StudentShare solutions
Triangle menu

Critical Analysis of Outbreak of Varicella at a Day-Care Center Despite Vaccination Galil Karin - Essay Example

Not dowloaded yet

Extract of sample
Critical Analysis of Outbreak of Varicella at a Day-Care Center Despite Vaccination Galil Karin

Further the article states "To date, there is no evidence of an increase over time in the rate of breakthrough disease that would suggest waning immunity after vaccination." Then why does a person get infected after 42 days (though mildly)
In the case definition it is stated "We defined a case of natural Varicella as an illness involving a pruritic, maculopapulovesicular rash with no other apparent cause beginning from December 1, 2000, through January 11, 2001, in a child attending the day-care center who had not received Varicella vaccine or who had been vaccinated less than 14 days before the onset of rash. Breakthrough disease was defined as Varicella in a child who had been vaccinated more than 42 days before the onset of rash." Varicella here is defined in two ways first is natural Varicella and the second is Breakthrough disease, but what is the exact definition Is it that the second version is advanced form of Varicella infection or failure of the vaccine
In the statistical analysis "The effectiveness of the vaccine against moderate-to-severe disease was calculated by classifying mild cases as noncases." First and foremost it is not understood as to why children less then 12 months age and children with history of Varicella disease are not considered (numbering 18 children) And how could the mild cases be considered as noncases and ignored Everywhere in the paper stress is laid on the boys, why What about girls Is the Varicella disease restricted to only boys
In the Investigations on Index Case section it is stated "His only known exposure to Varicella-zoster virus was contact with an 11-year-old sister who did not attend the day-care center and who had herpes zoster (confirmed by Tzanck testing)." Point to be noted here is that the index patient was in contact with his sister, who was already infected by herpes zoster and not by Varicella zoster as stated in the article. Did this contact have any effect on already Varicella inoculated index patient The index patient though vaccinated earlier has become a carrier in this case.
In the outbreak section it is stated that the effect on 17 vaccinated cases were mild and in 8 unvaccinated cases was moderate or severe out of a total 25 cases and no infants or children with a history of Varicella disease were reported. The section further states that "No child had a severe complication of Varicella or required hospitalization. As compared with unvaccinated children, those who had been vaccinated had milder disease, had new lesions on fewer days, had rash that crusted more quickly, missed fewer days of day care, and were less likely to have fever." Here the table indicates that vaccinated cases were marginally better over unvaccinated cases.
In the risk for vaccine failure section it is stated
Two continuous variables - time since vaccination and age at vaccination - were associated with the risk of vaccine failure. Children vaccinated three or more years before the start of the outbreak had more than twice the risk of disease found among those vaccinated within three years before the outbreak. Age at vaccination did not remain significantly associated with vaccine ...Show more

Summary

Galil Karin and et al. The New England Journal of Medicine in an article named "Outbreak of Varicella at a Day-Care Center Despite Vaccination" stated that "Although the vaccine affords excellent protection against moderate and severe Varicella, a modified form of Varicella develops in some vaccinated persons after exposure to someone with an infectious case…
Author : cooper82
Critical Analysis of Outbreak of Varicella at a Day-Care Center Despite Vaccination Galil Karin essay example
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the essay on your topic
"Critical Analysis of Outbreak of Varicella at a Day-Care Center Despite Vaccination Galil Karin"
with a personal 20% discount.
Grab the best paper

Related Essays

Managing Day Care
Direct supervision, as well as indirect supervision should have the capability to protect and guarantee the safety and the health of the children and should also be appropriate for the different aged children for their intellectual development. Members of the staff should be in good numbers to balance the required ratio as they have many responsibilities to take care of such as attending to the children in groups or as individuals while also having to explore safety of each child and hence no specific member of the staff should be overloaded with responsibility.
6 pages (1500 words) Essay
Smallpox Vaccination
With the help of vaccines, this disease is completely eridicated and there is no outbreaks that occurred after the last occurrence in 1977 in Somania. However, after the 9/11 attacks it is feared that smallpox viruses could be used as biological weapons if it reaches the hands of anti-social elements.
5 pages (1250 words) Essay
Adult Day Care Programs
Nursing is a thrilling and demanding field to study. Nursing uses a methodical procedure to plan care for people in severe illnesses and teach them how to settle healthy or manage with their sickness. Nurses are fundamentally the assistant of the doctors.
10 pages (2500 words) Essay
The cost an organization would pay to start and operate an on-site day care center for it's employees
Determination of the level of need of employees in consideration of work time, load, as well as home and social functions, as well as the needs of the children dependent on their age, capability, disabilities, among others that could affect need for staff and health or social care.
4 pages (1000 words) Essay
Day Care Feasibility
Many businesses currently operate child care centers for their employees. When child care is on site, businesses report less absenteeism. The convenience of in house service also allows for adjusting the center's hours to accommodate our work schedule. Some employees would find it easier to work overtime during our peak scheduling requirements.
3 pages (750 words) Essay
Day Care Feasibility
According to the report Many businesses currently operate child care centers for their employees. The convenience of in house service also allows for adjusting the center's hours to accommodate our work schedule. Some employees would find it easier to work overtime during our peak scheduling requirements.
4 pages (1000 words) Essay
Professional Practice in Critical Care - Critical Incident Analysis
ICU Consultant and a junior staff nurse to the parents. The family appeared to fully understand the news of brain stem death. The family belonged to the Roman Catholic faith. Organ donation was also mentioned to them but they were opposed to the idea of organ
12 pages (3000 words) Essay
A Day Care Business
A parent can be confident that professional, well-trained and experienced people watch their children. The daycare center has excellent childcare activities that will be essential in a child’s development. They take into consideration
4 pages (1000 words) Essay
Outbreak
This figure is expected to continue rising due to unconfirmed cases. Recent measles exposures include 59 cases in Ohio, 38 in Knox County, 6 in Holmes, 1 in Wayne and 1 in Richland. This is a record high,
1 pages (250 words) Essay
Day Care Centers
The teacher, in this case, plays a very vital role in facilitating the learning process by giving the children an opportunity to make meaningful choices, establish their self-esteem. That can only be attained if a chain of successive stages is provided to them so as to enable them to explore more that will encourage learning.
2 pages (500 words) Essay
Get a custom paper written
by a pro under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Your email
YOUR PRIZE:
Apply my DISCOUNT
Comments (0)
Rate this paper:
Thank you! Your comment has been sent and will be posted after moderation