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[Elimination of measles in the WHO European Region-challenges persist]

Mark Muscat1, Myriam Ben Mamou2, Simarjit Singh2

  • 1Programm für durch Impfung vermeidbare Krankheiten und Immunisierung, Weltgesundheitsorganisation, Regionalbüro für Europa, 2100, Kopenhagen, Dänemark. muscatm@who.int.

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
|March 20, 2019
PubMed
Abstract

Insights

Measles cases surged in Europe in 2018 after a decade of decline, with most cases in unvaccinated individuals. Achieving measles elimination requires high vaccination rates and robust surveillance across all WHO European Member States.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Disease Control

Background:

  • Measles incidence significantly decreased in the WHO European Region over recent decades.
  • By 2017, 43 member states had interrupted endemic measles transmission.
  • However, a sharp increase in measles cases was observed in 2018.

Purpose of the Study:

  • To assess the current status of measles in the WHO European Region concerning elimination goals.
  • To identify challenges and necessary actions for achieving measles elimination.

Main Methods:

  • Utilized measles surveillance data submitted by all 53 WHO European Member States for 2017 and 2018.
  • Determined country-specific measles elimination status based on the 2018 European Regional Verification Commission for Measles and Rubella Elimination report.

Main Results:

  • In 2017, 25,863 measles cases were reported across 44 countries; this rose to 82,596 cases in 47 countries in 2018.
  • Ukraine and Serbia reported the highest number of cases. Of the vaccinated cases, 62% were unvaccinated.
  • Seventy-two measles-related deaths were reported from 10 countries.

Conclusions:

  • High population immunity and accurate epidemiological surveillance are critical for measles elimination in the European Region.
  • Sustained political commitment from all Member States is essential to achieve the measles elimination goal.
Keywords:
Disease eliminationGenotypingMeaslesSurveillanceVaccination

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