title: [Investigation of a measles outbreak in Pará State, Brazil, in the age of elimination of the disease].
abstract: In July 27th, 2010, witnessed the late notification of a positive test result for measles IgM antibodies in Belém, Pará State, Brazil, sparking an epidemiological investigation and control and preventive measures. Two more confirmed cases were identified, both of whom were siblings of the index case, with clinical signs and symptoms and incubation period consistent with measles. We conducted a retrospective search in hospitals and laboratories for suspected cases that lived in or had visited Pará State from May 1st to August 4th, 2010, and had presented fever and exanthema accompanied by cough and/or sneezing and/or conjunctivitis. All identified cases were investigated by telephone contact and/or home visits. We reviewed 183,854 consultation forms and identified 56 (0.03%) suspected cases. We applied 2,535 doses of triple viral vaccine distributed between blockades vaccination intensifications. A household measles outbreak occurred in Belém with the detection and isolation of a viral genotype imported from Europe. Timely and sensitive epidemiological surveillance is recommended for the detection of suspected cases of measles and maintenance of high immunization coverage.
authors.affiliation: Secretaria Municipal de Saúde de Salvador, Salvador, Brasil.
authors.forename: Hiane Santos de
authors.initials: HS
authors.lastname: Jesus
authors.affiliation: Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Brasil.
authors.forename: Gilmara Lima
authors.initials: GL
authors.lastname: Nascimento
authors.affiliation: Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Brasil.
authors.forename: Fabiano Marques
authors.initials: FM
authors.lastname: Rosa
authors.affiliation: Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Brasil.
authors.forename: Deise Aparecida dos
authors.initials: DA
authors.lastname: Santos
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D060740:Disease Eradication; D004196:Disease Outbreaks / Q000517:prevention & control*; D005838:Genotype; D006801:Humans; D008297:Male; D008457:Measles / Q000453:epidemiology* / Q000517:prevention & control*; D008458:Measles Vaccine / Q000008:administration & dosage; D008459:Measles virus / Q000235:genetics / Q000276:immunology / Q000302:isolation & purification; D012189:Retrospective Studies
chemical_list: D008458:Measles Vaccine