Background on Measles in Congo

Monday, June 4th, 2007

Steve is quoted once again in ProMED:

The latest outbreak of Measles – Democratic Republic of the Congo (Katanga) highlights the fact that measles rates in this area have changed little during the past 2 decades.
The relevant data extracted from the GIDEON database can be viewed in graphic form via the following link.
There is little doubt that such outbreaks are related to continued suboptimal and erratic vaccination coverage.

Travel and measles

Tuesday, May 22nd, 2007

A sample of the new enhanced content for the Travel tab, was provided on ProMED related to an outbreak of Measles in New Mexico:

Travel and measles
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1982 – An outbreak (7 cases) among patients in a pediatrician’s office in the United States was related to an imported case from Korea.
1998 – An outbreak (69 cases, 2 hospitalized, 0 fatal) in Tuvalu was ascribed to introduced cases among workers from Nauru.
1998 – An outbreak (33 cases) was linked to an infected visitor arriving in Alaska, United States, from Japan.
1999 – An outbreak (75 confirmed cases) in Australia was traced to an index case from Indonesia.
2000 – Outbreaks (78 cases, total) in Canada were linked to travel in Mexico (6 cases), Bolivia (19 cases), and Belgium (25 cases).
2000 – An outbreak (992 cases, or 57 percent of all cases for the Americas region) in Haiti was thought to have originated with imported cases from the Dominican Republic.
2000 to 2001 – An outbreak (1062 cases, 0 fatal) was reported in Tanzania among refugees from Burundi.
2001 – An outbreak (37 cases) in Venezuela was ascribed to a case imported from Europe.
2001 – An outbreak (14 cases) in the United States was reported among internationally adopted children.
2002 – An outbreak (1334 suspect cases; 128 confirmed) in Colombia was traced to index patients who had acquired the disease in Venezuela.
2002 – An outbreak (13 cases) in the United States resulted from a case imported from the Philippines.
2002 – An outbreak (6380 suspect cases; 2397 confirmed) in Venezuela was traced to measles imported from Europe.
2003 – An outbreak (107 cases) in an unvaccinated religious community in Israel followed introduction of an index patient from Switzerland.
2003 – An outbreak (22 cases) was reported in Mexico following importation of measles from either Japan or Korea.
2004 – An outbreak (59 cases) was reported in Mexico following importation of an index case from Asia.
2004 – 10 confirmed cases were identified among Chinese children (from Hunan) arriving in the United States, and 3 Chinese children arriving to Norway.
2005 – An outbreak (34 cases) in the United States was related to an index case who contracted measles in Romania.
2005 to 2006 – An outbreak (27 cases) in Mexico was related to index cases who had worked at an international airport.
2006 – An outbreak (7 cases) in Australia was related to an imported index case.
2006 – An outbreak (15 cases) in an office building in the United States was associated with an index case, which had arrived from India.
2006 – An outbreak (3 cases) was reported among members of an adoption group returning to the United States from China.
2006 – An outbreak (44 cases) in Venezuela was ascribed to an index case arriving from Spain.
2006 to 2007 – An outbreak (213 cases) in Spain followed importation of a case from Eastern Europe.

Measles in Italy

Wednesday, April 4th, 2007

Regarding the recent outbreak in Apulia, gradual decreases in measles rates may reflect the fact that vaccine coverage for Italy has exceded 80% only since 2002. Click on graph: Graph of Measles in Italy
Outbreaks of measles in Italy:
1996 to 1997 – An outbreak (1,642 cases seen at one hospital) was reported in Palermo.
2002 – An outbreak (24,000 clinical cases; 368 hospitalized; 13 encephalitis; 3 fatal) was reported in Campania. The rate among children below age 15 years was 3,750 per 100,000.
2003 – An outbreak (1,217 cases) was reported in Calabria and Puglia.
2003 – An outbreak (26 cases) was reported in South Tyrol.
2006 – An outbreak (40 cases) was reported in Grosseto.
2006 – Outbreaks (187 cases in 3 outbreaks) were reported in the Roma / Sinti populations of South Tyrol (17 cases), Sardinia (9 cases) and Lazio (161 cases).