Tuesday, December 17, 2019

Sspe measles vaccine

SSPE is a rare condition, although there is still relatively high incidence in Asia and the Middle East. However, the number of reported cases is declining since the introduction of the measles vaccine—eradication of the measles virus prevents the SSPE mutation and therefore the progression of the disease or even the initial infection itself. In many countries with good measles control, an increasing age at onset of SSPE has been observed attributable to cases that acquired measles infection at a time when the disease was more prevalent. Available epidemiological data are consistent with a directly protective effect of vaccine against SSPE mediated by preventing measles. Subacute sclerosing panencephalitis ( SSPE ) is a very rare, but fatal disease of the central nervous system that from a measles virus infection acquired earlier in life.


Subacute Sclerosing PanEncephalitis, (SSPE) is almost invariably defined as follows: “A chronic brain disease of children and adolescents that occurs months to often years after an attack of measles, causing convulsions, motor abnormalities, mental retardation an usually, death.

Immunization against measles is the only known prevention for SSPE. The measles vaccine has been highly effective in reducing the numbers of affected children. Measles immunization should be done according to the recommended American Academy of Pediatrics and Centers for Disease Control schedule.


Where there is more measles , there is more SSPE. In regions where vaccine uptake is high, such as the United States, the incidence is extremely low with roughly ten cases diagnosed per year total. In developing regions where measles remains endemic and common, SSPE is diagnosed at a rate of per million people.


It progresses and is typically fatal. An abnormal reaction by your immune system to the measles virus, or rubeola, is likely the cause.

The risk of measles vaccine -associated serious neurological disorders is much smaller than the risk for encephalitis and encephalopathy due to natural measles. : Epidemiological data showed that successful measles immunization programmes protect against SSPE an consistent with virological data, that measles vaccine virus does not cause SSPE. Epidemiologic studies of measles, measles vaccine, and subacute sclerosing panencephalitis. Modlin JF, Jabbour JT, Witte JJ, Halsey NA. Histories obtained in 3of 3clinically cofirmed cases of subacute sclerosing panencephalitis ( SSPE ) reported to a national registry showed that 2patients had measles and had no history of measles. SSPE – a dangerous complication from not getting the measles vaccine One of the tropes of the anti- vaccine religion is that childhood diseases, like measles or whooping cough, are not dangerous.


But real science tells us that measles complications, like SSPE (subacute sclerosing panencephalitis) and death, are not innocuous. These findings do not suggest an association between measles vaccines and SSPE. He reported that there had been five deaths from the complications of measles and one death due to SSPE. That’s why it should be included when counting measles deaths. SSPE is a neurodegenerative disease caused by persistent infection of the brain by an altered form of the measles virus.


Neither the biology underlying the viral persistence nor the triggering mechanism for viral reactivation is well understood. The vaccine product insert speculates that some cases may have either resulted from measles vaccination or from a possible unrecognized case of. SSPE can be prevented by good uptake of the measles vaccination. This has been a problem in recent years as the uptake has dropped and outbreaks of measles have been reported in many areas of the UK and the USA.


Ultimately, some of these children may get SSPE. More often than not, the measles virus will not cause SSPE brain damage.

There is no evidence to suggest that the measles vaccine itself causes SSPE. The condition primarily affects children, teens, and young adults. Some children get a very mild form of measles , including a rash, high temperature, loss of appetite, and feeling sick for 2-days.


Without it, they both can pass on the disease to those who are not vaccinate like babies, which can lead to many serious measles complications – like SSPE , hospitalizations, and death. The tropes and misinformation from the anti- vaccine world that “ measles is benign” is so frustrating. One complication of measles can occur years after the initial illness. Potential adverse relationships between measles -containing vaccine and SSPE. The last three theoretical relationships would be consistent with the identification of wild measles virus, rather than vaccine virus, in the brain of such putative cases.


The small risk of SSPE is just another reason that natural immunity is riskier than getting vaccinated and protected with a vaccine. It is a slow, but persistent, viral infection caused by defective measles virus. The persistent measles encephalitis induces a robust humoral immune response (6). Therefore, CSF in SSPE will typically have normal cellular components, glucose and total protein, but markedly elevated values of gammaglobulin (hyperglobulinorrachia greater than of the total protein), and anti- measles antibodies (7). Identification of the cause of SSPE as wild-type or vaccine -strain measles virus has not been possible.


The viruses isolated from patients with SSPE differ from the known measles. SSPE is a recognized sequela of measles infection, and it is biologically plausible that it could occur after administration of the live attenuated viral vaccine.

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