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The state of measles and rubella in the WHO European Region, 2013

M Muscat1, A Shefer, M Ben Mamou

  • 1World Health Organization Regional Office for Europe, Copenhagen, Denmark.

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
|February 14, 2014
PubMed

Insights

Measles and rubella remain prevalent in the WHO European Region despite vaccination efforts. Continued political commitment and enhanced surveillance are crucial for disease elimination.

Area of Science:

  • Epidemiology
  • Public Health
  • Vaccinology

Background:

  • Measles and rubella continue to pose public health challenges in the WHO European Region.
  • Widespread vaccination programs have not yet achieved the goal of disease elimination by 2015.

Purpose of the Study:

  • To review the epidemiology of measles and rubella in the WHO European Region.
  • To analyze surveillance data in relation to disease elimination goals.

Main Methods:

  • Analysis of reported measles and rubella cases by country for 2012 and 2013.
  • Detailed examination of 2013 data including age, confirmation status, vaccination, hospitalization, and importation.
  • Reporting of measles-related deaths.

Main Results:

  • In 2013, there were 31,520 measles cases and 39,367 rubella cases reported in the Region.
  • Most measles cases occurred in unvaccinated individuals, with over a third aged 20 years and older.
  • Poland reported 98% of all rubella cases in 2013.

Conclusions:

  • High population immunity and robust surveillance systems are essential for measles and rubella elimination.
  • Sustained political commitment and accelerated actions are necessary to achieve elimination in the WHO European Region.
Keywords:
Disease eliminationgenotypingmeaslesrubellasurveillancevaccination

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