Professor A. Laiškonis: In a speech, the outbreak of measles will not stop


A quarter of the sick – children

The majority of the cases (156 cases) were registered in the city of Kaunas, 48 ​​cases in the Kaunas district and 47 cases in the city of Vilnius.

A total of 251 adults and 79 children were diagnosed with measles, most of them unvaccinated.

According to Ministry of Health data, the lowest number of children under two years of age is vaccinated by residents of the municipalities of Varna, Jonava, Kretinga, Prienai, Telšiai, Kaišiadorys and Palanga, Rietavas, Birštonas, Klaipeda and Kaunas . In these regions, the vaccination rate ranges from 83 to 89.8%. Children under seven years of age are less vaccinated by residents of the municipalities of Šakiai, Varna, Kaišiadorys, Širvintos, Prienai, Kaunas, Telšiai, Panevėžys, Jonava, Kalvarija and Kaunas, Birštonas and Klaipėda. Vaccination rates range from 83.5 to 89.9%.

According to the schedule of preventive vaccination, children should be vaccinated twice: 15-16 months and 6-7 years.

The effect is increasing the incidence

Recently, measles has become increasingly prevalent in Europe and other continents, although the World Health Organization has set the goal of eradicating the disease by 2018. Measles outbreaks have been reported in Lithuania in 2013; and 2018 end of the year.

"Measles is an infectious disease controlled by vaccines. Unfortunately, in the world and in Europe for 5-7 years, the anti-vaccination movement, based on non-science myths about its side effects, can pose a threat to children's health In Europe, 5 773 people were ill, 23 927 in 2017 and almost 83 000 in 2018, "the problem is commented on and the number is presented by a well-known medical infectologist, Professor Alvydas Laiškonis.

This year alone, 18,112 infected people were registered only in January. The disease is spreading rapidly in Ukraine, Romania, France, England, Italy, USA and other countries.

The road was not stopped

Seeing the threat of measles, Lithuanian infectologists contacted the Ministry of Health a few years ago, alerting them to the danger and urging them to assess the epidemiological situation abroad. Lithuanians travel a lot, so it was clear that the disease could spread rapidly in our country.

"Unfortunately, neither the Ministry of Health nor the Center for Communicable Diseases and AIDS responded to the need to alert and educate the public. This is not surprising, as Saulius Čaplinskas, former Director of the Center for Communicable Diseases and AIDS, also expressed a flaw in the propagation of human immunodeficiency, responsible for the public awareness of public health centers and offices in the field of prevention of measles prophylaxis, "says Professor A. Lužonis.

Alvydas Laiškonis / Photo of Alius Koroliovas

The consequences are obvious in Lithuania – the outbreak of measles. Now starting to talk about public education, according to Dr. A. Lanconius, is the same as telling a heart attack patient at the Intensive Care Unit about a healthy lifestyle. Europe has finally realized that the measles epidemic of speech will not stop you, you need decisive action.

"Positive results will only appear a few years after the public understands their responsibility for their own health and for the health of others. I believe it is now necessary to limit anti-vaccinia propaganda in all information institutions to adopt a compulsory vaccination against infectious diseases, as is the case in Western European countries ". In Germany, France, "Professor A. Lužonis welcomes the initiative of the Lithuanian Police, the Municipality of Vilnius and some medical institutions to encourage their workers to be vaccinated against measles and to cover their costs.

Myths and Dangers

Professor A.Lužonis regrets that no proposal was submitted by the Euro-Commissioner Vytenis Povilas Andriukasitis when he was Minister of Health to restrict the admission of unvaccinated children to educational institutions.

"I think that if this proposal were implemented, measles would not have become so widespread today." It was reported that a Seimas member and a conference of anti-vaccinia sympathizers organized by the Seimas were sick. or the Ministry of Health. " After all, not bathing in the plow or running in the pine forest does not protect against contagious diseases. It should not be forgotten that none of its causative agents except poxvirus is under control in the world. If we still do not understand the meaning of vaccines as the only protection measure against infectious diseases, diphtheria, mumps or rubella outbreaks in the future, "warns Professor A.Lužonis, and appeals to unexpected delusions and myths of pseudo-males published online.

Neither swimming in a plow nor running in a pine forest will protect against infectious diseases. It should not be forgotten that none of its causative agents except the smallpox virus is under control in the world.

Measles is extremely dangerous for adults. In 1964, until there was no vaccine against measles, almost all children had their symptoms. Professor Lynnonis said that mothers made special efforts to infect young children of three years of age in order to avoid the suffering of adulthood. Immunity is immune to life.

The teacher agrees to prohibit unaccompanied children from attending pre-school education by attending mass meetings. And it is outrageous to discover that the man, having noticed eruptions in his body, went to the Arena Žalgiris to watch a basketball game.

"Such a person can infect more than 10 healthy people because the measles virus is very volatile and takes a lot of time in the air," emphasizes A. Lancon.

This reminds us that the state costs both the patient's treatment and the benefits of the disease benefit when it comes to adults.

Measuring the crisis

2018 In Europe, 82,596 (53,218 in Ukraine) were affected by measles and 72 people of various ages died of the disease.

Mozambique, more than 900 children died of a measles outbreak.

In the Philippines in 2014 83% were vaccinated In the four-year period, the number of people vaccinated with anti-vaccinia was reduced to 55%. 2017 in the country, 2 400 inhabitants were sick in 2018 – 18,000

Last year, 70 children died of measles in this Asian country, 16 this year during the first month of the year.

Professor Vytautas Kasiulevičius warns and advises

Safe only after 1988 two doses of vaccine have been vaccinated or have already had measles. If you were born before 1988, you have three options:

check your vaccine passport or medical history – you may be vaccinated with 2 doses of MMR;

perform a blood test – pre-measles immunoglobulin G test;

Vaccinate the Priorix vaccine (MMR measles-mumps-rubella) without waiting.

If you are likely to have measles and have just had contact with the patient, it is recommended that you take one dose of the measles vaccine within 72 hours.

Individuals who do not get tired and do not receive treatment should avoid contact and not be in a room with the patient. Five days after you have been in touch with a deaf person, even if you are within 72 hours. you have been vaccinated, will not work for up to 21 days and avoid contact with unvaccinated or dull people. This is how you protect them.

Sick people should stay home for at least four days from the onset of the rash. Remember that you can be infected with up to eighteen people. In the case of a disease and three days after the onset of the rash, immunoglobulin M can be detected in the patient's blood, which remains in the blood for up to 30 days. Seven days after the onset of the rash, immunoglobulin G can be detected in the blood, which peaks after fourteen days and usually lasts a lifetime.

If a person who arrives at a medical institution is suspected of being ill, it should be isolated in a separate (ideally negative) room. Medical personnel should wear masks or respirators. The virus stays in the room for up to 2 hours. even after leaving the room.

It is important to treat fluids and antipyretics properly to detect and treat bacterial infections, such as inflammation in the ears and lungs. The most common causes of death are the ineffective treatment of pneumonia and diarrhea.

Healthy babies In Lithuania, the first dose of the vaccine is administered at 15 months and the second at 6 to 7 years. Other countries apply shorter intervals between doses.

Do not vaccinate if you are allergic (anaphylaxis) to the first dose of the vaccine, have an immunosuppressive or pregnancy condition. All other uncertain cases are decided individually.

In rare cases, two doses of the measles vaccine (measles, rubella, and rubella vaccine) can make people sick, but the progression of the disease will be much easier and the risk of complications will be lower.

Threat of other diseases

Linas Svetik, head of the Emergency Emergency Department of the Center for Infectious Diseases in Vilnius Santara Clinics, hopes the outbreak of measles will lead the public to realize that vaccination alone is a reliable protection against infections.

"With vaccination as the country's defense – until everything is safe and quiet, it seems that nothing needs to be done." When the mess started in Ukraine and Lithuania, anger started, what would happen if we were going to ourselves. measles outbreak unchained The public was safe because there was a safe vaccination, "said L.Svetikas at a Seimas press conference.

He warned that measles is just the tip of the iceberg because it is a volatile and highly infectious infection.

"When it comes to poliomyelitis, diphtheria and other horrors, then it will be too late to think," he said.

Earlier in Parliament, a resolution on the outbreak of measles, said D. Kepen, "vaccines include not only abort babies cells, not just monkey cells."

Aurelija Žvirblienė, head of the Department of Immunology and Cell Biology at the University of Vilnius Life Sciences Center, said she initially did not believe that such statements could be heard in the Hall of the Seimas.

"I think there is a tremendous responsibility to pass on such knowledge to the members of the Seimas because they spread widely and undermine the reputation of the Seimas, our scientific community is simply shocked to hear such statements." The biggest lie, repeated over and over again, can become in fact and it is very sad. "- said the scientist.

She agreed that in very rare cases, vaccines can cause complications, but the risk is less than that of an infectious disease.

"No one says that the vaccine is the same thing as swallowing a vitamin, but the risk is not much lower. These complications are very rare, but if we compare them to the risks of infectious diseases, it is not a high risk. poliomyelitis and remain disabled for life or be protected, vaccinated, assuming some minimal risk? "- A. Žvirblienė said.


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