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Ch 3 Vaccination Issues part 1
Measles
40
Other
Professional
02/25/2007

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Cards

Term
Who came up with the Vaccine Information Pamphlets (VIN)?
Definition
Fitzgerald and Glotzer
Term
what are the 10 specific points regarding vaccination?
Definition
frequency, severity, and potential long term-effects 2. symptoms or reactions 3. precautionary measures 4. early warning signs and symptoms 5. monitering adverse affects 6. how to report adverse reactions 7 contraindications 8. ID high risk groups 9. federal recomendation 10. Other relevand info.
Term
What program are VIPs associated with?
Definition
National vaccine injury compensation program
Term
What 3 things did parents want to know about before giving their children vaccination?
Definition
side effects, purpose of vaccine, safety/risk of vaccination, (contraindications to vaccination)
Term
What viral group and genous does the measles virus belong?
Definition
paramyxovirus group and morbillivirus genus
Term
what size and shape is the measles virus?
Definition
large w/ pleomorphic and spherical shape
Term
What are the 2 major components of the measles virus?
Definition
outer lipoprotein envelope, and
Internal helical nucleocapsid made of RNA and proteins.
Term
Is the measles a RNA (+) or (-) virus?
Definition
RNA negative
Term
How does the Measles virus replicate?
Definition
RNA-dependent RNA-polymerase
Term
What is the name of the major strain of Measles virus that we use in vaccinations ?
Definition
Edmonston strain
Term
How many structural proteins does the Edmonston strain encode for?
Definition
6
Term
What are the 3 proteins that are made to have a reaction against in the measles virus and where do they come from?
Definition
(H) hemagglutinin (F) fusion (M) generation of new viral particals
Term
What are the 3 symptoms of a Measles infection?
Definition
acute, febrile, and exanthematous illness
Term
Where is the primary site of infection of Measles?
Definition
epithelium of nasopharynx
Term
How does the Measles virus transmission occur?
Definition
respiratory secretions
Term
Where does measles grow in the body?
Definition
in the epithelium and lymphatic tissue of the upper respiratory tract
Term
What are the 2 phases of the measles virus infection?
Definition
MULITPLICATE- virues goes to various lympoid tissue
PROTROMAL - symptomatic in the throat then at the end of prodromal stage you get the rash
Term
How long is the incubation period for measles?
Definition
10-12 days
Term
What are the prodromal symptoms of measles?
Definition
coryza, conjunctivits, dry cough sore throad, HA, low fever, koplik spots (blue-white spod on a red background)
Term
what happens at the end of the prodromal stage of Measles?
Definition
maculopapular rash appears then becomes confluent then disapears over 5-7 days
Term
From where is the virus given off durring an infection?
Definition
from any secretions, respiratory, tears, urine and can be before any symptoms occur
Term
What is the most common way to diagnose measles?
Definition
immunoassays that are commercially available
Term
what is the current measles vaccine in the US?
Definition
Moraten - live ateenuated
Term
how is the Measles vaccine given (other then in a shot)?
Definition
trivalent with mumps and rubella
Term
What are three other strains used in other countries for measles?
Definition
Russia - leningrad 16
China - shanghi 191
Japan - CAM 70
Term
What determines the efficacy of the measles vaccine?
Definition
decrease in incidence of the disease
Term
Who came up with the idea to irridacate these childhood diseases?
Definition
WHO
Term
do the majoryity of people going to school have the measles vaccine
Definition
yes about 95%
Term
Are the majority of the people who have the measles vaccine actually protected by it?
Definition
yes about 90%
Term
have their been vaccination failure?
Definition
yes
Term
What are the 2 major causes of vaccination failures?
Definition
PRIMARY- lack of seroconversion (don't make an immune response)
SECONDARY - loss of immunity after seroconversion
Term
Which type of vaccination failure is the most common?
Definition
primary - 5%, Secondary = should be negliable
Term
Although the CDC didn't manage to irradicate measles totally what did they manage to do?
Definition
decrease by 90%
Term
Why does the CDC think that there were outbreaks in areas that were highy vaccinated?
Definition
that the measles virus is so contagious that they need higher efficacy of vaccine than they thought
(or secondary measles vaccine failure)
Term
what is the mean age of a person with measles?
Definition
13
Term
What does an outbreak of measles in a school test the theory of?
Definition
heard immunity
Term
What do they think increased the contact rate of measles?
Definition
the fact that it is airborne
Term
what does an increased contact rate of a disease mean to the vaccine?
Definition
that it requires more people to have it than previously calculated to give herd immunity
Term
What may also be a factor in the introduction of a disease like measles?
Definition
socioeconomics, disease may be introduced from poor nutrition and decreased hygiene
Term
Where is the only place that high mortality rates are seen with measles?
Definition
in developing nations
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