Abstract

In January-February 2008, one imported case of measles initiated a series of exposures with around 380 nosocomial secondary contacts. Susceptible individuals were traced early and control measures were initiated that managed to limit the consequences considerably. Only four secondary cases were identified by the end of March. This minor outbreak illustrates the importance and efficiency of early control measures as well as the fact that the risk of measles outbreaks still exists in a country that has high measles, mumps, rubella vaccination coverage among children.

Highlights

  • Measles is one of the most contagious viral diseases and transmission in the community can only be prevented with efficient vaccination programmes

  • MMR has since been offered in a two-dose schedule at 18 months and 12 years of age with a high vaccination coverage (>95%)

  • Five cases of measles in unvaccinated individuals were notified to the Medical Officer in the Department of Communicable Disease Prevention and Control in the region Västra Götaland, Sweden between mid-January and late March 2008

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Summary

Introduction

Measles is one of the most contagious viral diseases and transmission in the community can only be prevented with efficient vaccination programmes. Measles vaccination was introduced in Sweden in 1971. The vaccination coverage was initially only 40-60% [1] before the combined MMR vaccine was introduced in 1982. MMR has since been offered in a two-dose schedule at 18 months and 12 years of age with a high vaccination coverage (>95%)

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