title: Air travel as a risk factor for introduction of measles in a highly vaccinated population.
abstract: Epidemiological and molecular investigation of two small measles clusters in The Netherlands in July/August 2007 revealed an association with travel by air of the index cases and nosocomial spread in the first cluster. Although these importations did not result in an outbreak among unvaccinated subjects, the observations illustrate the challenges for measles control in a country with high measles vaccination coverage (> 95%) but with pockets of low coverage.
authors.affiliation: National Institute for Public Health and the Environment, Bilthoven, The Netherlands. Rob.van.Binnendijk@rivm.nl
authors.forename: Robert S
authors.initials: RS
authors.lastname: van Binnendijk
authors.forename: Susan
authors.initials: S
authors.lastname: Hahné
authors.forename: Aura
authors.initials: A
authors.lastname: Timen
authors.forename: Gijs
authors.initials: G
authors.lastname: van Kempen
authors.forename: Robert H G
authors.initials: RH
authors.lastname: Kohl
authors.forename: Hein J
authors.initials: HJ
authors.lastname: Boot
authors.forename: Katja C
authors.initials: KC
authors.lastname: Wolthers
authors.forename: José C F M
authors.initials: JC
authors.lastname: Wetsteijn
authors.forename: Anne
authors.initials: A
authors.lastname: de Vries
authors.forename: Krista
authors.initials: K
authors.lastname: Westert
authors.forename: Kevin E
authors.initials: KE
authors.lastname: Brown
authors.forename: Rik L
authors.initials: RL
authors.lastname: de Swart
mesh_terms: D000328:Adult; D001359:Aviation / Q000706:statistics & numerical data*; D001938:Brazil; D005260:Female; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis / Q000276:immunology; D017758:Infectious Disease Transmission, Patient-to-Professional; D008297:Male; D032541:Mass Vaccination / Q000706:statistics & numerical data*; D008457:Measles / Q000175:diagnosis / Q000635:transmission*; D022542:Measles-Mumps-Rubella Vaccine / Q000276:immunology; D017720:Molecular Epidemiology; D009426:Netherlands / Q000453:epidemiology; D016273:Occupational Exposure; D020133:Reverse Transcriptase Polymerase Chain Reaction; D012307:Risk Factors; D014195:Travel / Q000706:statistics & numerical data*
chemical_list: D007075:Immunoglobulin M; D022542:Measles-Mumps-Rubella Vaccine