Measles outbreak in a tertiary level hospital, Porto, Portugal, 2018: challenges in the post-elimination era

Machado, Rita Sá; Duque, Mariana Perez; Almeida, Soraia; Cruz, I; Sottomayor, Ana; Almeida, Isabel; Oliveira, Júlio R.; Antunes, Delfina

doi:10.2807/1560-7917.es.2018.23.20.18-00224

Cited by 29 publications

(16 citation statements)

References 9 publications

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“…In order to control the outbreak on a local level and mitigate transmission outside the healthcare setting, an Emergency Response Team comprising of hospital and public health professionals was created in the affected hospital in Oporto [ 7 ]. A vaccination point within the hospital was set-up allowing for rapid vaccination of close contacts and unvaccinated individuals.…”

Section: Control Measuresmentioning

confidence: 99%

Challenging measles case definition: three measles outbreaks in three Health Regions of Portugal, February to April 2018

et al. 2018

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We report three simultaneous measles outbreaks with 112 confirmed cases in three Health Regions of Portugal, from February to April 2018. The mean age of cases was 30 years, 79% worked in a healthcare setting and 87% were vaccinated. Genotype B3 was identified in 84 cases from the three outbreaks. Primary cases in each outbreak were imported. Several cases presented with modified measles, highlighting the importance of rethinking the measles case definition for vaccinated cases.

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Section: Control Measuresmentioning

confidence: 99%

Challenging measles case definition: three measles outbreaks in three Health Regions of Portugal, February to April 2018

et al. 2018

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“…We also observed cases among fully vaccinated people and the proportion of fully vaccinated among cases was higher than what was observed in France during the 2008–11 epidemic (14% vs 3–4%, respectively). This may be linked to the waning immunity over time among vaccinated people and to a higher proportion of vaccinated cases in a population where the level of vaccination coverage becomes optimal [ 2 , 7 , 8 ]. But this finding should nevertheless be further investigated.…”

Section: Discussionmentioning

confidence: 99%

Measles outbreak linked to insufficient vaccination coverage in Nouvelle-Aquitaine Region, France, October 2017 to July 2018

et al. 2018

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On 30 October 2017, an outbreak of measles started in the Nouvelle-Aquitaine (NA) region in France among Bordeaux University students before spreading to other regions. Until 1 July 2018, 1,101 cases were reported in NA, including 98 complications and two deaths. Cases were related to clusters (e.g. students, healthcare workers) in 16%; 81% of cases were not vaccinated against measles as recommended. Vaccination coverage above herd immunity threshold remains the main preventative outbreak measure.

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“…45 Reductions in vaccine coverage for a variety of reasons have resulted in the resurgence of vaccine-preventable diseases – most notably measles – with important health consequences. 46 – 51 Given the breadth and complexity of factors at play, public health officials need to find innovative ways to address individual immunization knowledge, attitudes, and beliefs, which are intrinsically linked to their healthcare providers and surrounding environment. 52 – 54 The European Vaccine Action Plan 2015–2020 etches this sentiment as it identifies tailored, innovative strategies as critical in reaching population groups with suboptimal vaccination coverage.…”

Section: A Digital Immunization System Of the Futurementioning

confidence: 99%

The digital immunization system of the future: imagining a patient-centric, interoperable immunization information system

Atkinson

Mithani

Bell

et al. 2020

Therapeutic Advances in Vaccines and Immunotherapy

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To ensure the effectiveness of increasingly complex immunization programs in upper-middle and high-income settings, comprehensive information systems are needed to track immunization uptake at individual and population levels. The maturity of cloud systems and mobile technologies has created new possibilities for immunization information systems. In this paper, we describe a vision for the next generation of digital immunization information systems for upper-middle and high-income settings based on our experience in Canada. These systems center on the premise that the public is engaged and informed about the immunization process beyond their interaction with primary care, and that they will be a contributor and auditor of immunization data. The digital immunization system of the future will facilitate reporting of adverse events following immunization, issue digital immunization receipts, permit identification of areas of need and allow for delivery of interventions targeting these areas. Through features like immunization reminders and targeted immunization promotion campaigns, the system will reduce many of the known barriers that influence immunization rates. In light of the global COVID-19 pandemic, adaptive digital public health information systems will be required to guide the rollout and post-market surveillance of the SARS-CoV-2 vaccine.

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Measles outbreak in a tertiary level hospital, Porto, Portugal, 2018: challenges in the post-elimination era

Cited by 29 publications

References 9 publications

Challenging measles case definition: three measles outbreaks in three Health Regions of Portugal, February to April 2018

Challenging measles case definition: three measles outbreaks in three Health Regions of Portugal, February to April 2018

Measles outbreak linked to insufficient vaccination coverage in Nouvelle-Aquitaine Region, France, October 2017 to July 2018

The digital immunization system of the future: imagining a patient-centric, interoperable immunization information system

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