DHAKA — Three more children have died with measles-like symptoms in Bangladesh over the latest 24-hour reporting period, taking the number of child deaths associated with confirmed measles and suspected measles symptoms to 840 since March 15, according to the Directorate General of Health Services (DGHS).
The latest deaths were reported in Sylhet, Mymensingh and Rangpur, with one child dying in each division, according to the DGHS’s regular measles situation report released on Wednesday.
The figures underscore the continuing severity of an outbreak that has spread widely across Bangladesh and placed particularly young and unvaccinated children at risk.
According to the DGHS data, 872 additional children were reported with confirmed measles or measles-like symptoms during the latest reporting period. Of them, measles was confirmed in 121 children, while another 751 developed symptoms consistent with the disease.
Since March 15, the cumulative number of children affected by confirmed measles or measles-like illness has reached 145,241. Of those, 16,180 children have been confirmed as measles cases, while 129,061 have been recorded as suspected cases based on symptoms.
The death toll has also continued to climb amid criticism of the interim government led by Nobel laureate Muhammad Yunus over its decision to halt measles vaccinations for children in Bangladesh despite requests from UNICEF to continue the program. The DGHS has recorded 744 deaths among children with measles-like symptoms since March 15, while another 96 children died after measles was confirmed, bringing the combined death toll to 840.
More Than 111,000 Hospitalized
The scale of hospitalization has been particularly severe.
According to the DGHS report, 111,674 children with measles-like symptoms have been admitted to hospitals since March 15. During the same period, 107,397 have been discharged after receiving treatment.
The continuing rise in cases and deaths comes months after international health agencies warned that Bangladesh was experiencing widespread measles transmission.
On April 4, Bangladesh’s National International Health Regulations focal point formally notified the World Health Organization of a significant increase in measles cases driven by sustained domestic transmission. By mid-April, cases had already been reported in 58 of the country’s 64 districts.
At that stage, children under five accounted for the overwhelming majority of reported infections. WHO said 79 percent of cases were among children younger than five, while 66 percent involved children under two. Many of the deaths were occurring among unvaccinated children younger than two.
The latest DGHS figures show that the outbreak has grown dramatically since those early warnings.
Vaccination Gaps Left Young Children Vulnerable
Public health authorities have repeatedly emphasized that measles is highly contagious but preventable through vaccination.
WHO has linked the outbreak’s severity to gaps in immunization coverage, particularly among children who had received no measles vaccine or had not completed the recommended doses.
Speaking during WHO’s coverage of Bangladesh’s emergency response earlier this year, Dr. Jahangir Alam, WHO’s divisional coordinator for Dhaka, warned that even relatively small gaps in vaccination coverage could allow the virus to spread rapidly.
“Measles is one of the most contagious diseases,” Alam said while discussing the outbreak and emergency vaccination campaign. “Even small gaps in immunization coverage can trigger outbreaks. Every missed child increases the risk, but this is a disease we can prevent.”
UNICEF has similarly warned that at least 95 percent of children need to receive two doses of measles vaccine to achieve the level of population immunity required to stop sustained transmission. The agency said accumulated gaps in vaccination coverage, rather than a single event, can leave enough susceptible children for a major outbreak to develop.
An April UNICEF situation report found that 72 percent of children affected at that stage of the outbreak had received no measles vaccine, while another 16 percent were only partially vaccinated. Children under five accounted for 81 percent of cases in the early phase of the outbreak.
Outbreak Grew Rapidly From March
The scale of the current outbreak becomes clearer when the latest figures are compared with data from its early stages.
As of April 7, UNICEF recorded 9,883 suspected cases and 1,398 laboratory-confirmed infections nationwide, with at least 128 suspected deaths and 21 confirmed deaths.
By April 14, WHO reported 19,161 suspected cases, 2,973 laboratory-confirmed cases, 166 suspected measles-related deaths and 30 confirmed deaths. Cases had already been detected across all eight divisions and in 58 of Bangladesh’s 64 districts.
The DGHS figures released Wednesday now put the cumulative burden since March 15 at 145,241 confirmed and suspected cases and 840 deaths, illustrating how extensively the disease continued to spread after the initial surge.
A Preventable Disease With Potentially Severe Consequences
Measles spreads through the air when an infected person breathes, coughs or sneezes and is among the world’s most contagious infectious diseases. Although many children recover, the disease can cause serious complications, particularly among infants, malnourished children and those who have not been vaccinated.
Complications can include pneumonia, severe diarrhea, dehydration, encephalitis and, in the most serious cases, death.
The disproportionate impact on young children has remained one of the defining features of Bangladesh’s outbreak. WHO’s early surveillance showed that infants and children younger than two accounted for a particularly large proportion of infections and deaths.
With hundreds of children already dead and more than 100,000 requiring hospitalization since mid-March, the continuing deaths highlight the challenge facing health authorities even after the rollout of emergency vaccination.
The immediate priority remains interrupting transmission, ensuring children who missed routine immunization are vaccinated and providing timely treatment to those who develop severe complications.
