Ongoing measles outbreak in Wallonia, Belgium, December 2016 to March 2017: characteristics and challenges

Tine Grammens1, Carole Schirvel2, Sylvie Leenen2

  • 1Service of Epidemiology of Infectious Diseases, Department of Public Health and Surveillance, Scientific Institute of Public Health, Brussels, Belgium.

Insights

An ongoing measles outbreak in Wallonia, Belgium, has seen 177 cases, with adults significantly affected. Challenges in control measures include late reporting and low vaccination coverage, complicating outbreak management.

Area of Science:

  • Epidemiology
  • Public Health

Background:

  • Measles outbreaks pose significant public health challenges.
  • Effective control measures are crucial for disease containment.

Purpose of the Study:

  • To describe the characteristics of a measles outbreak in Wallonia, Belgium.
  • To identify difficulties encountered in implementing control measures.

Main Methods:

  • Retrospective analysis of notified measles cases.
  • Data collection on case demographics, clinical presentation, and vaccination status.
  • Assessment of challenges in outbreak control.

Main Results:

  • 177 measles cases notified by March 12, 2017.
  • 50% of cases were 15 years or older; 49% were female.
  • Adults experienced atypical presentations and severe complications.

Conclusions:

  • Outbreak management is hindered by late case notification.
  • Low or unknown vaccination coverage among contacts is a major concern.
  • Infected healthcare workers and increased workload for contact tracing complicate control efforts.