title: Increased reports of measles in a low endemic region during a rubella outbreak in adult populations.
abstract: In 2013, a rubella outbreak was observed in Japan, Romania, and Poland. The outbreak in Japan was accompanied by an increase of measles reports, especially from a region where measles is highly controlled. This was attributed to the adult populations affected by this rubella outbreak, similarity of clinical signs between rubella and measles, sufficiently small impact of measles outbreaks from neighboring nations, and elimination levels of measles endemicity. Current and future concerns for measles control are discussed.
authors.affiliation: Department of Infectious Diseases, Osaka Prefectural Institute of Public Health, Osaka, Japan.
authors.forename: Takako
authors.initials: T
authors.lastname: Kurata
authors.affiliation: Department of Infectious Diseases, Osaka Prefectural Institute of Public Health, Osaka, Japan.
authors.forename: Daiki
authors.initials: D
authors.lastname: Kanbayashi
authors.affiliation: Department of Infectious Diseases, Osaka Prefectural Institute of Public Health, Osaka, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nishimura
authors.affiliation: Department of Infectious Diseases, Osaka Prefectural Institute of Public Health, Osaka, Japan; Department of Clinical Laboratory, National Hospital Organization Nagoya Medical Center, Nagoya, Japan. Electronic address: komano@nnh.hosp.go.jp.
authors.forename: Jun
authors.initials: J
authors.lastname: Komano
authors.affiliation: Department of Infectious Diseases, Osaka Prefectural Institute of Public Health, Osaka, Japan.
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Kase
authors.affiliation: Department of Infectious Diseases, Osaka Prefectural Institute of Public Health, Osaka, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Takahashi
mesh_terms: D000328:Adult; D002648:Child; D004196:Disease Outbreaks; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D007223:Infant; D007564:Japan / Q000453:epidemiology; D008297:Male; D008457:Measles / Q000453:epidemiology*; D011044:Poland / Q000453:epidemiology; D012383:Romania / Q000453:epidemiology; D012409:Rubella / Q000453:epidemiology*
keywords: Epidemiology; Measles; Outbreak; Rubella