Rubella and scarlet fever outbreak among trainees at a training camp in Mersing, Johor

Mohamad Nizam Subahir, Suraiti Hasim, Mohd Badri Yacob, Mohd Rohaizat Hassan

Research output: Contribution to journalArticle

Abstract

Rubella is an acute and contagious disease which is mainly characterized by fever, rash, and cervical lymphadenopathy. This contagious disease spreads easily through nasopharyngeal secretions, droplet or direct contact with patients. Meanwhile clinical features of scarlet fever include a sore throat, skin rash and strawberry tongue. A descriptive study was conducted to describe the epidemiological characteristic of diseases at a Training Camp in Mersing. Data obtained on demographic details, onset and time of fever and rash or contact with ill person 14 to 21 days prior to symptoms. Screening and interview conducted for all suspected cases of Rubella. 47.4% of the cases presented on 5<sup>th</sup> June 2012 followed by 15.8% on 11<sup>th</sup> June 2012 and 13.5% on 12<sup>th</sup>June 2012. Maculo papular rash was the predominant presenting symptom among students with acute infection in this outbreak (100%) followed by fever (36.8%). Measles specific IgM was not detected in the serum taken but rubella specific IgM was detected in 66.7% (6/19) of samples. 55% (11/20) were positive for ASOT. 4 trainees had Rubella and Scarlet Fever co-infection. It was found out that the outbreak occurred among 391 residents in the camp who shared common places for activities such as lecture, physical activity and meal. Rapid dissemination was due to overcrowded environment and close contact during common activities of the residents. Theoretically co-infection would be presented with severe clinical symptoms but not in this outbreak where all affected trainees only presented with mild fever and rashes.

Original languageEnglish
Pages (from-to)50-55
Number of pages6
JournalMalaysian Journal of Public Health Medicine
Volume14
Issue number2
Publication statusPublished - 2014

Fingerprint

Scarlet Fever
Rubella
Exanthema
Disease Outbreaks
Fever
Coinfection
Immunoglobulin M
Fragaria
Pharyngitis
Measles
Acute Disease
Tongue
Meals
Demography
Interviews
Exercise
Students
Infection
Serum

Keywords

  • National service trainee
  • Outbreak
  • Rubella
  • Scarlet fever

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Rubella and scarlet fever outbreak among trainees at a training camp in Mersing, Johor. / Subahir, Mohamad Nizam; Hasim, Suraiti; Yacob, Mohd Badri; Hassan, Mohd Rohaizat.

In: Malaysian Journal of Public Health Medicine, Vol. 14, No. 2, 2014, p. 50-55.

Research output: Contribution to journalArticle

Subahir, Mohamad Nizam ; Hasim, Suraiti ; Yacob, Mohd Badri ; Hassan, Mohd Rohaizat. / Rubella and scarlet fever outbreak among trainees at a training camp in Mersing, Johor. In: Malaysian Journal of Public Health Medicine. 2014 ; Vol. 14, No. 2. pp. 50-55.
@article{80622737ebbd4ee7b8d6286d3b13328f,
title = "Rubella and scarlet fever outbreak among trainees at a training camp in Mersing, Johor",
abstract = "Rubella is an acute and contagious disease which is mainly characterized by fever, rash, and cervical lymphadenopathy. This contagious disease spreads easily through nasopharyngeal secretions, droplet or direct contact with patients. Meanwhile clinical features of scarlet fever include a sore throat, skin rash and strawberry tongue. A descriptive study was conducted to describe the epidemiological characteristic of diseases at a Training Camp in Mersing. Data obtained on demographic details, onset and time of fever and rash or contact with ill person 14 to 21 days prior to symptoms. Screening and interview conducted for all suspected cases of Rubella. 47.4{\%} of the cases presented on 5th June 2012 followed by 15.8{\%} on 11th June 2012 and 13.5{\%} on 12thJune 2012. Maculo papular rash was the predominant presenting symptom among students with acute infection in this outbreak (100{\%}) followed by fever (36.8{\%}). Measles specific IgM was not detected in the serum taken but rubella specific IgM was detected in 66.7{\%} (6/19) of samples. 55{\%} (11/20) were positive for ASOT. 4 trainees had Rubella and Scarlet Fever co-infection. It was found out that the outbreak occurred among 391 residents in the camp who shared common places for activities such as lecture, physical activity and meal. Rapid dissemination was due to overcrowded environment and close contact during common activities of the residents. Theoretically co-infection would be presented with severe clinical symptoms but not in this outbreak where all affected trainees only presented with mild fever and rashes.",
keywords = "National service trainee, Outbreak, Rubella, Scarlet fever",
author = "Subahir, {Mohamad Nizam} and Suraiti Hasim and Yacob, {Mohd Badri} and Hassan, {Mohd Rohaizat}",
year = "2014",
language = "English",
volume = "14",
pages = "50--55",
journal = "Malaysian Journal of Public Health Medicine",
issn = "1675-0306",
publisher = "Malaysian Public Health Physicians' Association",
number = "2",

}

TY - JOUR

T1 - Rubella and scarlet fever outbreak among trainees at a training camp in Mersing, Johor

AU - Subahir, Mohamad Nizam

AU - Hasim, Suraiti

AU - Yacob, Mohd Badri

AU - Hassan, Mohd Rohaizat

PY - 2014

Y1 - 2014

N2 - Rubella is an acute and contagious disease which is mainly characterized by fever, rash, and cervical lymphadenopathy. This contagious disease spreads easily through nasopharyngeal secretions, droplet or direct contact with patients. Meanwhile clinical features of scarlet fever include a sore throat, skin rash and strawberry tongue. A descriptive study was conducted to describe the epidemiological characteristic of diseases at a Training Camp in Mersing. Data obtained on demographic details, onset and time of fever and rash or contact with ill person 14 to 21 days prior to symptoms. Screening and interview conducted for all suspected cases of Rubella. 47.4% of the cases presented on 5th June 2012 followed by 15.8% on 11th June 2012 and 13.5% on 12thJune 2012. Maculo papular rash was the predominant presenting symptom among students with acute infection in this outbreak (100%) followed by fever (36.8%). Measles specific IgM was not detected in the serum taken but rubella specific IgM was detected in 66.7% (6/19) of samples. 55% (11/20) were positive for ASOT. 4 trainees had Rubella and Scarlet Fever co-infection. It was found out that the outbreak occurred among 391 residents in the camp who shared common places for activities such as lecture, physical activity and meal. Rapid dissemination was due to overcrowded environment and close contact during common activities of the residents. Theoretically co-infection would be presented with severe clinical symptoms but not in this outbreak where all affected trainees only presented with mild fever and rashes.

AB - Rubella is an acute and contagious disease which is mainly characterized by fever, rash, and cervical lymphadenopathy. This contagious disease spreads easily through nasopharyngeal secretions, droplet or direct contact with patients. Meanwhile clinical features of scarlet fever include a sore throat, skin rash and strawberry tongue. A descriptive study was conducted to describe the epidemiological characteristic of diseases at a Training Camp in Mersing. Data obtained on demographic details, onset and time of fever and rash or contact with ill person 14 to 21 days prior to symptoms. Screening and interview conducted for all suspected cases of Rubella. 47.4% of the cases presented on 5th June 2012 followed by 15.8% on 11th June 2012 and 13.5% on 12thJune 2012. Maculo papular rash was the predominant presenting symptom among students with acute infection in this outbreak (100%) followed by fever (36.8%). Measles specific IgM was not detected in the serum taken but rubella specific IgM was detected in 66.7% (6/19) of samples. 55% (11/20) were positive for ASOT. 4 trainees had Rubella and Scarlet Fever co-infection. It was found out that the outbreak occurred among 391 residents in the camp who shared common places for activities such as lecture, physical activity and meal. Rapid dissemination was due to overcrowded environment and close contact during common activities of the residents. Theoretically co-infection would be presented with severe clinical symptoms but not in this outbreak where all affected trainees only presented with mild fever and rashes.

KW - National service trainee

KW - Outbreak

KW - Rubella

KW - Scarlet fever

UR - http://www.scopus.com/inward/record.url?scp=84940232922&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84940232922&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84940232922

VL - 14

SP - 50

EP - 55

JO - Malaysian Journal of Public Health Medicine

JF - Malaysian Journal of Public Health Medicine

SN - 1675-0306

IS - 2

ER -