Question

Based on the information given, what do you anticipate the challenges will be for an outbreak that has occurred across state lines? What plan of action would you take in order to address the outbreak from an Interprofessional standpoint?

The following are excerpts from the original case study:

Part I

On Tuesday, November 3, 1970, the Center for Disease Control (CDC) in Atlanta received the weekly telegram of surveillance data from the Texas State Health Department. The telegram reported 319 cases of measles in the state during the previous week. In contrast, Texas had reported an average of 26 cases per week during the previous four weeks. In follow-up telephone calls, CDC learned from State health officials that 295 cases of measles had been diagnosed in the city of Texarkana, including 25 in children reported to have been previously immunized. An invitation to investigate the situation was extended to the CDC on November 4, 1970. An EIS officer departed for Texarkana early on November 5.

Background

Texarkana is a city of roughly 50,000 that straddles the Texas-Arkansas state line. Texarkana, Texas (Bowie County), had a population of 29,393 in the 1960 census; the population had been stable during the 1960s. Texarkana, Arkansas (Miller County), had a 1960 population of 21,088. Although Texarkana is divided by the state line, it is a single town economically and socially. Persons of all ages on both sides of town have frequent contact. Churches, physicians, offices, movie theatres, and stores draw people from both the Arkansas and Texas sides of town. People cross the state line to attend social functions such as football games and school dances. Many families have friends and relatives who visit back and forth on both sides of town. Private nurseries and kindergartens receive children from both sides of town. The two sides of Texarkana, however, do have separate public school systems and separate public health departments.

Part III

Before this outbreak, the proportion of children vaccinated against measles on the Arkansas side was substantially higher than the proportion vaccinated on the Texas side. The Texas side had never had a community or school vaccination campaign for measles. In contrast, the Arkansas side had held mass community programs against measles for school and pre-school children in 1968 and 1969. Based on health department and physician records, investigators estimated that over 99% of children aged 1-9 years in Miller County, Arkansas had received measles vaccine prior to the outbreak. The overall vaccination level in Bowie County, Texas, was estimated to be 57%.

Consider the following questions:

1. what is the problem presented in the scenario?

2. what is the overarching problem?

3.what is the secondary problem?

Answer 1

Here the major reason for spread of disease is two places have close contact. So chance for spread increases.

To reduce this type of situation, vaccination must be an option. Then social contact should be reduced. Measure to reduce communicable spread should also do.

1.the problem described in this scenario, is how vaccination controlled the spread of measles infection ( communicable disease) in Texas, Arkansas country. Comparison between these country is describing here.

2.over reaching problem is here, one county conducted vaccination against measles to children, iin Arkansas , and Texas failed in that. So measles spreaded more there.

3.secondary problem is, spread of infection from one country to other. Because 2 country's have close contact, as a result the spread of measles increased in less vaccinated area.