officials have implemented multiple immunization campaigns since the beginning of 2024 in response to the outbreak. This report represents the most complete data available as of July 17.

Visit a doctor to ensure vaccination against measles or immunity through previous infection. Practice basic health precautions. Call your medical provider if symptoms develop within three weeks of being in affected areas.

Measles is endemic in Afghanistan, with most provinces reporting suspected cases every year. Measles vaccination coverage in Afghanistan was estimated at 68 percent in 2022, which is well below the 92-95 percent required to prevent wider community transmission. Health officials reported roughly 25,856 measles cases nationwide in Afghanistan in 2023, 5,166 cases in 2022, 2,900 cases in 2021, and 640 cases in 2020.

Measles is a very contagious viral disease that spreads through respiratory droplets created when an infected individual coughs, sneezes, or speaks. Infected individuals can also expose people around them by contaminating surfaces with secretions from the nose, mouth, and throat. Symptoms typically appear 7-14 days after exposure but can develop up to 21 days after exposure. Symptoms generally include fever, cough, runny nose, red eyes, and a red rash that begins on the face and spreads downward. Serious complications - including pneumonia - can occur, especially in children younger than five years old, adults older than 20 years old, and individuals with a weakened immune system.