Outbreak of chickenpox in a refugee camp of northern Thailand - Institut Pasteur Access content directly
Journal Articles Conflict and Health Year : 2010

Outbreak of chickenpox in a refugee camp of northern Thailand

Abstract

Although chickenpox is a generally mild, self-limited illness of children, it can cause fatal disease in adults. Accumulating reports from tropical countries showed a high prevalence of seronegativity among the adults, implying that varicella diseases could become a heavy burden in tropical countries. However, in the situation of humanitarian emergencies in tropical areas, chickenpox has largely been ignored as a serious communicable disease, due to lack of data regarding varicella mortality and hospital admissions in such a context. This is the first report describing an outbreak of chickenpox in a refugee camp of tropical region. In 2008, we experienced a varicella outbreak in ethnic Lao Hmong refugee camp in Phetchabun Province, northern Thailand. The attack rate was 4.0% (309/7,815) and this caused 3 hospitalizations including one who developed severe varicella pneumonia with respiratory failure. All hospitalizations were exclusively seen in adults, and the proportion of patients > or = 15 years old was 13.6% (42/309). Because less exposure to varicella-zoster virus due to low population density has previously been suggested to be one of the reasons behind higher prevalence of susceptible adults in tropics, the influx of displaced people from rural areas to a densely populated asylum might result in many severe adult cases once a varicella outbreak occurs. Control interventions such as vaccination should be considered even in refugee camp, if the confluence of the risk factors present in this situation.
Fichier principal
Vignette du fichier
Outbreak of Chickenpox in a Refugee Camp of Northern Thailand.pdf (283.42 Ko) Télécharger le fichier
Origin Publication funded by an institution
Loading...

Dates and versions

pasteur-02875329 , version 1 (19-06-2020)

Licence

Identifiers

Cite

Yusuke Shimakawa, Olivier Camélique, Koya Ariyoshi. Outbreak of chickenpox in a refugee camp of northern Thailand. Conflict and Health, 2010, 4 (1), pp.4. ⟨10.1186/1752-1505-4-4⟩. ⟨pasteur-02875329⟩

Collections

PASTEUR
18 View
58 Download

Altmetric

Share

Gmail Mastodon Facebook X LinkedIn More