Salma Akter Sharmin: Amid a nationwide measles outbreak, concerns are mounting over continued transmission inside hospitals and homes, as shortages of beds and inadequate isolation facilities are forcing infected and uninfected children to share wards, leading to new infections. Health experts say measles, caused by a highly contagious virus, can infect 12 to 18 unvaccinated people through a single infected case.
According to the Directorate General of Health Services (DGHS), one death from measles was reported in the last 24 hours, while four more suspected deaths were recorded during the same period. A total of 1,170 new suspected cases were identified in the last 24 hours.
From March 15 to April 23 (8:00am), suspected cases have reached 28,334, of which 4,059 have been confirmed as measles. So far, 18,845 patients have been hospitalized with suspected and confirmed infections, while 15,728 have recovered and been discharged. Since the outbreak began, 39 confirmed deaths and 194 suspected deaths have been reported.
Data from Dhaka North City Corporation (DNCC) Hospital shows that 426 patients received outpatient care in the last 24 hours, while 100 were admitted. A total of 436 patients are currently undergoing treatment at the facility. One death was reported in the last 24 hours, bringing the total number of deaths at the hospital to 12. So far, 2,107 patients have been admitted there.
Hospitals, including the Infectious Diseases Hospital in Mohakhali and other public and private facilities, are currently facing severe bed shortages. As a result, patients with highly contagious diseases such as measles and chickenpox are being treated in shared wards, contributing to hospital-based transmission, with new infections emerging among already admitted children.
A similar case has been reported in Chapainawabganj, where a one-and-a-half-year-old girl, Tahmina, was initially admitted with fever and later diagnosed with pneumonia. Her family said she developed measles symptoms after being exposed to infected patients in the same ward. Her condition deteriorated, and she was referred to Rajshahi Medical College Hospital and later to Dhaka Shishu Hospital. However, due to a lack of available beds, she is currently receiving treatment at DNCC Hospital.
Public health expert and vaccine specialist Dr. Md. Tajul Islam Bari said measles patients must be strictly isolated. “Whether in hospital or at home, isolation is mandatory. If patient numbers are high, additional beds or even temporary arrangements such as tents should be used,” he said, adding that failure to isolate patients accelerates transmission.
Doctors at DNCC Hospital said transmission from one patient to another within healthcare facilities is known as cross-infection. They added that infections are also spreading rapidly within families, creating what they described as a chain of transmission.
Dr. Shreebas Pal, consultant at the Infectious Diseases Hospital in Mohakhali, said measles, chickenpox, and mumps are all highly contagious diseases. Due to heavy patient loads, maintaining proper isolation is often not possible, leading to rapid spread of infection. He added that around 10 percent of patients admitted for other conditions are found to have contracted measles during treatment.
In response to the worsening situation, the Health Services Division has instructed all public hospitals to increase bed capacity. In a directive issued on Thursday (April 23), signed by Dr. Abu Hossain Md. Moinul Ahsan, Director (Hospitals and Clinics) of the DGHS, hospitals were instructed not to turn away any measles or suspected measles patients due to lack of beds. Instead, hospitals have been directed to arrange additional beds or alternative facilities where necessary.