TY  - JOUR
AU  - Medić, Snežana
AU  - Petrović, Vladimir
AU  - Lončarević, Goranka
AU  - Kanazir, Milena
AU  - Begović-Lazarević, Ivana
AU  - Rakić-Adrović, Slavica
AU  - Bancević, Maja
AU  - Muller, Claude P.
AU  - Huebschen, Judith M.
PY  - 2019
UR  - http://intor.torlakinstitut.com/handle/123456789/527
AB  - The Republic of Serbia is a country with ongoing endemic transmission of measles. The aim of this study is to summarize the main characteristics of the measles resurgence that occurred in Serbia in 2014-2015. The national surveillance data on measles was analysed in relation to the clinical, epidemiological and laboratory data. Between November 2014 and December 2015 a measles resurgence with 420 cases was observed in Serbia. Measles virus was initially introduced by and spread among citizens of Bosnia and Herzegovina with temporary residence in Serbia, before spreading to the resident population. Of the 223 patients with available medical records, 173 (77.6%) were unvaccinated. The overall measles incidence during the outbreak was 5.8/100.000. The highest age-specific incidence rate was recorded in children aged  lt = 4 years (25.9/100.000), but most cases (67.9%) were  gt = 20 years old. Hospitalization rate was high (32.9%) and included two cases of encephalitis associated with measles. In total, 42 health-care workers and 22 related cases including hospitalized patients (n = 13) contracted measles. The overall percentage of laboratory confirmed cases was 81.7% (n = 343/420). All measles virus sequences except one (D9) belonged to genotype D8, suggesting interruption of transmission after the previous outbreak in 2010-2011 caused by genotype D4 viruses. The growing number of adult patients as compared to previous epidemics, suggests an urgent need for supplementary immunization activities targeting susceptible health care workers, unvaccinated or incompletely vaccinated adults as well as people without vaccination records. The comprehensive investigation of the 2014/2015 measles resurgence will contribute to decisions about appropriate countermeasures to stop the future measles resurgences in Serbia.
PB  - Public Library Science, San Francisco
T2  - PLoS One
T1  - Epidemiological, clinical and laboratory characteristics of the measles resurgence in the Republic of Serbia in 2014-2015
IS  - 10
VL  - 14
DO  - 10.1371/journal.pone.0224009
ER  - 

@article{
author = "Medić, Snežana and Petrović, Vladimir and Lončarević, Goranka and Kanazir, Milena and Begović-Lazarević, Ivana and Rakić-Adrović, Slavica and Bancević, Maja and Muller, Claude P. and Huebschen, Judith M.",
year = "2019",
abstract = "The Republic of Serbia is a country with ongoing endemic transmission of measles. The aim of this study is to summarize the main characteristics of the measles resurgence that occurred in Serbia in 2014-2015. The national surveillance data on measles was analysed in relation to the clinical, epidemiological and laboratory data. Between November 2014 and December 2015 a measles resurgence with 420 cases was observed in Serbia. Measles virus was initially introduced by and spread among citizens of Bosnia and Herzegovina with temporary residence in Serbia, before spreading to the resident population. Of the 223 patients with available medical records, 173 (77.6%) were unvaccinated. The overall measles incidence during the outbreak was 5.8/100.000. The highest age-specific incidence rate was recorded in children aged  lt = 4 years (25.9/100.000), but most cases (67.9%) were  gt = 20 years old. Hospitalization rate was high (32.9%) and included two cases of encephalitis associated with measles. In total, 42 health-care workers and 22 related cases including hospitalized patients (n = 13) contracted measles. The overall percentage of laboratory confirmed cases was 81.7% (n = 343/420). All measles virus sequences except one (D9) belonged to genotype D8, suggesting interruption of transmission after the previous outbreak in 2010-2011 caused by genotype D4 viruses. The growing number of adult patients as compared to previous epidemics, suggests an urgent need for supplementary immunization activities targeting susceptible health care workers, unvaccinated or incompletely vaccinated adults as well as people without vaccination records. The comprehensive investigation of the 2014/2015 measles resurgence will contribute to decisions about appropriate countermeasures to stop the future measles resurgences in Serbia.",
publisher = "Public Library Science, San Francisco",
journal = "PLoS One",
title = "Epidemiological, clinical and laboratory characteristics of the measles resurgence in the Republic of Serbia in 2014-2015",
number = "10",
volume = "14",
doi = "10.1371/journal.pone.0224009"
}

Medić, S., Petrović, V., Lončarević, G., Kanazir, M., Begović-Lazarević, I., Rakić-Adrović, S., Bancević, M., Muller, C. P.,& Huebschen, J. M.. (2019). Epidemiological, clinical and laboratory characteristics of the measles resurgence in the Republic of Serbia in 2014-2015. in PLoS One
Public Library Science, San Francisco., 14(10).
https://doi.org/10.1371/journal.pone.0224009

Medić S, Petrović V, Lončarević G, Kanazir M, Begović-Lazarević I, Rakić-Adrović S, Bancević M, Muller CP, Huebschen JM. Epidemiological, clinical and laboratory characteristics of the measles resurgence in the Republic of Serbia in 2014-2015. in PLoS One. 2019;14(10).
doi:10.1371/journal.pone.0224009 .

Medić, Snežana, Petrović, Vladimir, Lončarević, Goranka, Kanazir, Milena, Begović-Lazarević, Ivana, Rakić-Adrović, Slavica, Bancević, Maja, Muller, Claude P., Huebschen, Judith M., "Epidemiological, clinical and laboratory characteristics of the measles resurgence in the Republic of Serbia in 2014-2015" in PLoS One, 14, no. 10 (2019),
https://doi.org/10.1371/journal.pone.0224009 . .