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Hum Vaccin Immunother. 2017 Jan 6:0. doi: 10.1080/21645515.2016.1267081. [Epub ahead of print]
Community-wide measles outbreak in the Region of Madrid Spain 10 years after the implementation of the Elimination Plan 2011-2012.
García Comas L1 Ordobás Gavín M1 Sanz Moreno JC2 Ramos Blázquez B2 Rodríguez Baena E3 Córdoba Deorador E3 García Barquero M3 Gil Montalbán E4 Arce Arnáez A1 Rodero Garduño I1 Barranco Ordóñez D5 Mochales JA6; outbreak research work group.
Abstract
We describe a community-wide outbreak of measles due to a D4 genotype virus that took place in the Region of Madrid Spain between February 2011 and August 2012 along with the control measures adopted. The following variables were collected: date of birth sex symptoms complications hospital admission laboratory test results link with another cases home address places of work or study travel during the incubation period ethnic group and Mumps-Measles-Rubella (MMR) vaccination status. Incidences were calculated by 100000 inhabitants. A total of 789 cases were identified. Of all cases 36.0% belonged to Roma community amongst which 68.7% were 16 months to 19 years old. Non-Roma cases were predominantly patients from 6 to 15 months (28.1%) and 20 to 39 years (52.3%). Most cases were unvaccinated. We found out that 3.0% of cases were healthcare workers. The first vaccination dose was brought forward to 12 months active recruitment of unvaccinated children from 12 months to 4 years of age was performed and the vaccination of healthcare workers and of members of the Roma community was reinforced. High vaccination coverage must be reached with 2 doses of MMR vaccine aimed at specific groups such as young adults Roma population and healthcare workers.