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![MMWR](mmwrlogo.jpg)
Synopsis for April 14, 2000
MMWR articles are embargoed until 4 p.m. E.S.T. Thursdays.
- Salmonellosis Associated with Chick and Ducklings — Michigan and Missouri, Spring 1999
- Measles Outbreak in the Netherlands, April 1999–January 2000
- Fatal Yellow Fever in a Traveler Returning from Venezuela, 1999
![MMWR](mmwrlogo.jpg)
Synopsis for April 14, 2000
Salmonellosis Associated with Chick and Ducklings — Michigan and Missouri, Spring 1999
Avoid contact with the feces of young fowl, and carefully wash your hands with soap and water after handling these
animals and anything that has come in contact with them.
PRESS CONTACT:
Kammy Johnson, D.V.M., Ph.D.
CDC, National Center for Infectious Diseases
(404) 639–2206 |
Handling chicks and ducklings poses a health risk, particularly for children. Such exposures may occur more commonly
during the spring or Easter season. The risk posed by chicks and ducklings may be highest for children since Salmonella infections in children
may be more severe, and children are often recipients of chicks or ducklings as pets. To prevent the transmission of Salmonella from chicks,
ducklings, and other young fowl to people, avoid contact with feces and carefully wash your hands with soap and water after handling young fowl
or anything that has come in contact with them. Chicks, ducklings, and other young fowl may not be appropriate pets for children. These animals
should not be kept in households with infants, young children, or immunocompromised persons who are at highest risk for illness or serious
disease.
Measles Outbreak in the Netherlands, April 1999 – January 2000
Measles is a severe disease that can result in death even in industrialized countries.
PRESS CONTACT:
Dalya Guris, M.D., M.P.H.
CDC, National Immunization Program
(770) 488–8757 |
A large outbreak of measles occurred in the Netherlands in 1999. This outbreak mainly affected members of a religious
group, many of whom refused vaccination on religious grounds. Although nationwide measles vaccination coverage is over 95% in the Netherlands,
vaccination coverage is low in municipalities with large religious communities. Between April 15, 1999 and February 4, 2000, 2961 cases of
measles were reported. Ninety-nine percent of the cases were unvaccinated. Three measles case-patients died and 68 were hospitalized because of
measles-related complications. Although measles is more severe in malnourished or immunosuppressed persons, severe disease or death may result
in persons with no underlying disease. Measles sometimes is considered a mild disease; however, this outbreak underlines the fact that severe
cases of measles may result in death.
Fatal Yellow Fever in a Traveler Returning from Venezuela, 1999
Persons traveling to yellow fever (YF) endemic areas should be vaccinated before taking their trip.
PRESS CONTACT:
Martin Cetron, M.D.
CDC, National Center for for Infectious Diseases
(404) 639-8100 |
This report describes the second cases of imported, fatal YF in a U.S. resident returning from South America, since 1996.
A 48-year-old man from California sought treatment at a local emergency department in September 1999. The patient had recently returned from a
10-day trip to Venezuela (He did not receive YF vaccine before his trip.) He died on October 4, 1999. There is epidemiologic evidence of
increasing transmission of yellow fever in South America and sub-Saharan Africa. Yellow fever vaccine is a safe and effective vaccine. Persons
traveling to areas where yellow fever is endemic should receive yellow fever vaccine before travel. In addition, these travelers should avoid
exposure to mosquitoes by using repellents, wearing protective clothing, and remaining in well-screened or air-conditioned areas where possible.
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