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HEALTH

Measles threatens a comeback across Europe

Just a few days after it was reported that nearly 50 measles cases have been confirmed in Austria, the World Health Organization calls it "unacceptable" that the childhood disease is currently making a comeback in Europe.

Measles threatens a comeback across Europe
File photo: Shutterstock
The World Health Organization called on European nations Wednesday to step up vaccinations against the highly contagious measles virus after an outbreak of over 22,000 cases across the continent since 2014.
 
"We must collectively respond, without further delay, to close immunization gaps," said Zsuzsanna Jakab, WHO's European director.
 
"It is unacceptable that, after the last 50 years' efforts to make safe and effective vaccines available, measles continues to cost lives, money and time."
 
According to the UN health agency, 22,149 cases of measles have been reported in seven countries across the region since the start of 2014, with Kyrgyzstan, Bosnia and Herzegovina as well as Russia hit hardest.
 
However, the outbreak has also struck Georgia, Kazakhstan, Italy and Germany, where an 18-month-old boy died February 18th after coming down with the illness.
 
So far this year, there have been 47 cases of measles reported in Austria.
 
Despite a 95 percent immunization rate of babies in Austria, cases of preventable diseases have been growing.  In 2013, there were 74 measles cases.  In 2014, that number increased to 114, a figure which is concerning medical professionals.
 
"That's a lot," says virologist Heidemarie Holzmann of the Medical University of Vienna.
 
Measles is often underestimated, says the expert. "Every fifth case experiences complications", she said.
 
In the worst case it can turn into encephalitis, a potentially fatal inflammation of the brain.
 
Statistics show that only two in every 1,000 patients die from a measles infection.

But the number of cases has rocketed recently in Berlin, with 447 already reported so far this year in the German capital.

Like in Austria, the resurgence of the preventable disease in other European countries and parts of the United States coincides with a movement among some parents to refuse to vaccinate their children.
 
Measles causes fever and rash and in severe cases can lead to pneumonia or brain swelling, which is sometimes fatal. The disease is highly contagious because it is transmitted through the air.
 
Even if the number of measles cases dropped by 50 percent from 2013-2014, the current epidemic has put into serious doubt the objective of eradicating the disease in Europe by the end of the year.
 
"The priority is now to control current outbreaks in all affected countries through immunization," Nedret Emiroglu, a deputy director in WHO's Europe office.
 
Many people who do not vaccinate their children say they fear a triple vaccine for measles, mumps and rubella (MMR) is responsible for increasing cases of autism — a theory repeatedly disproven by various studies.
 
The controversy dates back to the publication of a now debunked article in the Lancet medical journal in 1998, by disgraced physician Andrew Wakefield.

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HEALTH

What do you do in Austria if your nearest pharmacy is closed?

It's nine pm in Austria, and you're out of painkillers or decongestants. You're desperate for pain relief but your local Apotheke is shut, so what do you do?

What do you do in Austria if your nearest pharmacy is closed?

In Austria Apotheken (pharmacies) are the only places in which you can purchase painkillers and decongestants. Ostensibly in the public interest, but it’s also a lucrative moneymaker for the businesses. This monopoly on the sale of certain pharmaceutical drugs is a subject frequently debated and is of much consternation for overseas arrivals. 

READ MORE: Why are painkillers only sold in pharmacies in Austria?

However, many Apotheken can close as early as six pm, especially if you live outside a major city centre. If you’re suffering from a cold or a nasty headache, it can seem like an eternity until they reopen. 

Fortunately, there is relief. Emergency situations will always arise, and pharmacies often band together to provide service at nights, over weekends and on public holidays.

This is done on a rota basis, so your local Apotheke may not be open, there will be a Apotheken-Notdienst (Emergency-service pharmacy) within a 5 – 10km range. 

Often, Apotheken will have a sign or screen out the front that gives the address and opening times for Apotheken-Notdienst in the area, updated frequently.

A number of websites also exist that can give you the location of operating Apotheken-Notdienst across Austria, such as APO24.at. Entering your PLZ (or postcode) will list the nearest to you. 

However, if they don’t have online access, dialling 1455 while put you in touch with a service who can either direct you to the Apotheken-Notdienst on duty, or help you in getting you further assistance. 

If all else fails, your local hospital should have a Notfall-Praxis – ostensibly an emergency doctor service out of hours. If you’re prepared to wait, you will be able to see a doctor, and they can either dispense medication, or direct you to the hospital pharmacy with a prescription. 

Before you go, it’s worth brushing up on your vocabulary. The Local has developed a list of vocabulary and phrases that you can use to describe your symptoms to pharmacists and doctors, to help them prescribe the best possible medication.

READ MORE: Colds and flu: What to say if you get sick in Austria

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