Progress Toward Measles Elimination - Western Pacific Region, 2013-2017

During 2013-2016, a resurgence of measles occurred in Western Pacific Region, with large-scale outbreaks in Mongolia, the Philippines, and Vietnam, and increased endemic transmission in China; in 2014, annual incidence increased to 68.9 cases per million. However, with control of the outbreaks, in 2017, incidence decreased to a new historic low (5.2 per million).
Source: PHPartners.org - Category: International Medicine & Public Health Source Type: news

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Abstract In the Netherlands there has been nationwide vaccination against the measles since 1977. However, a tight-knit community of a few hundred thousand orthodox protestants in the "Dutch Bible Belt" refuses the vaccine. Within this community of orthodox protestants there has been an outbreak of the measles with roughly 2500 reported cases about every twelve years. Each outbreak has lasted about a year. The community of orthodox protestants is too small to permanently keep the virus in circulation and have the infection be endemic. The dynamics in orthodox-protestant schools has been widely recognized...
Source: Biosystems - Category: Biotechnology Authors: Tags: Biosystems Source Type: research
Nogueira PJ Abstract In Portugal, measles vaccination coverage and population immunity are high, and no endemic measles cases had been reported since 2004. The World Health Organization classified measles as eliminated in the country in 2015 and 2016, based on data from the previous 3 years. However, in a context of increasing incidence in several European countries in 2016 and 2017, Portugal experienced two simultaneous measles outbreaks with a total of 27 laboratory-confirmed cases (0.3 cases/100,000 population) in two health regions between February and May 2017. Nineteen cases (70.1%) were adults, of whom 12 w...
Source: Euro Surveill - Category: Infectious Diseases Authors: Tags: Euro Surveill Source Type: research
AbstractMeasles outbreaks were recently reported in Europe due to low immunization rates. In this scenario, identifying the reasons of no vaccination is crucial to set up strategies to improve immunization rate. A cross-sectional study was conducted to investigate the determinants of missed vaccination in children living in Southern Italy, during the 2016 outbreak. A standardized face-to-face questionnaire was used to record demographic data, immunization status, and reasons for missed vaccination. A total of 1141 children (median age 86  months, male 47.2%) was enrolled, 77.8% of the children were adequately vaccinat...
Source: European Journal of Pediatrics - Category: Pediatrics Source Type: research
Imported measles outbreaks starting with travelers have been successively observed in Japan and non-endemic countries despite a global effort towards measles elimination [1,2]. The Japanese government has been strongly promoting overseas study for young generations including those who were not born and raised in the era of two-dose MR vaccination policy in Japan. Specifically, those aged 19 –28 years (as of 2018) seem to have received a second-dose measles-containing vaccine as target populations for the governmental MR catch-up vaccination campaign [3]; however, vaccination coverage of the campaign did not reach an ...
Source: Travel Medicine and Infectious Disease - Category: Infectious Diseases Authors: Source Type: research
The recent news about an international tourist with measles who visited Santa Monica raised anew concerns about the potential for an outbreak of the disease, which has been all but eradicated in the United States.Measles remains endemic in many parts of the world, including popular tourist destinations in parts of Western Europe, and travelers need to be aware of the risks posed by the highly contagious disease. In the Santa Monica case, the traveler had visited several restaurants and hotels in Santa Monica from Aug. 8-10.UCLA HealthDr. Deborah Lehman“Measles is one of the most contagious disease we have, and the co...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news
Abstract Endemic measles transmission was interrupted for the first time in Ireland in 2015. In May 2016, a case of measles was confirmed in an adult who had travelled from Hungary to Ireland (index case). Cases subsequently arose in five of the eight public health regions around the country. There were 40 confirmed cases in Ireland between April and September 2016. All sequenced cases were genotype B3. Vaccination status was known for 34 cases, of whom 31 were unvaccinated. Median age was 8 years (range: 3 months to 40 years). Ten cases were nosocomial, and three cases were infected on separate international flig...
Source: Euro Surveill - Category: Infectious Diseases Authors: Tags: Euro Surveill Source Type: research
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 010 Peer Reviewer: Dr Jennifer Ho, ID physician QLD, Australia You are an ED doc working in Perth over schoolies week. An 18 yo man comes into ED complaining of fever, rash a “cracking headache” and body aches. He has just hopped off the plane from Bali where he spent the last 2 weeks partying, boozing and running amok. He got bitten by “loads” of mosquitoes because he forgot to take insect repellent. On e...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine arthralgia dengue fever rash Source Type: blogs
Abstract Modified measles (M-Me), characterized by milder symptoms than typical measles (T-Me), has been increasing in Japan, but M-Me dominated outbreak has not been investigated sufficiently worldwide. During March-April 2017, there was the largest importation-related outbreak of measles with genotype D8 in Yamagata, Japan, after Japan had achieved measles elimination in 2015. We confirmed 60 cases by detecting measles virus (MeV) genome, among whom 38 M-Me and 22 T-Me cases were identified. Thirty-nine cases (65.0%) were between 20-39 years of age. Three out of seven primary cases produced 50 transmissions, in ...
Source: Japanese Journal of Infectious Diseases - Category: Infectious Diseases Authors: Tags: Jpn J Infect Dis Source Type: research
In conclusion, RT-PCR of buccal specimens had the highest diagnostic yield during a mumps outbreak in a partially vaccinated population. To optimize mumps diagnostic potential, clinicians should collect specimens depending on when the patient presents for care and their immunization history.
Source: Journal of Clinical Microbiology - Category: Microbiology Authors: Tags: Virology Source Type: research
Conclusion. Despite the development of an effective vaccination, unfortunately measles continues to threaten the lives of millions of children worldwide each year. The suboptimal immunisation level in Italy has led to an increase in the transmission of measles with detrimental effects on both public health and ongoing measles elimination efforts.
Source: Journal of Preventive Medicine and Hygiene - Category: International Medicine & Public Health Source Type: research
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