Individuals residing in Hamburg face potential exposure to the ongoing chickenpox outbreak. - Hamburg's Hib outbreak: Potential for escalation to a threatening situation?
The city of Hamburg, Germany, is currently experiencing an outbreak of Haemophilus influenzae Type b (Hib), a bacterial disease that primarily affects vulnerable populations such as homeless individuals and those who use drugs.
In the same period last year, 16 cases were reported, while in 2023, there were 21 cases, indicating an increase in the number of infections. Tragically, there have been three reported deaths related to the outbreak.
Experts at the Robert Koch Institute (RKI) have identified several key risk factors contributing to the current Hib outbreak. These include living in crowded or unsanitary environments, drug use, lack of up-to-date Hib vaccination, and underlying health conditions that may limit access to healthcare resources.
Close living conditions with limited hygiene and access to healthcare are common among homeless populations and those who use drugs, making them more susceptible to respiratory infections like Hib. Drug use may also impair immune function and increase risky behaviours.
In 2018, the vaccination rate among school starters in Germany was 91.4 percent, according to the RKI. However, in some cases, immunodeficiency may require vaccination recommendations for adults. Public health authorities are closely monitoring these risk groups to control the spread and prevent further infections.
Vaccinations are being offered in two drug consumption rooms in Hamburg to reach as many people as possible from the risk group. Babies in Germany are routinely vaccinated against Hib as part of the standard vaccination schedule, but after the age of five, this is almost never seen in healthy children.
The Standing Vaccination Commission is currently advising on whether to adjust the recommendations for Hib vaccination in light of the ongoing outbreak. As of July 20, 2024, the RKI reported 27 cases of Hib nationwide, with 33 illnesses and two deaths in total.
It's essential to note that healthy individuals are not at risk from the Hib outbreak. However, Hib infections can lead to severe courses, such as pneumonia, meningitis, or sepsis, particularly in individuals with weakened immune systems. In some cases, an infection can become life-threatening within a few hours.
The disease is transmitted through droplets, by coughing, sneezing, or close face contact. In the current outbreak, Hib may also have been transmitted indirectly via cigarettes, smoking accessories, eating utensils, and drug consumption equipment.
As the Hib outbreak continues to unfold in Hamburg, it's crucial for public health authorities to maintain vigilance and implement preventative measures to protect vulnerable populations and control the spread of the disease.
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- The increase in Hib cases in 2023, compared to the same period last year, indicates a rise in infections.
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