1887
  1. Home
  2. Eurosurveillance
  3. Volume 23, Issue 20, 17/May/2018
  4. Article
Rapid communication Open Access
Like 0
Download

Abstract

A measles outbreak has been occurring in a healthcare setting in Porto, Portugal, since early March 2018, posing public health challenges for a central hospital and the community. Up to 22 April, 96 cases were confirmed, 67 in vaccinated healthcare workers, mostly between 18-39 years old. Following identification of the first cases, control measures were rapidly implemented. Concomitantly, other measles cases were notified in the Northern Region of the country. No common epidemiological link was identified.

© 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.2018.23.20.18-00224
2018-05-17
2024-11-21
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2018.23.20.18-00224
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/23/20/eurosurv-23-20-1.html?itemId=/content/10.2807/1560-7917.ES.2018.23.20.18-00224&mimeType=html&fmt=ahah

References

  1. Republic of Portugal [Directorate-General of Health]. (DGS). Doenças de notificação obrigatória [Clinical and laboratory mandatory notification of diseases] Despacho n.° 15385-A/2016, Diário da República, 2ª série; 243, 21 dezembro de 2016. Lisbon: DGS; 21 Dec 2016. Portuguese. Available from: https://dre.pt/application/conteudo/105574339
  2. 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 (notified under document C(2012) 5538). Official Journal of the European Union. Luxembourg: Publications Office of the European Union. 27.9.2012:L 262. Available from: http://eur-lex.europa.eu/legal-content/EN/TXT /?uri=OJ%3AL%3A2012%3A262%3ATOC
  3. Republic of Portugal – Directorate-General of Health (DGS). Boletim epidemiológico - Sarampo em Portugal. [Epidemiological Bulletin - Measles in Portugal]. Lisbon: DGS; Apr 2018. Portuguese. Available from: https://www.dgs.pt/em-destaque/sarampo-atualizacao-a-23-de-abril-pdf.aspx
  4. Strebel PM, Papania MJ, Fiebelkorn AP, Halsey NA. (2013) Measles vaccine (Chapter 20). In: Vaccines 6th Edition (eds. Plotkin SA, Orenstein WA, Offit PA) Elsevier Saunders, pp. 352–387
  5. Young MK, Nimmo GR, Cripps AW, Jones MA. Post-exposure passive immunisation for preventing measles. Cochrane Database Syst Rev. 2014; (4):CD010056. PMID: 24687262 
  6. World Health Organization (WHO). Global Measles and Rubella. Strategic Plan 2012-2020. Geneva: WHO; 2012. Available from: http://apps.who.int/iris/bitstream/handle/10665/44855/9789241503396_eng.pdf;jsessionid=21B25C70C9DF52B51343FC5B9471D8DE?sequence=1
  7. Moss WJ, Griffin DE. Global measles elimination. Nat Rev Microbiol. 2006;4(12):900-8.  https://doi.org/10.1038/nrmicro1550  PMID: 17088933 
  8. Dabbagh A, Patel MK, Dumolard L, Gacic-Dobo M, Mulders MN, Okwo-Bele JM, et al. Progress Toward Regional Measles Elimination - Worldwide, 2000-2016. MMWR Morb Mortal Wkly Rep. 2017;66(42):1148-53.  https://doi.org/10.15585/mmwr.mm6642a6  PMID: 29073125 
  9. Jia H, Ma C, Lu M, Fu J, Rodewald LE, Su Q, et al. Transmission of measles among healthcare Workers in Hospital W, Xinjiang Autonomous Region, China, 2016. BMC Infect Dis. 2018;18(1):36.  https://doi.org/10.1186/s12879-018-2950-y  PMID: 29329528 
  10. Heymann DL, editor. Measles in Control of Communicable Disease Manual, 19th edition. Washington D.C: American Public Health Association; 2008. 402-409
  11. George F, Valente J, Augusto GF, Silva AJ, Pereira N, Fernandes T, et al. Measles outbreak after 12 years without endemic transmission, Portugal, February to May 2017. Euro Surveill. 2017;22(23):30548.  https://doi.org/10.2807/1560-7917.ES.2017.22.23.30548  PMID: 28661392 
  12. Republic of Portugal – Directorate-General of Health (DGS). Avaliação do programa nacional de vacinação e melhoria do seu custo-efetividade: 2.° inquérito serológico nacional: Portugal Continental 2001-2002. [Evaluation of the National Immunisation Programme and improvement of its cost- effectiveness: 2nd National Serological Survey – Continental Portugal 2001-2002]. Lisbon: DGS; 2004. Portuguese. Available from: www.dgs.pt/ficheiros-de-upload-1/2-inquerito-serologico-nacional-livro-pdf.aspx
  13. Republic of Portugal – Directorate-General of Health (DGS).Boletim do Programa Nacional de Vacinação [National Immunisation Programme Bulletin]. Lisbon: DGS; May 2018. Portuguese. Available from: https://www.dgs.pt/documentos-e-publicacoes/avaliacao-do-programa-nacional-de-vacinacao-2017-pdf.aspx
  14. Republic of Portugal – Directorate-General of Health (DGS). Programa Nacional para a Eliminação do Sarampo. [National Programme for Measles Elimination]. Lisbon: DGS; Mar 2013. Portuguese. Available from: https://www.dgs.pt/documentos- e-publicacoes/programa-nacional-de-eliminacao-do-sarampo- jpg.aspx.
  15. Hahné SJ, Nic Lochlainn LM, van Burgel ND, Kerkhof J, Sane J, Yap KB, et al. Measles Outbreak Among Previously Immunized Healthcare Workers, the Netherlands, 2014. J Infect Dis. 2016;214(12):1980-6.  https://doi.org/10.1093/infdis/jiw480  PMID: 27923955 
  16. Ma R, Lu L, Zhangzhu J, Chen M, Yu X, Wang F, et al. A measles outbreak in a middle school with high vaccination coverage and evidence of prior immunity among cases, Beijing, P.R. China. Vaccine. 2016;34(15):1853-60.  https://doi.org/10.1016/j.vaccine.2015.11.006  PMID: 26589518 
  17. Perry RT, Halsey NA. The clinical significance of measles: a review. J Infect Dis. 2004;189(s1) Suppl 1;S4-16.  https://doi.org/10.1086/377712  PMID: 15106083 
Measles outbreak in a tertiary level hospital, Porto, Portugal, 2018: challenges in the post-elimination era
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Rita+S%C3%A1+Machado&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sá Machado Rita</a>, <a href="/search?value1=Mariana+Perez+Duque&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Perez Duque Mariana</a>, <a href="/search?value1=Soraia+Almeida&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Almeida Soraia</a>, <a href="/search?value1=Ivo+Cruz&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Cruz Ivo</a>, <a href="/search?value1=Ana+Sottomayor&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sottomayor Ana</a>, <a href="/search?value1=Isabel+Almeida&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Almeida Isabel</a>, <a href="/search?value1=J%C3%BAlio++R+Oliveira&option1=author&noRedirect=true" class="nonDisambigAuthorLink">R Oliveira Júlio </a>, <a href="/search?value1=Delfina+Antunes&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Antunes Delfina</a></span>. Measles outbreak in a tertiary level hospital, Porto, Portugal, 2018: challenges in the post-elimination era. <a href="/content/ecdc">Euro Surveill.</a> 2018;23(20):pii=18-00224. <a href="https://doi.org/10.2807/1560-7917.ES.2018.23.20.18-00224" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2018.23.20.18-00224</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 30 Apr 2018;&nbsp;&nbsp; <span class="generated">Accepted</span>: 17 May 2018 </span> </p>
/content/10.2807/1560-7917.ES.2018.23.20.18-00224
/content/10.2807/1560-7917.ES.2018.23.20.18-00224
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