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2019, vol. 25, iss. 3-4, pp. 81-94
Measles outbreak in Kraljevo, Serbia 2017/2018
aDom zdravlja, Kraljevo
bZavod za javno zdravlje, Kraljevo
Keywords: disease outbreak; immunization; elimination; recommendations
Introduction: Measles is a very contagious, infectious disease. It is a humongous health problem all over the world. It is an endemic disease in 14 Europian countries, including Serbia. Objective: Review of epidemiologic characteristics of a measles epidemic in relation to age, gender, vaccination status, complications and hospitalizations of the diseased in Kraljevo area. Method: Retrospective epidemiologic study of the individual illness reports, official reports of the Public health institute and Primary Health care Center, Kraljevo. Results: During the period from October, 30th 2017 to March 27th, 2017, 243 persons fell ill with measles of whom 135 (56%) were women, and 108 (44%) were men (p=0,127). The first two cases were reported on October, 30th 2017. after they've been in contact with the diseased persons in Pristina. The outbreak peak was in Decembre, 2017. The majority of the diseased were aged 30-49, 147 (60.5%). The illness was confirmed in the lab, in 15 persons. 30 (12.3%) people received two vaccine doses, while the rest were either incompletely vaccinated or of the unknown vaccination status. Complications appeared in 48 patients, and it was statistically significant in the age group 1-4 (p=0.0004). Complications were pneumonia 12.3%, diarrhea 6.6%, otitis media 1.6%. There were no death outcomes during the measles outbreak in Kraljevo. There were 40 (16.5%) diseased health workers and other health personnel. Conclusion: Immunization with two vaccine doses, which would include at least 95% of the general population, is the only effective preventive measure against measles. All the suspicious disease cases should be recognized, detected, reported and investigated in order to disrupt the viral breach, as soon as possible. It is necessary to undertake the anti-epidemic measures and enable adequate cooperation between general physicians (GPs) and epidemiologists.
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article language: Serbian, English
document type: Original Paper
DOI: 10.5937/opmed1904080K
published in SCIndeks: 09/11/2019
Creative Commons License 4.0