Abstract

This report describes 326 cases of nosocomial transmission of measles with 286 cases among non-healthcare workers who acquired the disease in a hospital setting. Between October 2009 and April 2010, 40 healthcare workers from seven different regions in Bulgaria have contracted the disease.

Highlights

  • The current outbreak in Bulgaria started in March 2009 following an imported case of measles from Germany [2]

  • It has been the largest outbreak ever reported in Bulgaria since the large outbreak which occurred in 1976, only a few years after the immunisation schedule with one dose of monovalent measles-containing vaccine starting with the age of 10 months had been implemented in the country

  • In 1993 the first dose of monovalent measles-containing vaccine was replaced by the MMR vaccine

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Summary

Rapid communications

Citation style for this article: Komitova R, Kunchev A, Mihneva Z, Marinova L. Nosocomial transmission of measles among healthcare workers, Bulgaria, 2010. This report describes 326 cases of nosocomial transmission of measles with 286 cases among non-healthcare workers who acquired the disease in a hospital setting. Between October 2009 and April 2010, 40 healthcare workers from seven different regions in Bulgaria have contracted the disease. Preliminary reports for 2010 show that there were more than 30,000 measles cases in the Member States of the European Union (EU) / European Economic Area (EEA) – the highest number of measles reported in Europe in more than 10 years [1]. The highest number of cases was reported in Bulgaria, followed by France, Italy and Germany [1]. Measles continues to spread in 2011 with more than 4,000 cases reported in the EU/EEA in January and February [1]

Outbreak overview
Transmission in medical settings
Control measures
Findings
Discussion
Full Text
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