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Measles in a highly vaccinated society: the 2007-08 outbreak in Israel
Emilia Anis1, Itamar Grotto, Larisa Moerman
1Ministry of Health, Jerusalem 93591, Israel. emilia.anis@moh.health.gov.il
Background:
Despite success in controlling measles through a national immunization program, Israel recently experienced its largest measles outbreak since 1994.
Methods:
Using data reported by health district offices to the Ministry of Health, an epidemiological analysis of the 2007-08 measles outbreak was performed.
Results:
1467 measles cases were reported in Israel, primarily among ultra-orthodox Jewish communities in the Jerusalem Health District and to a lesser extent in other areas. The highest age-specific incidence rate (122.5 per 100,000) occurred among infants. 38.6% of all measles patients were under the age of five, and 53.4% were under the age of ten. 186 patients (12.7%) were hospitalized; there were no fatalities. Only 4.6% of measles patients had been fully vaccinated for their age.
Conclusion:
To minimize the risk of future outbreaks in Israel, successful marketing of the MMR vaccine to under-vaccinated sub-groups is essential.
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