title: Community-wide measles outbreak in the Region of Madrid, Spain, 10 years after the implementation of the Elimination Plan, 2011-2012.
abstract: We describe a community-wide outbreak of measles due to a D4 genotype virus that took place in the Region of Madrid, Spain, between February 2011 and August 2012, along with the control measures adopted. The following variables were collected: date of birth, sex, symptoms, complications, hospital admission, laboratory test results, link with another cases, home address, places of work or study, travel during the incubation period, ethnic group, and Mumps-Measles-Rubella (MMR) vaccination status. Incidences were calculated by 100,000 inhabitants. A total of 789 cases were identified. Of all cases, 36.0% belonged to Roma community, among which 68.7% were 16 months to 19 y old. Non-Roma cases were predominantly patients from 6 to 15 months (28.1%) and 20 to 39 y (52.3%). Most cases were unvaccinated. We found out that 3.0% of cases were healthcare workers. The first vaccination dose was brought forward to 12 months, active recruitment of unvaccinated children from 12 months to 4 y of age was performed and the vaccination of healthcare workers and of members of the Roma community was reinforced. High vaccination coverage must be reached with 2 doses of MMR vaccine, aimed at specific groups, such as young adults, Roma population and healthcare workers.
authors.affiliation: a General Directorate of Public Health of the Community of Madrid , Department of Epidemiology , Madrid , Spain.
authors.forename: L
authors.initials: L
authors.lastname: García Comas
authors.affiliation: a General Directorate of Public Health of the Community of Madrid , Department of Epidemiology , Madrid , Spain.
authors.forename: M
authors.initials: M
authors.lastname: Ordobás Gavín
authors.affiliation: b General Directorate of Public Health of the Community of Madrid , Regional Laboratory of Public Health , Madrid , Spain.
authors.forename: J C
authors.initials: JC
authors.lastname: Sanz Moreno
authors.affiliation: b General Directorate of Public Health of the Community of Madrid , Regional Laboratory of Public Health , Madrid , Spain.
authors.forename: B
authors.initials: B
authors.lastname: Ramos Blázquez
authors.affiliation: c General Directorate of Public Health of the Community of Madrid , Territorial Department of Public Health 1 , Madrid , Spain.
authors.forename: E
authors.initials: E
authors.lastname: Rodríguez Baena
authors.affiliation: c General Directorate of Public Health of the Community of Madrid , Territorial Department of Public Health 1 , Madrid , Spain.
authors.forename: E
authors.initials: E
authors.lastname: Córdoba Deorador
authors.affiliation: c General Directorate of Public Health of the Community of Madrid , Territorial Department of Public Health 1 , Madrid , Spain.
authors.forename: M
authors.initials: M
authors.lastname: García Barquero
authors.affiliation: d General Directorate of Public Health of the Community of Madrid , Territorial Department of Public Health 11 , Madrid , Spain.
authors.forename: E
authors.initials: E
authors.lastname: Gil Montalbán
authors.affiliation: a General Directorate of Public Health of the Community of Madrid , Department of Epidemiology , Madrid , Spain.
authors.forename: A
authors.initials: A
authors.lastname: Arce Arnáez
authors.affiliation: a General Directorate of Public Health of the Community of Madrid , Department of Epidemiology , Madrid , Spain.
authors.forename: I
authors.initials: I
authors.lastname: Rodero Garduño
authors.affiliation: e General Directorate of Public Health of the Community of Madrid , Department of Disease Prevention , Madrid , Spain.
authors.forename: D
authors.initials: D
authors.lastname: Barranco Ordóñez
authors.affiliation: f General Directorate of Public Health of the Community of Madrid , Area of Epidemiology , Madrid , Spain.
authors.forename: J Astray
authors.initials: JA
authors.lastname: Mochales
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D003140:Communicable Disease Control / Q000379:methods; D017714:Community-Acquired Infections / Q000453:epidemiology / Q000208:ethnology / Q000821:virology; D060740:Disease Eradication; D004196:Disease Outbreaks / Q000517:prevention & control; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008457:Measles / Q000150:complications / Q000453:epidemiology* / Q000208:ethnology / Q000517:prevention & control; D022542:Measles-Mumps-Rubella Vaccine / Q000008:administration & dosage; D018103:Morbillivirus / Q000235:genetics / Q000302:isolation & purification; D013030:Spain / Q000453:epidemiology; D014611:Vaccination; D055815:Young Adult
chemical_list: D022542:Measles-Mumps-Rubella Vaccine
keywords: control measures; epidemiology; measles; outbreak; vaccine