Measles outbreak registered by the District Sanitary-Epidemiological Station in Częstochowa in 2013.
BACKGROUND
Since 2001, Poland has been committed to measles elimination programme coordinated by the World Health Organization. This programme is intended to sustain 95% coverage with measles vaccines and ensure laboratory confirmation of suspected measles cases. In 2013, a total of 89 measles cases were reported in Poland. Of them, 14 cases were notified to the District Sanitary-Epidemiological Station (DSES) in Częstochowa. PURPOSE. The purpose of this study was to evaluate the epidemiological situation of measles in Częstochowa with focus on the increase in measles incidence observed in the second quarter of 2013.


METHODS
To analyze the epidemiological situation of measles, the reports on the cases of infectious diseases and poisonings in Poland in 2000-2013 (MZ-56) from the National Institute of Public Health-National Institute of Hygiene (NIPH-NIH) and Częstochowa DSES were employed. The analysis of immunization coverage of children and adolescents in selected year groups in 2009-2012 was performed using the data retrieved from annual reports issued by Częstochowa DSES (MZ-54).


RESULTS
In 2000-2012, three cases of measles were notified to Częstochowa DSES. Of them, two cases and one case were reported in 2003 and 2011, respectively. In 2013, an increase in the number of measles cases and measles incidence was observed. A total of 14 adult cases, aged 22-38 years, were reported and the incidence was 3.78 per 100,000. Of them, 13 cases were males (93% of the total). The infection affected 8 inmates of the Day Care Centre in Częstochowa, 2 individuals who lived near this institution and 4 individuals who were not epidemiologically linked to the outbreak. Of the cases, 12 individuals were hospitalized, i.e. 86% of all cases. Of 14 reported cases, only one individual had a history of measles vaccination.


CONCLUSIONS
Measles remains a highly infectious disease which can be easily transmitted in the unvaccinated population.
Dariusz
D
Nowicki
Lucyna
L
Gajewska
Krystyn Andrzej
KA
Sosada
D000328:Adult; D017677:Age Distribution; D004196:Disease Outbreaks / Q000517:prevention & control* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008457:Measles / Q000453:epidemiology* / Q000517:prevention & control*; D008458:Measles Vaccine / Q000627:therapeutic use; D011044:Poland / Q000453:epidemiology; D015995:Prevalence; D012042:Registries; D014505:Urban Population; D055815:Young Adult
D008458:Measles Vaccine