title: [Outbreak of measles in the population of Spanish origin in North Madrid].
abstract: After being virtually eradicated in Europe, thousands of cases of measles in the population of Spanish origin have appeared in the last 3 years. We describe the cases diagnosed in the north of Madrid between January and June 2011. A total of 22 cases are reported, 18 of them grouped in 2 outbreaks (2 nurseries). The primary attack rate was 29% in the main outbreak. All cases were in unvaccinated patients (median = 14 months). Genotype D4 was predominant (95%). There was a 45% complication rate and 45% were admitted to hospitals. The Public Health Service recommended isolating cases and vaccinating susceptible contacts in advance. Health Centres established a specific protocol to respond to suspected cases. The Measles vaccination has been brought forward from 15 to 12 months in Madrid. Measles is a re-emerging disease in Europe. The coordinated management between public health and health facilities is essential to limiting outbreaks.
authors.affiliation: Servicio de Pediatría, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain. alfredotagarro@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Tagarro García
authors.forename: S
authors.initials: S
authors.lastname: Jiménez Bueno
authors.forename: M L
authors.initials: ML
authors.lastname: Herreros Fernández
authors.forename: B
authors.initials: B
authors.lastname: Santiago García
authors.forename: I
authors.initials: I
authors.lastname: González Gil
authors.forename: F
authors.initials: F
authors.lastname: Baquero-Artigao
authors.forename: R
authors.initials: R
authors.lastname: Piñeiro Pérez
authors.forename: B
authors.initials: B
authors.lastname: Agúndez Reigosa
authors.forename: M J
authors.initials: MJ
authors.lastname: Cilleruelo Ortega
authors.forename: L
authors.initials: L
authors.lastname: Pérez Cid
authors.forename: J C
authors.initials: JC
authors.lastname: Sanz
authors.forename: D
authors.initials: D
authors.lastname: Martín Rodrigo
authors.forename: M M
authors.initials: MM
authors.lastname: Mosquera
authors.forename: A
authors.initials: A
authors.lastname: Cañete Díaz
mesh_terms: D004196:Disease Outbreaks; D006801:Humans; D007223:Infant; D008457:Measles / Q000453:epidemiology*; D011446:Prospective Studies; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D014504:Urban Health