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The Measles Outbreak in Bangladesh A measles outbreak in Bangladesh has killed more than 500 children in the deadliest surge there in decades. The death toll continued to rise on Saturday, with 13 children passing away in the past 24 hours alone, increasing the total to 512, according to a health department tally that began on March 15. Causes and Complications of Measles Measles, which has no specific treatment once caught, is a highly contagious viral disease that spreads through coughs and sneezes. The disease primarily affects children and can cause severe complications, including pneumonia, brain inflammation and death, particularly among malnourished or unvaccinated children. Vaccination Efforts and Challenges The South Asian nation of 175 million people has rolled out a mass vaccination drive to combat the outbreak. United Nations children’s agency (UNICEF) country chief Rana Flowers said this week that the campaign has reached 18 million children. However, the health department said the full impact of the vaccinations would take months to be felt. The Impact on Healthcare and Future Prospects Hospitals in the capital Dhaka, which have been overwhelmed with cases, have set up dedicated wards but lack sufficient numbers of intensive care beds. UNICEF stressed the need to boost vaccination programmes and increase funding for health facilities, surveillance and data systems in the future. Future Outlook and Prevention UNICEF said gaps in immunisation worsened during and after the chaos of the 2024 student-led uprising that toppled the government, leaving large numbers of children unprotected. The health department’s death toll comes after the government said the outbreak was now contained, noting a decline in cases in several previously hard-hit areas.

East Darfur, Sudan — Hawa Adam did not expect a childhood illness to kill her son. Ali was two years old when he fell sick on February 25 in Labado, in Sudan’s East Darfur state. He died two days later.“I thought it was one of the ordinary childhood diseases,” the 37-year-old told Al Jazeera. “I never imagined I would lose my child to this epidemic.”Hawa attributes his death to the absence of basic medical care – no vaccination, no qualified doctors. “Most doctors”, she says, “left the area after the war broke out, forcing those with means to seek treatment abroad, in South Sudan or Uganda.”The Collapse of Routine Immunization in East DarfurA measles outbreak has struck several Labado districts since March, killing approximately 70 people and infecting about 1,000 others across 12 residential neighbourhoods, in a population of roughly 12,000, which includes displaced people who arrived during the war, according to Mohamed Abdel Aziz, 32, coordinator of the Labado crisis unit.Those numbers were disputed by East Darfur’s health director, Dr Jabir al-Nadeef, who confirmed to Al Jazeera that measles has struck four districts of the state, but only reported 300 cases and 26 deaths, figures that diverge substantially from those documented by the Labado emergency room.“Vaccines only arrived on April 11 from Chad via UNICEF [United Nations Children’s Fund ], after a prolonged period with no supply, and a vaccination campaign is scheduled to run from April 18 to 24 across the state,” he said.Measles is one of the world’s most contagious diseases, spread by contact with infected nasal or throat secretions or breathing in air that was breathed out by someone with measles, according to the World Health Organization (WHO). Outbreaks can result in severe complications and deaths, especially among young, malnourished children.Transmission: Contact with infected secretions or airborne particles.Current Coverage: Measles vaccination has fallen to 46 percent.Routine Immunization: First dose of diphtheria, tetanus, and pertussis dropped to 48 percent in 2024.Quantifying the Human Cost: Disputed Death Toll and Economic BarriersThe first measles cases in Darfur in the current outbreak were recorded in January, according to UNICEF. It is unfolding against the backdrop of a near-total collapse of public health infrastructure across Darfur, where war has gutted facilities, halted routine vaccination and driven out medical personnel.“We discovered the outbreak by accident,” Abdel Aziz, the coordinator, told Al Jazeera. The teams had been conducting home visits for a fire-prevention workshop when they saw the scale of the outbreak, with almost half of the homes visited having measles cases.In the al-Nil neighbourhood, Ismail Issa, 38, lost his two-year-old daughter Makarem on March 11. His brother Ahmed lost an 18-month-old son, Issa, on March 25. Then Hasan, the three-year-old son of Ismail’s sister Medeeha, died on March 23. All three families live in adjoining homes, and the infection passed between them.Abdel Aziz traced much of the death toll directly to a supply failure. Medicines ran out at the government health centre on February 23. Drugs remain available at private pharmacies, but most residents cannot afford them.Intravenous fluids: 8,000 Sudanese pounds ($20.50).Antibiotics: 10,000 to 15,000 pounds ($25.60 to 38.40).A Public Health Catastrophe UnfoldingAsmaa Jalaluddin, 28, lives in the Dar al-Naim West neighbourhood of Labado with her three children. Her three-year-old daughter, Mashaer Rajab al-Sheikh, fell ill on April 5 with fever, diarrhoea and persistent vomiting. She stopped eating and kept her eyes shut for four days.On April 8, Asmaa took her to the Labado health centre, where she was told her daughter had measles. With no medicines available, she was directed to travel to Shuairiya, 40 kilometres north. There, on April 10, Mashaer received fever reducers and vitamins and slowly began to open her eyes again. She was discharged two days later.Local doctors are now calling for intervention from international health organisations, noting that diseases that had been eliminated are returning.UNICEF spokesperson for Sudan, Eva Hinds, told Al Jazeera that “measles cases continue to be reported across Darfur, with insecurity, displacement, damaged health facilities, and prolonged disruption to routine immunisation all constraining the response.”UNICEF says that a measles-rubella vaccine catch-up campaign has been completed across all localities in Central Darfur and West Darfur, as well as parts of North and South Darfur, reaching approximately 2.1 million children aged nine to 14. Vaccination in remaining areas, including East Darfur, is scheduled for mid to end of April, aiming to reach close to 750,000 children across all nine of the state’s localities.The Long Road to RecoveryFor the families of Labado, the calendar offers little comfort. In the al-Nil neighbourhood, three siblings buried their children within days of one another over the Eid holiday. In Dar al-Naim West, a mother counts the days until her daughter’s 14-day isolation ends. In the Safaa neighbourhood, Hawa Adam has already buried hers.“They could have still been alive,” Hawa Adam said. “Those without money die in Darfur.”

Bangladesh’s Ministry of Health and Family Welfare disclosed that a suspected measles outbreak has killed at least 98 children in the past three weeks, prompting an urgent escalation of vaccination efforts in Dhaka’s hardest‑hit districts.Prime Minister Tarique Rahman ordered two senior ministers to tour the nation’s 170 million residents, assess the crisis’s scale, and coordinate a rapid response.Official data released on Sunday show that 6,476 children aged six months to five years exhibited measles‑like symptoms, while 826 cases have been laboratory‑confirmed with 16 confirmed deaths. Health officials note that many cases go untested, meaning the true toll could be higher.According to Halimur Rashid, director of Communicable Disease Control, “Compared with past years, the number of affected children is higher, and the death toll is higher too.” He attributes the surge to multifactorial causes, including a shortage of vaccines.World Health Organization (WHO) records indicate the highest number of suspected measles cases in Bangladesh was 25,934 in 2005. After a long decline, this year’s figures represent a stark reversal.Measles remains one of the world’s most contagious diseases, spreading through coughs and sneezes. While it can affect any age group, children under five are most vulnerable to severe complications such as brain swelling and respiratory failure. WHO estimates up to 95,000 measles deaths globally each year, primarily among unvaccinated or under‑vaccinated children.Bangladesh has previously achieved notable progress in immunisation, yet a scheduled measles‑vaccination drive for June 2024 was postponed after a violent uprising that ousted Prime Minister Sheikh Hasina. Consequently, many children—some as young as six months—missed the routine nine‑month vaccine dose.Mahmudur Rahman, chief of the National Verification Committee of Measles and Rubella, acknowledged the missed target of eliminating measles deaths by December 2025, citing “poor vaccination programmes.”In response, Dhaka has identified 30 districts with the highest case numbers and launched an emergency vaccination campaign. Health Minister Sardar Shakhawat Hossain Bakul pledged that the drive will first cover the “worst affected areas” before expanding nationwide.Public‑health expert Tajul Islam A Bari, a former official of the Expanded Programme on Immunisation, warned that although funds were allocated for vaccine procurement, the government failed to secure the doses, leading to the current “scary” situation.With no specific treatment for measles once contracted, the focus remains on accelerating vaccine delivery, improving surveillance, and preventing further loss of young lives.