title: An outbreak of adult measles by nosocomial transmission in a high vaccination coverage community.
abstract: OBJECTIVE
  The aims of this study were to determine the mechanism of an outbreak of measles in adults and to provide scientific measures for putting forward a measles elimination program.
  
  
  METHODS
  We performed a cross-sectional investigation during the measles outbreak to identify a possible communication link.
  
  
  RESULTS
  From November 1, 2011 to January 26, 2012, the town reported 11 cases of measles in total. The case study identified an obvious propagation chain, which showed ordered and intimate exposure between cases.
  
  
  CONCLUSIONS
  Hospital exposure 1-2 weeks before infection with measles was the main cause of the measles outbreak. We must be fully aware of the possibility of nosocomial infection in an outbreak of measles; controlling nosocomial infections is a vital step in the prevention and control of the propagation of measles.
authors.affiliation: Xiaoshan Center for Disease Control and Prevention, Hangzhou, Zhejiang 311201, China. Electronic address: fenjuanwang@163.com.
authors.forename: Fen-juan
authors.initials: FJ
authors.lastname: Wang
authors.affiliation: Xiaoshan Center for Disease Control and Prevention, Hangzhou, Zhejiang 311201, China.
authors.forename: Xiang-jue
authors.initials: XJ
authors.lastname: Sun
authors.affiliation: Xiaoshan Center for Disease Control and Prevention, Hangzhou, Zhejiang 311201, China.
authors.forename: Fu-liang
authors.initials: FL
authors.lastname: Wang
authors.affiliation: Xiaoshan Center for Disease Control and Prevention, Hangzhou, Zhejiang 311201, China.
authors.forename: Long-fang
authors.initials: LF
authors.lastname: Jiang
authors.affiliation: Hangzhou Center for Disease Control and Prevention, Zhejiang, China.
authors.forename: Er-ping
authors.initials: EP
authors.lastname: Xu
authors.affiliation: Xiaoshan Center for Disease Control and Prevention, Hangzhou, Zhejiang 311201, China.
authors.forename: Jian-feng
authors.initials: JF
authors.lastname: Guo
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D003428:Cross Infection / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004196:Disease Outbreaks; D005260:Female; D006761:Hospitals; D006801:Humans; D007223:Infant; D008297:Male; D008457:Measles / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission*; D008458:Measles Vaccine; D008875:Middle Aged; D014611:Vaccination
chemical_list: D008458:Measles Vaccine
keywords: Adults; Measles; Nosocomial infection; Outbreak