WELLINGTON: The small Pacific island nation of Samoa has closed schools and is restricting travel ahead of the Christmas holiday season as the death toll from a measles outbreak tops 50, in the latest flare-up of a global epidemic of the virus.

The highly infectious disease has been crossing the globe, recently finding a susceptible population in Samoa, where vaccine coverage was only about 31 per cent when measles took hold, according to the World Health Organization (WHO).

In just over two weeks, the official death toll has jumped more than ten-fold to 53 on Monday, the Samoan government said. There are now more than 3,700 cases of measles recorded in the islands’ deeply religious population of around 200,000.

“All our schools are closed, national exams have been postponed,” said Reverend Vavatau Taufao, general secretary of the Congregation Christian Church in Samoa.

The vast majority of deaths were of children, with 48 out of the 53 aged four or under dying from the disease, according to a government update.

Measles cases are rising worldwide, even in wealthy nations such as Germany and the United States, as parents shun immunisation for philosophical or religious reasons, or fears, debunked by doctors, that such vaccines could cause autism.

Other nations, through either poverty or poor planning, have let immunisation levels slip, exposing their youngest members to a disease that aggressively attacks the immune system.

WHO warned in October of a devastating comeback in measles epidemics as the number of reported cases rose by 300 per cent in the first three months of this year.

Reported measles cases are the highest they have been in any year since 2006, WHO said.

After causing devastation in the Democratic Republic of the Congo, Madagascar and Ukraine, among others, measles cases started appearing en masse earlier this year in the New Zealand city of Auckland, a hub for travel to and from small Pacific islands.Samoan authorities have blamed low coverage rates in Samoa in part on fears caused last year when two babies died after receiving vaccinations shots, according to local media reports.

The country’s immunisation programme was also temporarily suspended. The deaths were later found to have been caused by medications that were wrongly mixed.

Samoa has been racing to administer vaccines to children since declaring a state of emergency on Nov 20 and has vaccinated 58,150 people so far, the government said on Monday.

Infection rates and deaths are still, however, climbing quickly with five fatalities in the past 24 hours, according to government data, prompting emergency restrictions on public gatherings and travel leading up to Christmas. New Zealand Prime Minister Jacinda Ardern told reporters they were sending additional vaccines and dozens of medical professionals to Samoa to help with the outbreak.

Published in Dawn, December 3rd, 2019

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