title: Measles in a highly vaccinated society: the 2007-08 outbreak in Israel.
abstract: BACKGROUND
  Despite success in controlling measles through a national immunization program, Israel recently experienced its largest measles outbreak since 1994.
  
  
  METHODS
  Using data reported by health district offices to the Ministry of Health, an epidemiological analysis of the 2007-08 measles outbreak was performed.
  
  
  RESULTS
  1467 measles cases were reported in Israel, primarily among ultra-orthodox Jewish communities in the Jerusalem Health District and to a lesser extent in other areas. The highest age-specific incidence rate (122.5 per 100,000) occurred among infants. 38.6% of all measles patients were under the age of five, and 53.4% were under the age of ten. 186 patients (12.7%) were hospitalized; there were no fatalities. Only 4.6% of measles patients had been fully vaccinated for their age.
  
  
  CONCLUSIONS
  To minimize the risk of future outbreaks in Israel, successful marketing of the MMR vaccine to under-vaccinated sub-groups is essential.
authors.affiliation: Ministry of Health, Jerusalem 93591, Israel. emilia.anis@moh.health.gov.il
authors.forename: Emilia
authors.initials: E
authors.lastname: Anis
authors.forename: Itamar
authors.initials: I
authors.lastname: Grotto
authors.forename: Larisa
authors.initials: L
authors.lastname: Moerman
authors.forename: Bruce
authors.initials: B
authors.lastname: Warshavsky
authors.forename: Paul E
authors.initials: PE
authors.lastname: Slater
authors.forename: Boaz
authors.initials: B
authors.lastname: Lev
authors.forename: Avi
authors.initials: A
authors.lastname: Israeli
mesh_terms: D000293:Adolescent; D002648:Child; D004196:Disease Outbreaks / Q000517:prevention & control; D005260:Female; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D008457:Measles / Q000453:epidemiology*; D008458:Measles Vaccine; D055815:Young Adult
chemical_list: D008458:Measles Vaccine