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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Centre for Disease Prevention and Control (ECDC)
2020
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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. |
format | Online Article Text |
id | pubmed-7043052 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | European Centre for Disease Prevention and Control (ECDC) |
record_format | MEDLINE/PubMed |
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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