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Updated: May 14, 2026

Microbiological Rapid On-Site Evaluation for Pulmonary Infectious Diseases
Published on: March 1, 2024
Measles in health-care settings
Helena C Maltezou1, Sabine Wicker
1Department for Interventions in Health Care Facilities, Hellenic-Centre for Disease, Control and Prevention, Athens, Greece. helen-maltezou@ath.forthnet.gr
Measles is re-emerging due to low vaccination rates and increased travel. Vaccinating healthcare workers is crucial to prevent outbreaks in hospitals and protect vulnerable patients.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Measles is re-emerging globally despite vaccine availability.
- Low vaccination coverage, anti-vaccination movements, and increased travel contribute to outbreaks.
- Healthcare settings are critical for measles transmission and nosocomial spread.
Purpose of the Study:
- To highlight the role of healthcare settings in measles transmission.
- To emphasize the importance of healthcare worker vaccination in preventing outbreaks.
- To discuss strategies for measles elimination.
Main Methods:
- Review of existing literature on measles epidemiology and nosocomial outbreaks.
- Analysis of factors contributing to measles re-emergence.
- Evaluation of the impact of vaccination strategies in healthcare settings.
Main Results:
- Healthcare-associated measles outbreaks lead to severe morbidity, mortality, and service disruption.
- Misdiagnosis and inadequate infection control facilitate nosocomial spread.
- Measles vaccination of healthcare workers is an effective preventive measure.
Conclusions:
- Eliminating measles requires addressing insufficient vaccination coverage in subpopulations.
- Strengthening measles vaccination recommendations for healthcare workers is vital.
- Increased vaccination coverage among healthcare workers can contribute to overall measles elimination.
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