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Management of a measles outbreak in a reception facility for asylum seekers in Regensburg, Germany

Benedikt M J Lampl1, Markus Lang1, Matthias Pregler1

  • 1Public Health Department Regensburg, Landratsamt Regensburg, Germany.

GMS Hygiene and Infection Control
|July 12, 2019
PubMed

Insights

A measles outbreak in a German asylum facility was contained to two cases through prompt public health interventions. Key factors included early communication, vaccination, and isolation of suspected cases.

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Outbreak Management

Background:

  • Measles outbreaks pose a significant risk in congregate settings, particularly for vulnerable populations.
  • Reception facilities for asylum seekers can be susceptible to infectious disease transmission due to population density and potential for delayed healthcare access.

Observation:

  • A measles outbreak occurred in July/August 2018 at a reception facility for asylum seekers in Regensburg, Bavaria, Germany.
  • The outbreak was limited to two confirmed cases (a five-year-old child and an 18-year-old man from Moldova) among 491 residents.
  • The facility housed a diverse population, including individuals from Moldova.

Findings:

  • Consistent application of infection control measures successfully limited the measles outbreak.
  • Effective containment was attributed to close collaboration between the local public health authority (Gesundheitsamt), district government, facility management, and general practitioners.
  • Key interventions included early information dissemination, timely and repeated containment vaccinations, segregation of suspected cases, and risk-adapted isolation of vulnerable cohorts.

Implications:

  • Demonstrates the critical importance of a coordinated, multi-agency response in managing infectious disease outbreaks in refugee reception centers.
  • Highlights the effectiveness of robust public health strategies, including vaccination and isolation, in preventing widespread transmission.
  • Emphasizes the need for proactive surveillance and rapid intervention protocols in high-risk congregate settings to protect public health.
Keywords:
asylum seekersinfection controlmeasles outbreakreception facility

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