Measles at The Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta 1993

Abstract

Expanded Programm of Immunization on measles in Indonesia has been implemented since 1985. The coverage of immunization at the first year was only (J.5%, increasing year by year and finally in 1990 its coverage was 80%. Retrospective study on secondary data of measles patients under 5 years of age who were hospital­ized at the Department of Child Health/Dr. Cipto Mangunkusumo Hospital during 1993 is presented. The diagnosis was based on the clinical findings, such as fever, specific distribution of macula-papular skin eruption, and conjungtivitis. Total cases was 45 among 3348 (1.34%) hospitalized cases with case fatality rate (CFR) 8.9% (4 among 45 cases), This condition was similar to the condition in 1992, but was better Lhan die period of 1986-1991. The most common complications were bronchopneu­monia (25.2%), diarrhoea (6,5%), anemia (4.6%), encephalitis (3.7%). The cause of death were encephalitis (25%) and bronchopneumonia (11.1%), Measles immuniza­tion coverage was only 24.4% patients. On summaiy, measles patients admitted to Cipto Mangunkusumo Hospital were severe cases and most of them were not covered by immunization.