Ongoing outbreak with well over 4,000 measles cases in Italy from January to end August 2017 - what is making elimination so difficult?

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Euro Surveill. 2017 Sep 14;22(37). pii: 30614. doi: 10.2807/1560-7917.ES.2017.22.37.30614.

Ongoing outbreak with well over 4,000 measles cases in Italy from January to end August 2017 - what is making elimination so difficult?

Filia A1,2, Bella A1,2, Del Manso M1, Baggieri M3, Magurano F3, Rota MC1.

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Abstract

We report an ongoing measles outbreak in Italy, with over 4,400 cases reported in 20 Regions from January to August 2017. Median age was 27 years, 88% of the cases were unvaccinated. The highest incidence was in infants below one year of age and 7% of cases occurred among healthcare workers. Three deaths occurred and two cases of encephalitis were reported. Wide immunity gaps and nosocomial transmission are major challenges to measles elimination in Italy.