Abstract
Brazil has not had endemic circulation of the measles virus since 2000. Between May and June 2011, the Metropolitan Region of Campinas, State of Sao Paulo, Southeastern Brazil, reported three cases of measles. This report presents a descriptive study of the cases, control measures, and the search for a possible source and secondary cases. The genotypic characterization of the virus identified genotype D4, circulating in Europe. Secondary cases or index case were not found. The control measures and adequate vaccination coverage in Metropolitan Region of Campinas contributed to the interruption of disease transmission.
Highlights
I Centro de Vigilância Epidemiológica “Prof. Alexandre Vranjac”
The cases met the standardized definition of suspected cases, with a characteristic clinical picture and laboratory confirmation.a The study did not identify a direct relationship between the three cases and a possible imported source case
No epidemiological link was found between case 3 and cases 1 and 2
Summary
I Centro de Vigilância Epidemiológica “Prof. Alexandre Vranjac”. Secretaria de Estado da Saúde de São Paulo. II Divisão de Doenças de Transmissão Respiratória. IV Centro de Informações Estratégicas e Resposta em Vigilância em Saúde de Campinas. Secretaria de Estado da Saúde de São Paulo. It is thought that the endemic transmission of measles in Brazil in 2000 was interrupted due to the intensification of surveillance activities and to the high coverage of vaccination against the disease.[4] Since sporadic cases have been registered, all associated with importation of the virus.a The state of Sao Paulo recorded four cases between 2000 and 2010.b
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