Ongoing outbreak with well over 4,000 measles cases in Italy from January to end August 2017-what is making elimination so difficult?

Ongoing outbreak with well over 4,000 measles cases in Italy from January to end August 2017-what is making elimination so difficult?
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DOI:
10.2807/1560-7917.es.2017.22.37.30614
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发表时间:
2017-09-14
期刊:
影响因子:
19
通讯作者:
Rota, M. C.
Rota, M. C.
中科院分区:
医学2区
文献类型:
--
作者:
Filia, A.;Bella, A.;Rota, M. C.

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我们报告意大利正在爆发麻疹疫情,2017 年 1 月至 8 月,20 个地区报告了 4,400 多例麻疹病例。中位年龄为 27 岁,88% 的病例未接种疫苗。发病率最高的是一岁以下的婴儿,7% 的病例发生在医护人员中。发生三人死亡,报告两例脑炎病例。巨大的免疫差距和医院传播是意大利消除麻疹的主要挑战。
We report an ongoing measles outbreak in Italy, with over 4,400 cases reported in 20 Regions from January to August 2017. Median age was 27 years, 88% of the cases were unvaccinated. The highest incidence was in infants below one year of age and 7% of cases occurred among healthcare workers. Three deaths occurred and two cases of encephalitis were reported. Wide immunity gaps and nosocomial transmission are major challenges to measles elimination in Italy.