Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

3. Give vitamin A to children with measlesSource: WHO guidelines for epidemic preparedness and response to measles outbreaks, WHO/CDS/CSR/ISR/99.1Give the first dose in the health facility or clinic.Give the mother one dose to give at home the next day.AGE Vitamin A Capsules200 000 IU 100 000 IU 50 000 IUUp to 6 months ½ capsule 1 capsule6 months up to 12 months ½ capsule 1 capsule 2 capsule12 months up to 5 years 1 capsule 2 capsules 4 capsules4. Give appropriate antibiotic for bacterial meningitis cases during an outbreakSource: Control of epidemic-prone meningococcal disease, WHO practical guidelines, 2 nd edition 1998, WHO/EMC/BAC/98.3 Admit patient to a health facility for diagnosis and treatment. Start an antibiotic immediately. Intra-muscular injectable oily chloramphenicol is best choice during anepidemic. It is very effective and a single dose is usually effective. (See below for dosage amounts.) Ifinjectable treatment is not possible, give oral amoxycillin or cotrimoxazole or treat with an antimicrobialrecommended by national treatment guidelines for meningitis. (See below for information aboutother antibiotics.) Patient isolation is not necessary. Provide good supportive care and simplify case management.AgeINTRAMUSCULAR OILY CHLORAMPHENICOL100 mg per kg in a single doseIf the patient has not improved,give a second dose 24–48 hours later.Dose in gramsDose in milimetersAdult:Age 15 years and olderChild:3.0 g2.5 g12 ml10 ml10 to 14 years6 to 9 years2.0 g8 ml3 to 5 years1.5 g6 ml1 to 2 years1.0 g4 ml2 to 11 months 0.5 g2 ml1 to 8 weeks 0.25 g1 mlSee next table for other recommended antibiotics.Annex 25: Treat Cases During an Outbreak195