Abstract
This article details our recommendations for the deadly outbreak of chickenpox to consider the additional referral of the absence of a monitoring system of prevention and control along with poor vaccination system for children in low-resource settings. The recent spread of chickenpox outbreak in Pakistan has claimed dozens of lives. The deaths in this current outbreak in quick successions are beyond understanding. Re-emergence of chickenpox in the area has raised many questions. Keeping in view the spread of chickenpox mainly in Faisalabad and its international reputation in trading, chickenpox breakout needs international attention to control its spread. It should be taken as an eye opener for the Government of Pakistan and government should develop and implement Centralized Infectious Disease Reporting Information Management System that will help to narrow down the pathogens as far as the epidemics are concerned and also for early preventive and countermeasure response.
References
Ozaki T, Ichikawa T, Matsui Y et al (1984) Viremic phase in nonimmunocompromised children with varicella. J Pediatr 104:85–87. https://doi.org/10.1016/s0022-3476(84)80596-x
Van Hoek AJ, Melegaro A, Zagheni E et al (2011) Modelling the impact of a combined varicella and zoster vaccination programme on the epidemiology of varicella zoster virus in England. Vaccine 29:2411–2420. https://doi.org/10.1016/j.vaccine.2011.01.037
Sengupta N, Breuer J (2009) A Global perspective of the epidemiology and burden of Varicella-Zoster virus. Curr Pediatr Rev 5:207–228. https://doi.org/10.2174/157339609791317315
Anderson RM, May RM (1985) Age-related changes in the rate of disease transmission: implications for the design of vaccination programmes. J Hyg (Lond) 94:365–436. https://doi.org/10.1017/s002217240006160x
Streng A, Grote V, Carr D et al (2013) Varicella routine vaccination and the effects on varicella epidemiology—results from the Bavarian Varicella Surveillance Project (BaVariPro), 2006–2011. BMC Infect Dis. https://doi.org/10.1186/1471-2334-13-303
LaRussa P (2000) Clinical manifestations of varicella. In: Arvin A, Greshon A (eds) Varicella-zoster virus, pp 206–219
Ghani E, Rehman MU, Rathore MA (2016) Outbreak of chickenpox in a military center in Northern Pakistan. Outbreak Chickenpox Pak Armed Forces Med J 66:147–150
ROBERT HERRIMAN (2017) Pakistan: Chickenpox outbreak claims 16 lives in past 4 months in Faisalabad. Outbreak News Todays
Rehman A, Jingdong L, Chandio AA, Hussain I (2017) Livestock production and population census in Pakistan: determining their relationship with agricultural GDP using econometric analysis. Inf Process Agric 4:168–177. https://doi.org/10.1016/j.inpa.2017.03.002
Nardone A, de Ory F, Carton M et al (2007) The comparative sero-epidemiology of varicella zoster virus in 11 countries in the European region. Vaccine 25:7866–7872. https://doi.org/10.1016/j.vaccine.2007.07.036
Rawson H, Crampin A, Noah N (2001) Deaths from chickenpox in England and Wales 1995-7: analysis of routine mortality data. BMJ 323:1091–1093. https://doi.org/10.1136/bmj.323.7321.1091
Brisson M, Melkonyan G, Drolet M et al (2010) Modeling the impact of one- and two-dose varicella vaccination on the epidemiology of varicella and zoster. Vaccine 28:3385–3397. https://doi.org/10.1016/j.vaccine.2010.02.079
Arunkumar G, Vandana KE, Sathiakumar N (2012) Prevalence of measles, mumps, rubella, and varicella susceptibility among health science students in a University in India. Am J Ind Med 56:58–64. https://doi.org/10.1002/ajim.22046
Tang X, Zhao S, Chiu APY et al (2017) Modelling the transmission and control strategies of varicella among school children in Shenzhen, China. PLoS ONE 12:e0177514. https://doi.org/10.1371/journal.pone.0177514
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MZU conceived & execute the study. SZ, KMA, UAA, and MI helped in collecting data, its analysis & interpretation. SA & MSI wrote, streamlined and proofread the manuscript.
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Yousaf, M.Z., Zia, S., Anjum, K.M. et al. Deadly outbreak of chickenpox at district Faisalabad, Pakistan: possible causes, and preventive way forward. Mol Biol Rep 45, 2941–2943 (2018). https://doi.org/10.1007/s11033-018-4347-9
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DOI: https://doi.org/10.1007/s11033-018-4347-9