Thread by @MackayIM

Measles thread for the Pacific
#Australia, #NewZealand, #Samoa, #Fiji, #Tonga 👇

🔴 #Measles in #Australia, recent history to 29NOV2019
⭕ 2019 is the 2nd biggest year of cases in the past 19 years
⭕most recent cases have been in Queensland (QLD; today), New South Wales (NSW) and Victoria (VIC)
Source: NNDSS www9.health.gov.au/cda/source/cda…

#Measles cases in #Australia, 2019, according to national data: 🔴 246 (+9 since 20NOV2019)

🔴 #Measles cases in #Australia, 2019, by age and sex
⭕ mostly more males among cases
⭕ We do know outbreaks in Australia start because of travel & spread because of unvaccinated/insufficiently, vaccinated people. NB: Text on graph pertains to Australian vaccination history.

⭕ distinct peaks of #measles cases have been occurring among the newborn, those between 20-30 years of age (yoa) & those 40-45yoa

🔴 #Measles around Australia from April2019➡
⭕These are *cumulative* data
⭕Data start from when I began capturing these volatile NNDSS numbers; only online for a 24-hour period then replaced the next day

🔴 The recent #Measles outbreak in QLD has been slowing, thanks to hard public health work and good vaccination coverage in Australia

🔴next, the latest #measles numbers in #NewZealand. NZ has been a source, via infected travelers, for outbreaks across Australia, Tonga and Samoa because of the scale of the NZ outbreak.
⭕NZ data source: surv.esr.cri.nz/surveillance/W…

🔴 confirmed #measles cases by week shows that the epidemic peak of 180+ cases in a week passed back in ~Wk37, the second half of September
⭕ 28 new cases for Week47 (-11 compared to previous week's total), 16-22NOV2019

🔴 most active area of 2019's NZ #measles activity is still in Counties Manukau (dark blue bars), then Northland (grey), Auckland (NZ's biggest city, but not the capita; mid blue) and Waitemata (pale blue) in the North Island

🔴 #Measles cumulative numbers in NZ by age, ethnic group & hospitalisation
⭕ "just measles?" - take a good look at the rates of hospitalizations (yellow highlights); 35% overall
⭕ Pacific peoples have contributed most confirmed cases then European/Other then Maori (pink)

🔴 #Measles immunisation status among NZ cases ⭕ 87.0% of cases, where status known, were not vaccinated at all (zero doses)
⭕ 4.4% partially vaccinated
⭕ 8.6% fully vaccinated

🔴 2019 #Measles levels outstrip anything seen in NZ in the preceding decade
⭕ NZ was declared free of locally acquired measles and #rubella circulation in Oct 2017, after 3 years of zero locally generated cases

🔴 #Measles in #Fiji to 15NOV2019
⭕14 confirmed (+1 since 22NOV) & 2 suspected cases
⭕well vaccinated population, good lab testing, zero deaths
Source: health.gov.fj/?cat=12

🔴 #Measles in #Tonga as at 26NOV2019
⭕ 394 (+143 since 20NOV) confirmed or suspected cases
⭕ zero deaths
Source: reliefweb.int/report/tonga/t…

🔴#Measles in #Samoa Latest official data to 29NOV2019 ⭕3,149 cases (+213 since y'day)
⭕42 deaths (+3)
⭕32,743 vaccinated before 20NOV2019
⭕50,068 vaccinated since 20NOV2019 (low turnout 6mth-4yo age band)
⭕197 inpatients

From facebook.com/samoagovt/ & @samoagovt