1887
  1. Home
  2. Eurosurveillance
  3. Volume 22, Issue 17, 27/Apr/2017
  4. Article
Rapid communication Open Access
Like 0
Download

Abstract

We describe characteristics of an ongoing measles outbreak in Wallonia, Belgium, and difficulties in control measures implementation. As at 12 March 2017, 177 measles cases were notified, of which 50% were 15 years and older, 49% female. Atypical clinical presentation and severe complications, mainly among adults, in combination with late notification, low or unknown vaccination coverage of contacts, infected healthcare workers and increased workload due to contact tracing, are the main concerns for outbreak management.

© Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2017.22.17.30524
2017-04-27
2024-11-21
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2017.22.17.30524
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/22/17/eurosurv-22-30524-2.html?itemId=/content/10.2807/1560-7917.ES.2017.22.17.30524&mimeType=html&fmt=ahah

References

  1. Fédération Wallonie-Bruxelles. Agence pour une Vie de Qualité (AVIQ). Déclaration des maladies transmissibles. [Notification of infectious diseases]. [Accessed: 7 April 2017]. French. Available from: https://www.wiv-isp.be/matra/cf/connexion.aspx/
  2. Grammens T, Maes V, Hutse V, Laisnez V, Schirvel C, Trémérie JM, et al. Different measles outbreaks in Belgium, January to June 2016 - a challenge for public health. Euro Surveill. 2016;21(32):30313.  https://doi.org/10.2807/1560-7917.ES.2016.21.32.30313  PMID: 27541858 
  3. European Commission. Commission implementing Decision of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council Official Journal of the European Union. Luxembourg: Publications Office of the European Union. Communities. 3.4.2002:L 86/44. Available from: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2012:262:0001:0057:EN:PDF
  4. World Health Organization Regional Office for Europe (WHO/Europe). Guidelines for measles and rubella outbreak investigation and response in the WHO European Region. Copenhagen: WHO/Europe; 2013. Available from: http://www.euro.who.int/__data/assets/pdf_file/0003/217164/OutbreakGuidelines-updated.pdf?ua=1
  5. European Centre for Disease Prevention and Control (ECDC). Rapid Risk Assessment. Ongoing outbreak of measles in Romania, risk of spread and epidemiological situation in EU/EEA countries - 3 March 2017, Stockholm. ECDC; 2017. Available from: http://ecdc.europa.eu/en/publications/Publications/27-02-2017-RRA-Measles-Romania,%20European%20Union%20countries.pdf
  6. World Health Organization (WHO). Measles Nucleotide Surveillance (MeaNS) Database. Geneva: WHO. [Accessed: 7 Apr 2017]. Available from: http://www.hpa-bioinformatics.org.uk/Measles/Public/Web_Front/main.php
  7. Agence pour une Vie de Qualité (AVIQ). Rougeole. [Measles]. Charleroi: AVIQ. [Accessed 7 Apr 2017]. French. Available from: https://www.wiv-isp.be/matra/Fiches/Rougeole.pdf
  8. Agence pour une Vie de Qualité (AVIQ). L'épidémie de rougeole est toujours en phase ascendante. Communiqué de presse AVIQ 9 mars 2017. [Measles epidemic is still increasing. Press Communication AVIQ 9 March 2017]. Charleroi: AVIQ. French. Available from: https://www.wiv-isp.be/matra/PDFs/090317%20-%20AViQ%20topo%20rougeole%2010%20jours%20apr%C3%A8s%20communiqu%C3%A9%20Vfinale.pdf
  9. Agence pour une Vie de Qualité (AVIQ). Recrudescence des cas de rougeole: l'AVIQ surveille et appelle la population à la vigilance! Communiqué de presse AVIQ 24 février 2017. [Measles recrudescence: AVIQ is monitoring and calling the population to vigilance! Press Communication AVIQ 24 February 2017]. Charleroi: AVIQ. French. Available from: https://www.wiv-isp.be/Matra/PDFs/240217-%20AViQ%20communiqu%C3%A9%20de%20presse%20Rougeole.pdf
  10. Office de la Naissance et de l'Enfance (ONE). Epidémie de rougeole. Communication ONE 6 March 2017. [Measles epidemic. Communication ONE 6 March 2017]. Bruxelles: ONE. French. Available from: http://www.one.be/parents/accompagnement-actualites/accompagnement-details/epidemie-de-rougeole/
  11. Agence pour une Vie de Qualité (AVIQ). Flash Maladies infectieuses. [News Flash Infectious diseases]. Charleroi: AVIQ. [Accessed: 10 Apr 2017]. French. Available from: https://www.wiv-isp.be/matra/PDFs/flash201704.pdf
  12. e-Vax. Alerte épidémie rougeole. [Alert Measles epidemic]. Mont-Saint-Guibert: e-Vax. [Accessed 10 Apr 2017]. French. Available from: http://www.provac.org/pdf/AlerteEpidemieRougeole_201703.pdf
  13. Sabbe M, Hue D, Hutse V, Goubau P. Measles resurgence in Belgium from January to mid-April 2011: a preliminary report. Euro Surveill. 2011;16(16):19848. PMID: 21527134 
  14. Vermeeren A, Goffin F. Statistique de couverture vaccinale en 6ième primaire en Fédération Wallonie-Bruxelles en 2015-2016. [Statistics of vaccination coverage in 6th year of primary school in Wallonia-Brussels]. Brussels: Provac; 2016. French.
  15. Botelho-Nevers E, Cassir N, Minodier P, Laporte R, Gautret P, Badiaga S, et al. Measles among healthcare workers: a potential for nosocomial outbreaks. Euro Surveill. 2011;16(2):19764. PMID: 21251488 
  16. Botelho-Nevers E, Gautret P, Biellik R, Brouqui P. Nosocomial transmission of measles: an updated review. Vaccine. 2012;30(27):3996-4001.  https://doi.org/10.1016/j.vaccine.2012.04.023  PMID: 22521843 
  17. Filia A, Amendola A, Faccini M, Del Manso M, Senatore S, Bianchi S, et al. Outbreak of a new measles B3 variant in the Roma/Sinti population with transmission in the nosocomial setting, Italy, November 2015 to April 2016. Euro Surveill. 2016;21(20):30235.  https://doi.org/10.2807/1560-7917.ES.2016.21.20.30235  PMID: 27240004 
  18. Maltezou HC, Wicker S. Measles in health-care settings. Am J Infect Control. 2013;41(7):661-3.  https://doi.org/10.1016/j.ajic.2012.09.017  PMID: 23352075 
  19. Guillet M, Vauloup-Fellous C, Cordier AG, Grangeot-Keros L, Benoist G, Nedellec S, et al. Rougeole chez la femme enceinte : mise au point. [Measles in pregnancy: a review]. J Gynecol Obstet Biol Reprod (Paris). 2012;41(3):209-18. French.  https://doi.org/10.1016/j.jgyn.2012.01.008  PMID: 22406030 
  20. Leuridan E, Sabbe M, Van Damme P. Measles outbreak in Europe: susceptibility of infants too young to be immunized. Vaccine. 2012;30(41):5905-13.  https://doi.org/10.1016/j.vaccine.2012.07.035  PMID: 22841972 
  21. e-Vax. [Electronic registration system for vaccination]. Mont-Saint-Guibert: e-Vax. [Accessed 10 Apr 2017]. French. Available from: https://www.e-vax.be/
  22. World Health Organization (WHO) Regional Office for Europe. 5th Meeting of the European Regional Verification Commission for Measles and Rubella Elimination (RVC). Copenhagen: WHO/Europe; 2016. Available from: http://www.euro.who.int/__data/assets/pdf_file/0005/330917/5th-RVC-meeting-report.pdf?ua=1
  23. World Health Organization (WHO). Global measles and rubella strategic plan 2012-2020. Geneva: WHO. [Accessed 10 Apr 2017]. Available from: http://apps.who.int/iris/bitstream/10665/44855/1/9789241503396_eng.pdf
  24. European Centre for Disease Prevention and Control (ECDC). Monthly measles epidemiological updates. Stockholm: ECDC. [Accessed 25 Apr 2017]. Available from: http://ecdc.europa.eu/en/healthtopics/measles/epidemiological_data/Pages/measles_surveillance_reports.aspx
  25. Statistics Belgium. SPF Economie. Population - Chiffres population 2010-2016. [Population. Population numbers 2010-2016]. Brussels: Statistics Belgium. [Accessed 26 Apr 2017]. French. Available from: http://statbel.fgov.be/fr/modules/publications/statistiques/population/population_-_chiffres_population_2010_-_2012.jsp
Ongoing measles outbreak in Wallonia, Belgium, December 2016 to March 2017: characteristics and challenges
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Tine+Grammens&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Grammens Tine</a>, <a href="/search?value1=Carole+Schirvel&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Schirvel Carole</a>, <a href="/search?value1=Sylvie+Leenen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Leenen Sylvie</a>, <a href="/search?value1=Nathalie+Shodu&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Shodu Nathalie</a>, <a href="/search?value1=Veronik+Hutse&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hutse Veronik</a>, <a href="/search?value1=Elise+Mendes+da+Costa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mendes da Costa Elise</a>, <a href="/search?value1=Martine+Sabbe&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sabbe Martine</a></span>. Ongoing measles outbreak in Wallonia, Belgium, December 2016 to March 2017: characteristics and challenges. <a href="/content/ecdc">Euro Surveill.</a> 2017;22(17):pii=30524. <a href="https://doi.org/10.2807/1560-7917.ES.2017.22.17.30524" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2017.22.17.30524</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 11 Apr 2017;&nbsp;&nbsp; <span class="generated">Accepted</span>: 27 Apr 2017 </span> </p>
/content/10.2807/1560-7917.ES.2017.22.17.30524
/content/10.2807/1560-7917.ES.2017.22.17.30524
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error