p MWWR Report 4 MWWR ReportThe World Health chasten (WHO , through its science lab efforts has been trying to control and eliminate measles and epidemic roseola outbreak (World Health Organization , 2007 . thoroughgoing an nonation contributes to accurate identification and confirmation of the disease ( unwhole manyness and fatality rate hebdomadary Report , 2008 . Therefore , it is critical to have main course to a laboratory that can provide precise results . In 2000 , WHO created the WHO rubeola and Rubella Laboratory Network (LabNet ) to make a constant exam and reporting structure (2008 . Additionally , the laboratory works to ensure that an external quality assurance course of instruction exists (2008 . LabNet has been employ across Europe America , Eastern Mediterranean and western sandwich Pacific (2007 . Moreover , the lab is banquet in or so 166 countries , with 679 laboratories (2008 Despite the current efforts , measles and epidemic roseola surveillance continues to be insufficient , especially in regions where collection and transfer of training of serum specimens atomic issuing 18 complicated (2008 . To resolve this , LabNet assessed two methods in solicitation samples- dry out blood spots (DBS ) and oral fluid (OF ) samples (2008 . LabNet round members and scientists presented the results in a June 2007 ad hoc meeting set in geneva , Switzerland (2008 . Results show that DBS and OF methods may be employ in measles and rubella surveillance , particularly in cases where refrigeration and transportation of samples may be futile (2008 However , in regions where serum-based testing is already used , LabNet concluded that conversion to DBS and OF methods ar not necessary (2008 . The results were published in a Morbidity and mortality rate Weekly Report , a series on the sentry by the Centers for Disease Co! ntrol and Prevention (CDC (2008 . The data are collected by CDC based on state wellness departments (2008Single serum sample has been used to detect measles and rubella among suspected cases (Morbidity and Mortality Weekly Report , 2008 .
Once the forbearing becomes symptomatic , a throat swab or piddle sample are gathered , sent to the laboratory to be studied and be able to detect the virus ribonucleic hot by reverse transcription or polymerase chain reception (RT-PCR (2008 . However , proper detection and identification of immunoglobulin M and viral ribonucleic acid rely on a number of things , such as accurate collection processing , lode and storehouse of acquired samples and the capability to ensure proper refrigeration (2008 . In the some regions transportation is a barrier to this , thus alternatives moldiness be usedThe application of DBS in measles and rubella detail IgM and IgM and viral RNA is common in epidemiologic uses (Morbidity and Mortality Weekly Report , 2008 . Specifically , DBS is used in cases where refrigeration is ineffective for DBS has the capability to make antibody and viral RNA stable at 98 .6 F (2008 . On the another(prenominal) hand , OF is used in the United Kingdom measles , mumps and rubella (MMR ) surveillance programs for almost 10 eld (2008 . It is a simple , straight-forward method to conduct and is by more(prenominal) mickle (2008The use of DBS and OF as alternative methods began in 2001 , when LabNet laboratories in Australia , Cote d Ivoire , Netherlands , Turkey , United States and the United Kingdom studied...If you regar d to live a full essay, order it on our website: OrderCustomPaper.com
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