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NR 503 Week 7 Discussion: Global and Environmental Health – Measles Outbreaks Globally,WELL EXPLAINED.

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Week 7 Discussion: Global and Environmental Health Please go to a lay press newspaper, for example, The Washington Post, The New York Times, or other national publication. Locate an article that has global health implications, such as malaria, untreated strep throat or other infectious diseases in developing countries. Other topic areas may address environmental global health issues, for example, safe water, sanitation, or oral health. After you locate and read over the article respond to the following prompt: During NR503, we have discussed the web of causation, epidemiological triangle, inter-professional collaboration and various other concepts related to population health and epidemiology. In responding to your chosen article in this week’s discussion board be sure to synthesize, integrate, these course concepts as well as other terminology found in weekly modules. For example, integrate into your writing the World Health Organization and the SDG’s or include social justice theory into your article analysis. The specific focus is up to you, but be sure to compare and contrast, integrate and think critically, as you present your discussion board post. Your post should be a minimum of two (2) paragraphs with 4-5 sentences per paragraph. Your initial post should include a minimum of two (2) scholarly articles which would not include your course text, which is also permitted to be used. Reply posts should include a scholarly reference and be a minimum of one (1) paragraph, 4-5 sentences. A scholarly tone should be maintained throughout all posts. A link to the article using APA should be included. McNeil (2019) of The New York Times discusses the rise of Measles outbreaks across the nation. Across 24 states there have been 880 cases reported so far in 2019 and 30 of the outbreaks since May 2019 have been in New York, largely in a Jewish Orthodox communities (McNeil, 2019). It was reported in 2014 between the months of January and May, that 288 cases were reported to the CDC, which happen to be the highest report amount of cases since 2011 (Mennella, 2018). In theory the out break of Measles should slow down in the summer time due to the children no longer being gather in close proximity and more time outdoors (McNeil, 2019). McNeil (2019) pointed out that the Pacific Northwest is known for not vaccinating. However, in 2018 vaccination rate were report to be 74%, which is not ideal but an improvement from the 56% that was reported in 2012 (McNeil, 2019). Measles is a contagious viral disease caused but a single stranded RNA paramyxovirus that spreads primarily by direct or indirect contact with respiratory secretions of an infected person. (Mennella, 2018). Although the complications rates are not high compared to that of other infectious disease, measles is extremely infectious. If vaccinations rates were to fall, a resulting outbreak in nonimmune individuals would rapidly overwhelm available healthcare resources (Mennella, 2018). Risk factors for measles include lack of vaccines, loss of antibodies in infants before age of the next routine vaccination, parental belief that vaccination may cause autism (Mennella, 2019). It is very important for the FNP to provide resources and information for vaccinations. It is important to stress not only the health of the patient, but how their choices can have consequences on the community. Signs and symptoms included a fever between 103-104*F, runny nose, cough, conjunctivitis and koplik spots (Mennella, 2018). The rash turns brown after a few days. Diagnosis is confirmed through serum antibodies that appear after onset of the rash (Mennella, 2019). The test for diagnosis is valid, however, with signs and symptoms already occurring upon the test, diagnosis is usually concluded before results. The FNP can treat the patient my administering the vaccine and monitoring the patient for complications. McNeil, D. (2019). Measles outbreak now at 880 cases, with fastest growth still in New York. The New York Times. Retrieved from Mennella, H. (2018). Measles. Cinahl Information Systems, EBSCO Information Systems. 1 – 3.

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