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OSUD Presentation

Prachi

Created on November 12, 2024

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Transcript

Keeping Schools Healthy

Guide to communicable diseases in school setting

Prachi Singh, DO Pediatric Infectious Diseases, UCSF

Dermatologic / Rashes

Outline

Infections that have dermatologic presentation including vaccine preventable infections such as varicella & measles

1. Identification of communicable rashes 2. Risk stratification for patients at risk for contagious respiratory infections 3. Infectious etiologies for diarrhea

Respiratory

Tuberculosis Pertussis

Gastrointestinal

Evaluation of Diarrhea

Dermatologic | Rashes

Measles

  • Fever, Rash and
    • 1 of the following
      • Cough, Coryza, Conjunctivitis
  • Rash appears on the face and spreads to the extremities

Koplik SpotsMobiliform Rash

Incubation: 10-14 days Infectious Period: 4 days before and 4 days after

Epidemology: Measles

1985 - 2024

Epidemology: Measles

2000 - 2024

Measles

Globally & Nationally we have seen increased number of cases

Measles, at home...

When we got back home it was with the instructions that Mobius and my husband would be quarantined for four days at home. Since I had blood titers (proof of measles immunity) on file at my nursing school, I was able to leave the house. It wasn’t that long, but it was still pretty hard on both of them. My husband had to take time off work, and I couldn’t believe how stir crazy such a small baby could be. Shortly after, we also learned that some employees at Disneyland had also been infected after the first wave in December. During the days at home, thankfully, the fever got a bit better, but he developed a nasty cough. It was really hard to watch my baby coughing so hard. The rash spread down his body and he looked like a leopard. The poor little guy also kept rubbing his eyes. He was so small and uncoordinated, he actually learned to roll onto his stomach in the process so he could dig his face into the ground.

Measles: Story

https://www.shotbyshot.org/stories/mobius-story/

Measles Vaccine Effectivness

probable lifelong immunity

Differential Diagnosis for Measles

Diseases that can look like measles

Varicella | Chicken Pox

Varicella is a highly contagious viral disease with secondary attack ratios of ≈85% (range 61%–100%) in susceptible household contacts; contagiousness after community exposure is lower. Herpes zoster is ≈20% as infectious as varicella; in susceptible people, contact with herpes zoster rash causes varicella, not herpes zoster.

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aUTHOR'S NAME

GALLERY

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MEET THE TEAM

NAME SURNAME

NAME SURNAME

NAME SURNAME

NAME SURNAME

Occupation

Occupation

Occupation

Occupation

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TEAM II

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NUMBERS

180+

85M+

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45M+

1.3M+

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Users who do great things

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