Romford Measles Outbreak: Prevention Strategies & Public Health Role

This report examines the measles outbreak in Romford, Havering, highlighting the role of the Director of Public Health and the Director of Leisure Services in implementing prevention strategies. It discusses the current situation, including low MMR vaccination rates in London, and proposes strategies such as outbreak control committees and isolation of infectious cases. Recommendations include increasing public awareness, ensuring timely vaccinations, focusing on adult vaccination efforts, and dispelling myths about the MMR vaccine. The report emphasizes the importance of following CDC guidelines and maintaining accurate immunization records to control and prevent future outbreaks. The document concludes by stressing the ongoing need for vaccine research, development, and implementation to address public health challenges.

HEALTH

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 In the area of Romford havering London
borough council is the local authority for the London borough of havering in
greater London, England. It is a London borough council, one of 32 in the United
Kingdom capital of London. . 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. As in the area of the Romford in the London borough
council has majorly suffering form the issues of measles 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%) and romford (76.6%) 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 in area of Romford as this are is
London borough council of havering is chosen as the area of investigation as
the person who is having responsibility for the over all management of health
care programmer 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 programmer 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 development 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.

 There should be timed to time blood test of whom who are having the
higher chances of the current level of outbreaks or the people who
have the regular contract with propel who are suffering form measles.
 There should be higher level of uptakes which can have the further
control and the level of prevention form outbreak.
 the children who are suffering form the HIV infection should have the
MMR vaccination so that there can be level of prevention which can
help in further development over identification of understand the
major issues.

 The people should be properly educated to have proper
understanding over the lack of relationship between the MMR
vaccines and the effects of autism in development of child in early
ages.
 The doses will be turning out mandatory along with minimum cost at
the nearest health care centres as the age of 12 months along with in
continuation odd second dose of 15-18 month as of age.
 Women who are planning for pregnancy which is havering
contribution by getting adequately immunized against measles. They
should also have prevention over remaining contagious diseases
which will affect their unborn child.
 The children on the maximum level should have the proper
consideration of vitamin A intake along with getting the measles'
vaccine between the ages of 12 and 15 months and again at the age
of 4 to 6.

CONCLUSIONS
 The 21st century will undoubtedly is providing the level of opportunities and raise the
issues of public health challenges. It is reasonable to have the exception over the
immunizations and volcanology will be at the forefront in addressing many of these
challenges. There is much work yet to be done to ensure that vaccine research and
development, as well as vaccine implementation programs, have the foundation and
capacity to keep pace with evolving scientific and societal realities..

REFERENCES
Lam, T and et.al, 2019. G170 (P) Subacute sclerosing panencephalitis (SSPE) a rare and fatal condition resulting
from measles–report of three recent cases diagnosed in the UK. Archives of Disease in Childhood, 104(Suppl 2),
p.A69.
Gadroen, K. and et.al, 2018. Impact and longevity of measles-associated immune suppression: a matched cohort
study using data from the THIN general practice database in the UK. BMJ open, 8(11), p.e021465.
Keenan, A. and et.al, 2017. Measles outbreaks in the UK, is it when and where, rather than if? A database cohort
study of childhood population susceptibility in Liverpool, UK. BMJ open, 7(3), p.e014106.
Bedford, H. and Elliman, D., 2018. Measles: neither gone nor forgotten.
Marlow, R. and et.al, 2018. A phase III, open-label, randomised multicentre study to evaluate the immunogenicity
and safety of a booster dose of two different reduced antigen diphtheria-tetanus-acellular pertussis-polio vaccines,
when co-administered with measles-mumps-rubella vaccine in 3 and 4-year-old healthy children in the UK.
Vaccine, 36(17), pp.2300-2306.