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Ongoing measles outbreak in Greece related to the recent European-wide epidemic

T Georgakopoulou1, E Horefti2, A Vernardaki1

  • 1Department of Epidemiological Surveillance and Intervention,Hellenic Centre for Disease Control and Prevention,Athens,Greece.

Epidemiology and Infection
|August 9, 2018
PubMed

Insights

Greece experienced a significant measles outbreak starting in May 2017, primarily impacting unvaccinated Roma children and spreading to other populations. Public health efforts focused on vaccination to control the spread and prevent wider transmission.

Area of Science:

  • Epidemiology
  • Public Health
  • Infectious Diseases

Background:

  • Measles outbreak reported in Greece following three years of no local transmission.
  • Initial cases involved unvaccinated Roma siblings, with spread to broader populations.

Purpose of the Study:

  • To report on the epidemiology and characteristics of the measles outbreak in Greece.
  • To evaluate the impact of public health interventions during the outbreak.

Main Methods:

  • Mandatory notification system for case reporting.
  • Molecular methods (genotyping) for virus identification.
  • Analysis of case demographics, vaccination status, hospitalizations, and complications.

Main Results:

  • 3150 cases reported across all 13 regions, peaking in early 2018.
  • Majority of cases (60.6%) were Roma, predominantly children; 29.3% were non-minority Greeks.
  • 80.4% of cases were unvaccinated; 4.1% were healthcare workers. Genotype B3 identified.
  • 61.3% hospitalized, 17.1% experienced complications, including four deaths.

Conclusions:

  • The outbreak highlighted vulnerabilities in vaccination coverage, particularly among specific ethnic groups and children.
  • Public health measures, including vaccination campaigns and awareness among healthcare workers, were crucial in controlling the outbreak.
  • Targeted vaccination efforts successfully prevented widespread transmission in vulnerable settings like refugee/migrant sites.
Keywords:
EpidemiologyGreecemeaslesoutbreak

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