2026-06-14T06:44:28Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/165012025-05-09T09:30:55Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608col_20.500.12105_19609
Repisalud
author
Pampaka, Despina
author
Lopez-Perea, Noemi
author
Fernandez-Garcia, Aurora
author
Huertas-Zarco, Isabel
author
Castellanos-Martínez, Maite
author
Villatoro-Bongiorno, Katja
author
Roig-Sena, Javier
author
Torner, Núria
author
Mosquera, María Mar
author
Echevarria, Juan Emilio
author
Ferras Prats, Joaquim
author
Masa-Calles, Josefa
funder
Instituto de Salud Carlos III
2023-09-26T09:33:38Z
2023-09-26T09:33:38Z
2023-04
Euro Surveill. 2023 Apr;28(17):2200634.
10.2807/1560-7917.ES.2023.28.17.2200634
1560-7917
Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
37103785
http://hdl.handle.net/20.500.12105/16501
Given sustained high vaccination coverage and enhanced surveillance for measles, Spain has been free of endemic measles transmission since 2014, achieving elimination certification from the World Health Organization in 2017. In November 2017, measles was introduced through an imported case travelling to the Valencian Community, causing an interregional outbreak. Here, we describe the outbreak using data reported to the national epidemiological surveillance network. The outbreak involved 154 cases (67 males, 87 females) notified in four regions; 148 were laboratory-confirmed and six epidemiologically linked. Most cases were adults aged 30-39 (n = 62, 40.3%) years. Sixty-two cases were hospitalised (40.3%) and 35 presented complications (22.7%). Two thirds of the cases (n = 102) were unvaccinated including 11 infants (≤ 1 year) not yet eligible for vaccination. The main route of transmission was nosocomial; at least six healthcare facilities and 41 healthcare workers and support personnel were affected. Sequencing of the viral nucleoprotein C-terminus (N450) identified genotype B3, belonging to the circulating MVs/Dublin.IRL/8.16-variant. Control measures were implemented, and the outbreak was contained in July 2018. The outbreak highlighted that raising awareness about measles and improving the vaccination coverage in under-vaccinated subgroups and personnel of healthcare facilities are key measures for prevention of future outbreaks.
eng
Healthcare workers
Outbreak
Spain
Waning immunity
Measles
Nosocomial transmission
An interregional measles outbreak in Spain with nosocomial transmission, November 2017 to July 2018
research article
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InterregionalMeaslesOutbreakSpain_2023.pdf
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InterregionalMeaslesOutbreakSpain_2023.pdf.txt