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4 Aug 2017

#Epidemiological #update: #Measles–monitoring #European #outbreaks, 4 August 2017 (@ECDC_EU, edited)


Title: #Epidemiological #update: #Measles–monitoring #European #outbreaks, 4 August 2017.

Subject: Measles virus activity across European Region, weekly report.

Source: European Centre for Disease Prevention and Control (ECDC), full page: (LINK).

Code: [     ]

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Epidemiological update: Measles - monitoring European outbreaks, 4 August 2017

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Summary

  • Romania and Italy have been experiencing large outbreaks of measles in 2017.
  • Cases continue to be reported despite ongoing response measures (reinforced vaccination activities) at the national level.
  • All EU/EEA countries have reported measles cases this year, except for Latvia, Liechtenstein, Malta and Norway.


Update of the week

  • Updates were received from the following EU/EEA countries (see also below):
    • Belgium,
    • the Czech Republic,
    • Finland,
    • Germany,
    • Italy,
    • Romania and
    • the United Kingdom.
  • Several other countries have also reported outbreaks. According to national public health authorities, measles have caused 40 deaths in several EU countries in 2016 and 2017 due to current outbreaks.
  • In 2016, deaths occurred in Romania (12) and the UK (1).
  • In 2017, deaths were reported from Romania (20), Italy (3), Bulgaria (1), Germany (1), Portugal (1) and France (1).



Epidemiological summary

  • EU/EEA countries with updates since last week:
    • Belgium
      • From late June until 26 July 2017: outbreak in a Ghent prison with 19 cases (14 prisoners and five staff members).
    • Czech Republic
      • Three additional cases since the report on 23 June 2017.
      • Since the beginning of 2017 and as of 30 July, the Czech Republic reported 133 measles cases.
      • During the same time period in 2016, the Czech Republic reported four cases.
    • Finland
      • On 3 August 2017, Finland reported a cluster of four measles cases among Finnish travellers returning from Italy.
      • All cases had been vaccinated twice against measles and had mild rash and fever symptoms.
      • Since the beginning of the year and as of 3 August 2017, and adding the cluster above, eight cases of measles have been reported in Finland , compared with one for the same time period in 2016.
    • Germany
      • An increase of 13 cases since the last report on 28 July 2017 was reported.
      • Since the beginning of 2017 and as of 2 August, Germany reported 814 measles cases.
      • During the same time period in 2016, Germany reported 196 cases.
    • Italy
      • An increase of 159 cases since the last report on 28 July 2017 was reported.
      • Since the beginning of 2017 and as of 1 August, Italy reported 4 001 cases, including three deaths.
      • Among the cases, 275 are healthcare workers.
      • The median age is 27 years, 89% of the cases were not vaccinated, and 6% received only one dose of vaccine.
      • During the same time period in 2016, Italy reported 522 cases.
    • Romania
      • An increase of 101 cases since the last report on 28 July 2017 was reported.
      • Since 1 January 2016 and as of 28 July 2017, Romania reported 8 347 cases, including 32 deaths.
      • Of these, 1 969 cases were reported during 2016, and 6 378 cases were reported between January 2017 and 28 July.
    • United Kingdom
      • Public Health Wales reported two additional cases related to the outbreak in Newport and Torfaen, bringing the number of cases related to this outbreak to 12.
      • Since the last report on 28 July 2017, England and Wales report an increase by 40 cases.
      • Since the beginning of 2017 and as of 30 July 2017, England and Wales report 962 cases.
      • In the same time period in 2016, they reported 996 cases.


ECDC assessment

  • Measles outbreaks continue to occur in EU/EEA countries.
  • There is a risk of spread and sustained transmission in areas with susceptible populations.
  • Vaccination with two doses remains the most effective measure.


Actions

  • All EU/EEA countries report measles cases on a monthly basis to ECDC, and these data are published every month.
  • Since 10 March 2017, ECDC has been reporting on measles outbreaks in Europe on a weekly basis.
  • ECDC also monitors worldwide outbreaks on a monthly basis through epidemic intelligence activities.
  • ECDC published a rapid risk assessment on 6 March 2017

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Keywords: Measles; Romania; Italy; ECDC; European Region; Updates.

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