Measles Outbreak Report: London's Epidemic and Public Health Response

This report provides a comprehensive analysis of the measles outbreak in London, highlighting the city's low MMR vaccination rates and the resulting epidemic. It examines the current situation, comparing immunization levels across different London boroughs and contrasting them with areas like Barnsley. The report details the roles of the Director of Public Health and the Director of Leisure Services in addressing the outbreak, outlining strategies for prevention, including outbreak control committees and isolation measures. It also emphasizes the importance of electronic immunization registries and the need for increased awareness among citizens. The report concludes with recommendations for improving vaccination uptake, focusing on timely vaccinations, targeted efforts for specific populations (e.g., international travelers, HIV-infected children, and pregnant women), and addressing misinformation about the MMR vaccine. The report stresses the need for continuous monitoring, record-keeping, and proactive public health measures to combat the measles outbreak and other vaccine-preventable diseases.

INTRODUCTION
 Measles are turned out to be disease which are turned out to highly
infectious. There are high level of cases which has been identified in the
London which are believed that are been imported from form the outbreaks
across the Europe. The UK has recently had lost over its measles free status as
there are fall in rates that is MMR (measles, mumps and rubella). In this repost
there will be further discussion of the present scenario of the as more that one
million of children in being effected by measles. There will be discussion on
the failure of government programs along with various strategy which can help
in catching up various campaign to have proper light on Swansea measles
epidemic which have more than 1000 cases.

 Current situation
 The MMR vaccines have the providence of protection against three serious
diseases which is reflection the citizen of the particular place specially the
children of affected area. The three diseases which is been protected with
MMR vaccination is measles, mumps and rubella. The people who are
surviving form these diseases have the effect on long term disabilities along
with death of children. The better understanding about MMR vaccination is
having the injection which are having the compensating of live Measles virus
that has been already attenuated which get the stimulation in immune system
but do not have cause disease to people who are healthy. As per the
understanding of current situation about Measles have been sparked in London
time when London revealed to be the are which has been the worst hit at
national level in uptake of MMR vaccination.

 Here are some understanding of the key facts about the London in reference to
have proper understanding to Measles that is needed to be discussed in local
and nationalized level. The key points are-
 Brent , a place in London have the lowest level of immunization for MMR that
is only 32% who are having there vaccination and fifth birthdays together.
This has been followed in city that is Hackney (74.3%), Westminster (75.7%)
and the Haringey (77.8%) havering the lack of vaccination.
 On the hand the in contrast in nature of Barnsley in Yorkshire is having the
91.5% f the children who are having there vaccination and fifth birthdays
together. There is the highest average both jabs in area of Midlands in about
84% along with having London at lowest. In contrast to that the first
vaccination for Diphtheria, Tetanus and Polio are consistently over 90%.

DIRECTOR OF PUBLIC HEALTH
 As per the role of director of public health is chosen as it the person who is
having responsibility for the over all management of health care programmes
and organization related to public. There is reasonability of the health director
to have proper allocation of budget along with funds with regard to
appropriates programmes and initiatives. As to have proper discussion of the
topic of MMR vaccination in the London borough.
 The public health care procurer which can help the individuals in having the
proper understanding so that measles can be reduced to extent manner to have
proper understanding related to major dervelopemnt of the public as per the
views of director of public health in London.
 In London there is level of estimation over the suggestion about one of every
four children primary school are not having any full on protection that is
offered by MMR vaccination.

Strategy for prevention
 As to have the proper implementation of strategy it is responsibility of director
of public along with responding to the outbreaks of measles in having the
elimination steering which became relevant to have proper development in
handling the issues of measles
 The strategy that can bee taken place for proper development is about as
follows-
 As assembly's top have an outbreak of control committees
 To have proper isolation in measles cases in the situation when it is infectious.

The role of Director of Leisure
Services As per the role of Director of Leisure
Services is the one who have the
tendency over making the day to day
aspects in running the fitness centres
and taking out the leisure activities
both as the service or business.
 For choosing the play role of the as
they have the formally duty along
with there level of responsibility
which will helps in having proper
managing along with training which
make proper dealing in terms of
provision and the having assurance
over dealing with witness provision
and ensuring with health and safety
standards.

strategies
 The strategies which will help in development of the measles related vaccines
issue are such as follows-
 Medical databases revolutionize medical and public health research by turning
it more possible to more fully understand clinical disease manifestations, risk
factors, and incidence.
 By creating local and state electronic immunization registries and linking them
nationally, physicians will have quick access to immunization status of a child,
which has become a significant issue in an increasingly mobile society and
with the current environment of frequent changes of medical provider and
health plans.
 .

Recommendations
 The recommendation related to have the proper understanding top
breakthrough with making to have follow up of the CDC guidelines in
orders to have the proper protection of themselves and there
families from different communities form the infection of measles and
other vaccines preventable diseases.
 There should be the level of increase awareness among the different
citizens about the well handling of various issues that is coming into
high risk with development of measles and lack of education and
laziness in people by not getting the proper medication at time.
 There should be that the children are getting the measles' vaccine
between the ages of 12 and 15 months and again at the age of 4 to
6.

 The local authority should have the
proper focusing on adults vaccination
efforts which having the travelled at
international levels. As they have
been brought themselves in contact
with virus or living in communities
where breakouts have taken place.
 The health cares professional should
be turning out serious along with
handling of higher standard. This will
help as them to have properly
identified the potentially exposure of
patients.
 There should be proper maintenance
of records of the present
immunization along with physician
diagnosis in childhood measles to
have check over the immunity status.