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Updated: Jul 2, 2026

Microbiological Rapid On-Site Evaluation for Pulmonary Infectious Diseases
Published on: March 1, 2024
Effective control measures limited measles outbreak after extensive nosocomial exposures in January-February 2008 in
P Follin1, L Dotevall, M Jertborn
1Department of Communicable Disease Prevention and Control, Region Västra Götaland, Sweden. per.follin@vgregion.se
Abstract:
In January-February 2008, one imported case of measles initiated a series of exposures with around 380 nosocomial secondary contacts. Susceptible individuals were traced early and control measures were initiated that managed to limit the consequences considerably. Only four secondary cases were identified by the end of March. This minor outbreak illustrates the importance and efficiency of early control measures as well as the fact that the risk of measles outbreaks still exists in a country that has high measles, mumps, rubella vaccination coverage among children.
Insights
Early control measures effectively limited a measles outbreak originating from a single imported case, despite high vaccination rates. This highlights the continued risk and importance of prompt public health interventions for infectious diseases.
Area of Science:
- Epidemiology
- Public Health
- Infectious Disease Control
Background:
- Measles outbreaks pose a significant public health risk, even in regions with high vaccination coverage.
- Nosocomial (hospital-acquired) infections can rapidly spread from a single imported case.
Purpose of the Study:
- To assess the effectiveness of early control measures in managing a measles outbreak.
- To evaluate the risk of measles transmission in a highly vaccinated population.
Main Methods:
- Tracing of approximately 380 nosocomial secondary contacts following an imported measles case.
- Early initiation of control measures to prevent further transmission.
- Monitoring of secondary case development.
Main Results:
- Only four secondary measles cases were identified.
- The outbreak was successfully contained by the end of March.
- Early detection and intervention significantly limited the spread.
Conclusions:
- Prompt implementation of control measures is crucial for containing infectious disease outbreaks.
- Even with high measles, mumps, and rubella (MMR) vaccination coverage, the risk of measles outbreaks persists.
- Vigilance and rapid response remain essential for public health protection.
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