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CAMEROON: MEASLES EPIDEMIC IN THE CONTEXT OF MALNUTRITION
With the resurgence of Covid-19 in Cameroon in recent months, other epidemics such as measles claim around 150 lives in a few days in the East Region of the country. The populations are worried about its rise, which does not seem to concern the public authorities who focused more on the fight against the global pandemic.
Plate 1: Some children with measles
Despite the cries and alarm raised by the World Health Organizations and institutions in place in November 2020, the so-called tropical epidemics continue to decimate the population, causing hundreds of deaths. Measles, is a disease that attacks children from 0 to 20 years of age and adults are having an alarming death toll in the region of the rising sun. In just a few days, more than 150 cases were recorded in seven villages in the district of Yokadouma where unfortunately, the rate of health challenges and poverty affect more than 80% of the population. Everyone is worried about the negligence of the public health authorities and points the finger at the restrictive measures against Covid-19 where the last vaccination dates back to March 2019 without forgetting the reluctance and mistrust of the population towards vaccination exacerbated by the multiple rumors concerning vaccines and especially the lack of education in health issues. The populations of the regions having benefited from the last vaccination are those close to hospital structures and those who received appropriate training. It should be noted that the insufficiency of health structures is another scourge in this part of the country. Majority of it inhabitants therefore prefer to resort to archaic traditional methods, for lack of access to health care, information and adequate training, that instead helped promote the spread of the disease. With the onset of Covid-19, monitoring of measles vaccination has declined. This planetary reality particularly affects the populations of Boumba-et-Ngoko, where the epidemic resurfaced in mid-February, already causing 150 deaths. In this division, only 50% of the population has access to medical care, which makes them increasingly vulnerable.
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Since the implementation of government restrictions aimed at limiting the spread of covid-19 in Cameroon and in the eastern region in particular, the measles epidemic is progressing very rapidly within this population who lives in a remarkable precarious conditions in the community. According to specialists in infectious and tropical pathologies at the Institut Pasteur in Yaounde, the measles virus is excessively contagious in this part; because it is ten times more than a flu. We note that the Coronavirus is affecting negatively and has slowed down the fight against measles. We are witnessing a worrying surge in cases which is accentuated not only with the fear of populations to go to hospitals (for those who can and are close to hospitals) because of the psychosis created by covid-19 but also with lack of vaccination. There is a real threat and mistrust of the hospital and the vaccine. This distrust of vaccines and the lack of awareness campaign should push the State of Cameroon to focus, as in the case of the coronavirus, on other devastating diseases such as measles. A strategic response plan against this epidemic in the midst of Covid-19 must be put in place to continue the fight and protect the populations from all viral attacks. The World Health Organization (WHO) sounded an alert in July 2020, reporting about 1,130 deaths from the three epidemics; cholera, malaria and measles. It is therefore a question for the State, as reported by Dr. Linda ESSO, Deputy Director for the fight against epidemics and pandemics at the Ministry of Health, in the lines of the newspaper Le monde in September 2020, to mobilize resources both human, material and financial, for the effective management of these diseases. In order to limit the damage, the government, as with the coronavirus, must mobilize it resources to help the vulnerable populations. An emergency plan for regular information and awareness is needed to limit the mistrust and rumors among the population about the vaccine. It is therefore necessary to improve vaccination coverage and fight against disinformation and mistrust.
Yokadouma where field investigations report 1,680 recorded cases with 127 deaths in the space of a month.
Some cases of convalescent child
Par Prosper AZOMBO