Interruption of measles transmission in Brazil, 2000-2001.
In 1992, Brazil adopted the goal of measles elimination by the year 2000; however, in 1997, after a 4-year period of good control, there was a resurgence of measles in Brazil. In 1999, to achieve the elimination goal, Brazil implemented the Supplementary Emergency Measles Action plan, with one measles surveillance technician designated to each state. Of 10,007 suspected measles cases reported during 1999, 908 (9.1%) were confirmed, and of them 378 (42%) were confirmed by laboratory analysis. Of 8358 suspected measles cases reported in 2000, 36 (0.4%) were confirmed (30 [83%] by laboratory); 92% of the discarded cases were classified on the basis of laboratory testing. In 2001, only 1 of 5599 suspected measles cases was confirmed, and it was an imported case from Japan. The last outbreak occurred in February 2000, with 15 cases. Current data suggest interruption of indigenous measles transmission in Brazil.
Prevots
D Rebecca
DR
Pan American Health Organization, Brasilia, Brazil. rprevots@cdc.gov
Parise
M Salet
MS
Segatto
Teresa Cristina V
TC
Siqueira
Marilda Mendonça
MM
dos Santos
Elizabeth D
ED
Ganter
Bernardus
B
Perreira
Maria Carolina C Q
MC
Domingues
Carla A
CA
Lanzieri
Tatiana
T
Da Silva
Jarbas Barbosa
JB
D000293:Adolescent; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D006801:Humans; D017589:Immunization Programs / Q000379:methods* / Q000592:standards; D015994:Incidence; D007223:Infant; D008457:Measles / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D008458:Measles Vaccine / Q000008:administration & dosage*; D009313:National Health Programs; D011159:Population Surveillance
D008458:Measles Vaccine