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[Measles outbreaks in the Bern canton]

A M Maurer1, K Mühlemann

  • 1Institut für Medizinische Mikrobiologie, Universität Bern.

Schweizerische Medizinische Wochenschrift
|April 17, 1998
PubMed
Summary

Measles outbreaks in Swiss schools were caused by low vaccination rates, not low vaccine efficacy. Increased laboratory confirmation is vital for detecting measles in vaccinated individuals.

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Area of Science:

  • Epidemiology
  • Immunology
  • Public Health

Context:

  • Measles vaccination coverage in Swiss infants is between 77% and 89%.
  • Lower vaccination rates increase the risk of measles outbreaks, particularly in schoolchildren.
  • Previous international experience indicates that current vaccination levels are insufficient to prevent outbreaks.

Purpose:

  • To investigate measles outbreaks in schoolchildren in the Canton of Berne, Switzerland.
  • To assess measles vaccine efficacy during observed outbreaks.
  • To evaluate the effectiveness of current measles surveillance methods.

Summary:

  • Two measles outbreaks occurred in Bernese schools, affecting 6 and 21 children respectively.
  • Vaccine efficacy was high (97.7% and 100%), indicating outbreaks resulted from insufficient vaccination coverage, not vaccine failure.
  • Current measles surveillance may not be adequate for detecting outbreaks, highlighting the importance of laboratory confirmation, especially in vaccinated individuals.

Impact:

  • The study underscores the critical need for higher measles vaccination coverage to prevent outbreaks.
  • Findings emphasize the importance of laboratory confirmation for accurate measles diagnosis in a low-incidence setting.
  • Results suggest a need to reassess and potentially enhance public health surveillance strategies for vaccine-preventable diseases.

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