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Measles outbreak in Dubrovnik-Neretva County, Croatia, May to June 2018

In May 2018, measles was introduced in the Dubrovnik region by an adult who recently travelled to Kosovo*. Control measures and an outbreak investigation were implemented: 15 epidemiologically-linked cases met the outbreak case definition of a visitor/resident of Dubrovnik-Neretva County with labora...

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Autores principales: Tomljenovic, Morana, Lakic, Mato, Vilibic-Cavlek, Tatjana, Kurecic Filipovic, Sanja, Visekruna Vucina, Vesna, Babic-Erceg, Andrea, Ljubic, Miljenko, Pem Novosel, Iva, Ilic, Maja, Tabain, Irena, Ivancic-Jelecki, Jelena, Hansen, Lisa, Kaic, Bernard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Centre for Disease Prevention and Control (ECDC) 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7043052/
https://www.ncbi.nlm.nih.gov/pubmed/32098642
http://dx.doi.org/10.2807/1560-7917.ES.2020.25.7.1900434
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author Tomljenovic, Morana
Lakic, Mato
Vilibic-Cavlek, Tatjana
Kurecic Filipovic, Sanja
Visekruna Vucina, Vesna
Babic-Erceg, Andrea
Ljubic, Miljenko
Pem Novosel, Iva
Ilic, Maja
Tabain, Irena
Ivancic-Jelecki, Jelena
Hansen, Lisa
Kaic, Bernard
author_facet Tomljenovic, Morana
Lakic, Mato
Vilibic-Cavlek, Tatjana
Kurecic Filipovic, Sanja
Visekruna Vucina, Vesna
Babic-Erceg, Andrea
Ljubic, Miljenko
Pem Novosel, Iva
Ilic, Maja
Tabain, Irena
Ivancic-Jelecki, Jelena
Hansen, Lisa
Kaic, Bernard
author_sort Tomljenovic, Morana
collection PubMed
description In May 2018, measles was introduced in the Dubrovnik region by an adult who recently travelled to Kosovo*. Control measures and an outbreak investigation were implemented: 15 epidemiologically-linked cases met the outbreak case definition of a visitor/resident of Dubrovnik-Neretva County with laboratory-confirmed measles and symptom onset beginning on May 19. New cases were identified through hospitals and primary care physicians. Throat swabs, urine and/or serum samples were collected from outbreak cases. RT-PCR detection of viral RNA and IgM/IgG was used to confirm infection. The median age of cases was 33 years, with one 8 month-old infant. Vaccination status was unknown for 9 cases, three were unvaccinated, one case had history of one dose and two cases reported receiving two doses of measles-containing vaccine. There were 11 hospitalisations and one person developed pneumonia. Control teams undertook an extensive search of contacts and implemented a range of control measures. Despite the outbreak occurring at the beginning of the summer tourism season, it was contained and did not spread to neighbouring regions. With continuing measles transmission in Europe, even small outbreaks create a burden on the health system in countries which have eliminated measles, and illustrate the importance of maintaining high immunisation coverage.
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spelling pubmed-70430522020-03-12 Measles outbreak in Dubrovnik-Neretva County, Croatia, May to June 2018 Tomljenovic, Morana Lakic, Mato Vilibic-Cavlek, Tatjana Kurecic Filipovic, Sanja Visekruna Vucina, Vesna Babic-Erceg, Andrea Ljubic, Miljenko Pem Novosel, Iva Ilic, Maja Tabain, Irena Ivancic-Jelecki, Jelena Hansen, Lisa Kaic, Bernard Euro Surveill Outbreaks In May 2018, measles was introduced in the Dubrovnik region by an adult who recently travelled to Kosovo*. Control measures and an outbreak investigation were implemented: 15 epidemiologically-linked cases met the outbreak case definition of a visitor/resident of Dubrovnik-Neretva County with laboratory-confirmed measles and symptom onset beginning on May 19. New cases were identified through hospitals and primary care physicians. Throat swabs, urine and/or serum samples were collected from outbreak cases. RT-PCR detection of viral RNA and IgM/IgG was used to confirm infection. The median age of cases was 33 years, with one 8 month-old infant. Vaccination status was unknown for 9 cases, three were unvaccinated, one case had history of one dose and two cases reported receiving two doses of measles-containing vaccine. There were 11 hospitalisations and one person developed pneumonia. Control teams undertook an extensive search of contacts and implemented a range of control measures. Despite the outbreak occurring at the beginning of the summer tourism season, it was contained and did not spread to neighbouring regions. With continuing measles transmission in Europe, even small outbreaks create a burden on the health system in countries which have eliminated measles, and illustrate the importance of maintaining high immunisation coverage. European Centre for Disease Prevention and Control (ECDC) 2020-02-20 /pmc/articles/PMC7043052/ /pubmed/32098642 http://dx.doi.org/10.2807/1560-7917.ES.2020.25.7.1900434 Text en This article is copyright of the authors or their affiliated institutions, 2020. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.
spellingShingle Outbreaks
Tomljenovic, Morana
Lakic, Mato
Vilibic-Cavlek, Tatjana
Kurecic Filipovic, Sanja
Visekruna Vucina, Vesna
Babic-Erceg, Andrea
Ljubic, Miljenko
Pem Novosel, Iva
Ilic, Maja
Tabain, Irena
Ivancic-Jelecki, Jelena
Hansen, Lisa
Kaic, Bernard
Measles outbreak in Dubrovnik-Neretva County, Croatia, May to June 2018
title Measles outbreak in Dubrovnik-Neretva County, Croatia, May to June 2018
title_full Measles outbreak in Dubrovnik-Neretva County, Croatia, May to June 2018
title_fullStr Measles outbreak in Dubrovnik-Neretva County, Croatia, May to June 2018
title_full_unstemmed Measles outbreak in Dubrovnik-Neretva County, Croatia, May to June 2018
title_short Measles outbreak in Dubrovnik-Neretva County, Croatia, May to June 2018
title_sort measles outbreak in dubrovnik-neretva county, croatia, may to june 2018
topic Outbreaks
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7043052/
https://www.ncbi.nlm.nih.gov/pubmed/32098642
http://dx.doi.org/10.2807/1560-7917.ES.2020.25.7.1900434
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