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 . .

TY  - JOUR
AU  - Dimitrijević, Dragana
AU  - Ilić, Dragan
AU  - Rakić-Adrović, Slavica
AU  - Šuljagić, Vesna
AU  - Pelemiš, Mijomir
AU  - Stevanović, Goran
AU  - Milinković, Milunka
AU  - Sipetić-Grujicić, Sandra
PY  - 2017
UR  - http://intor.torlakinstitut.com/handle/123456789/498
AB  - A retrospective analysis of the surveillance data on laboratory confirmed cases of influenza in 4 post pandemic seasons in Serbia was performed to evaluate predictors of hospitalization and admission to intensive care units (ICU). The specimens, including nasal and throat swabs were tested for influenza. Univariate and multivariate logistic regression analyses were perfoimed. Data of a total of 777 confirmed influenza cases were analyzed. Age  gt  65 years, the presence of any co-morbidity or the presence of  gt = 2 comorbidities, infection with influenza virus subtype A (H1) pdm09, and an interval greater than 3 days between symptom onset and the first physician visit, were independently associated with hospital admission. These variables, as well as infection with non-subtype influenza virus A, were predictors for ICU admission. Obesity and chronic neurological disease were independent predictors for ICU admission but not hospitalization. Overall, 41.7% of patients with influenza had at least one co-morbidity, but only 3% of all patients were vaccinated against influenza. Identification of high risk groups and education of these groups regarding their increased susceptibility to severe forms of influenza, and in particular regarding the importance of influenza vaccination, is essential.
PB  - Natl Inst Infectious Diseases, Tokyo
T2  - Japanese Journal of Infectious Diseases
T1  - Predictors of Hospitalization and Admission to Intensive Care Units of Influenza Patients in Serbia through Four Influenza Seasons from 2010/2011 to 2013/2014
EP  - 283
IS  - 3
SP  - 275
VL  - 70
DO  - 10.7883/yoken.JJID.2016.210
ER  - 

@article{
author = "Dimitrijević, Dragana and Ilić, Dragan and Rakić-Adrović, Slavica and Šuljagić, Vesna and Pelemiš, Mijomir and Stevanović, Goran and Milinković, Milunka and Sipetić-Grujicić, Sandra",
year = "2017",
abstract = "A retrospective analysis of the surveillance data on laboratory confirmed cases of influenza in 4 post pandemic seasons in Serbia was performed to evaluate predictors of hospitalization and admission to intensive care units (ICU). The specimens, including nasal and throat swabs were tested for influenza. Univariate and multivariate logistic regression analyses were perfoimed. Data of a total of 777 confirmed influenza cases were analyzed. Age  gt  65 years, the presence of any co-morbidity or the presence of  gt = 2 comorbidities, infection with influenza virus subtype A (H1) pdm09, and an interval greater than 3 days between symptom onset and the first physician visit, were independently associated with hospital admission. These variables, as well as infection with non-subtype influenza virus A, were predictors for ICU admission. Obesity and chronic neurological disease were independent predictors for ICU admission but not hospitalization. Overall, 41.7% of patients with influenza had at least one co-morbidity, but only 3% of all patients were vaccinated against influenza. Identification of high risk groups and education of these groups regarding their increased susceptibility to severe forms of influenza, and in particular regarding the importance of influenza vaccination, is essential.",
publisher = "Natl Inst Infectious Diseases, Tokyo",
journal = "Japanese Journal of Infectious Diseases",
title = "Predictors of Hospitalization and Admission to Intensive Care Units of Influenza Patients in Serbia through Four Influenza Seasons from 2010/2011 to 2013/2014",
pages = "283-275",
number = "3",
volume = "70",
doi = "10.7883/yoken.JJID.2016.210"
}

Dimitrijević, D., Ilić, D., Rakić-Adrović, S., Šuljagić, V., Pelemiš, M., Stevanović, G., Milinković, M.,& Sipetić-Grujicić, S.. (2017). Predictors of Hospitalization and Admission to Intensive Care Units of Influenza Patients in Serbia through Four Influenza Seasons from 2010/2011 to 2013/2014. in Japanese Journal of Infectious Diseases
Natl Inst Infectious Diseases, Tokyo., 70(3), 275-283.
https://doi.org/10.7883/yoken.JJID.2016.210

Dimitrijević D, Ilić D, Rakić-Adrović S, Šuljagić V, Pelemiš M, Stevanović G, Milinković M, Sipetić-Grujicić S. Predictors of Hospitalization and Admission to Intensive Care Units of Influenza Patients in Serbia through Four Influenza Seasons from 2010/2011 to 2013/2014. in Japanese Journal of Infectious Diseases. 2017;70(3):275-283.
doi:10.7883/yoken.JJID.2016.210 .

Dimitrijević, Dragana, Ilić, Dragan, Rakić-Adrović, Slavica, Šuljagić, Vesna, Pelemiš, Mijomir, Stevanović, Goran, Milinković, Milunka, Sipetić-Grujicić, Sandra, "Predictors of Hospitalization and Admission to Intensive Care Units of Influenza Patients in Serbia through Four Influenza Seasons from 2010/2011 to 2013/2014" in Japanese Journal of Infectious Diseases, 70, no. 3 (2017):275-283,
https://doi.org/10.7883/yoken.JJID.2016.210 . .

TY  - JOUR
AU  - Nedeljković, Jasminka
AU  - Rakić-Adrović, Slavica
AU  - Tasić, G.
AU  - Kovačević-Jovanović, Vesna
AU  - Lončarević, Goranka
AU  - Huebschen, Judith M.
AU  - Muller, Claude P.
PY  - 2016
UR  - http://intor.torlakinstitut.com/handle/123456789/468
AB  - Between December 2010 and August 2011 an outbreak of measles occurred in Serbia with 363 reported cases. Sera and/or nose/throat swabs were collected from 193 patients and tested for measles-specific IgM antibodies by ELISA and viral RNA by RT-PCR, respectively. Epidemiological data were obtained from the surveillance database of the Institute of Public Health of Serbia. Of the 363 cases involved in the outbreak, 113 were laboratory confirmed. More than one third of the patients were hospitalized (n = 130, 35.8%) and for 15 (4.1% of the reported outbreak cases) the infection was complicated by pneumonia. Mostly pre-school children aged  lt = 4 years (37.8%) and adults aged  gt = 30 years (27.3%) were affected. The majority of patients belonged to the Roma population with a preponderance of female cases (57.0%). Nearly 94% of the patients were either unvaccinated or of unknown vaccination status. The main outbreak virus was the D4-Hamburg strain. The outbreak in Serbia occurred after several years of very low measles incidence despite a high routine immunization coverage in the general population, suggesting that special efforts to identify and vaccinate susceptible population groups are required even in countries with apparently good disease control.
PB  - Cambridge Univ Press, New York
T2  - Epidemiology and Infection
T1  - Resurgence of measles in Serbia 2010-2011 highlights the need for supplementary immunization activities
EP  - 1128
IS  - 5
SP  - 1121
VL  - 144
DO  - 10.1017/S0950268815002277
ER  - 

@article{
author = "Nedeljković, Jasminka and Rakić-Adrović, Slavica and Tasić, G. and Kovačević-Jovanović, Vesna and Lončarević, Goranka and Huebschen, Judith M. and Muller, Claude P.",
year = "2016",
abstract = "Between December 2010 and August 2011 an outbreak of measles occurred in Serbia with 363 reported cases. Sera and/or nose/throat swabs were collected from 193 patients and tested for measles-specific IgM antibodies by ELISA and viral RNA by RT-PCR, respectively. Epidemiological data were obtained from the surveillance database of the Institute of Public Health of Serbia. Of the 363 cases involved in the outbreak, 113 were laboratory confirmed. More than one third of the patients were hospitalized (n = 130, 35.8%) and for 15 (4.1% of the reported outbreak cases) the infection was complicated by pneumonia. Mostly pre-school children aged  lt = 4 years (37.8%) and adults aged  gt = 30 years (27.3%) were affected. The majority of patients belonged to the Roma population with a preponderance of female cases (57.0%). Nearly 94% of the patients were either unvaccinated or of unknown vaccination status. The main outbreak virus was the D4-Hamburg strain. The outbreak in Serbia occurred after several years of very low measles incidence despite a high routine immunization coverage in the general population, suggesting that special efforts to identify and vaccinate susceptible population groups are required even in countries with apparently good disease control.",
publisher = "Cambridge Univ Press, New York",
journal = "Epidemiology and Infection",
title = "Resurgence of measles in Serbia 2010-2011 highlights the need for supplementary immunization activities",
pages = "1128-1121",
number = "5",
volume = "144",
doi = "10.1017/S0950268815002277"
}

Nedeljković, J., Rakić-Adrović, S., Tasić, G., Kovačević-Jovanović, V., Lončarević, G., Huebschen, J. M.,& Muller, C. P.. (2016). Resurgence of measles in Serbia 2010-2011 highlights the need for supplementary immunization activities. in Epidemiology and Infection
Cambridge Univ Press, New York., 144(5), 1121-1128.
https://doi.org/10.1017/S0950268815002277

Nedeljković J, Rakić-Adrović S, Tasić G, Kovačević-Jovanović V, Lončarević G, Huebschen JM, Muller CP. Resurgence of measles in Serbia 2010-2011 highlights the need for supplementary immunization activities. in Epidemiology and Infection. 2016;144(5):1121-1128.
doi:10.1017/S0950268815002277 .

Nedeljković, Jasminka, Rakić-Adrović, Slavica, Tasić, G., Kovačević-Jovanović, Vesna, Lončarević, Goranka, Huebschen, Judith M., Muller, Claude P., "Resurgence of measles in Serbia 2010-2011 highlights the need for supplementary immunization activities" in Epidemiology and Infection, 144, no. 5 (2016):1121-1128,
https://doi.org/10.1017/S0950268815002277 . .

TY  - CONF
AU  - Huebschen, Judith M.
AU  - Salimović-Besić, I.
AU  - Dedeić-Ljubović, A.
AU  - Rakić-Adrović, Slavica
AU  - Sausy, A.
AU  - Muller, Claude P.
PY  - 2015
UR  - http://intor.torlakinstitut.com/handle/123456789/426
PB  - Elsevier Science Bv, Amsterdam
C3  - Journal of Clinical Virology
T1  - Measles elimination in the World Health Organization European Region in light of recent outbreaks: Spotlight on the Balkans
EP  - S20
SP  - S20
VL  - 70
DO  - 10.1016/j.jcv.2015.07.053
ER  - 

@conference{
author = "Huebschen, Judith M. and Salimović-Besić, I. and Dedeić-Ljubović, A. and Rakić-Adrović, Slavica and Sausy, A. and Muller, Claude P.",
year = "2015",
publisher = "Elsevier Science Bv, Amsterdam",
journal = "Journal of Clinical Virology",
title = "Measles elimination in the World Health Organization European Region in light of recent outbreaks: Spotlight on the Balkans",
pages = "S20-S20",
volume = "70",
doi = "10.1016/j.jcv.2015.07.053"
}

Huebschen, J. M., Salimović-Besić, I., Dedeić-Ljubović, A., Rakić-Adrović, S., Sausy, A.,& Muller, C. P.. (2015). Measles elimination in the World Health Organization European Region in light of recent outbreaks: Spotlight on the Balkans. in Journal of Clinical Virology
Elsevier Science Bv, Amsterdam., 70, S20-S20.
https://doi.org/10.1016/j.jcv.2015.07.053

Huebschen JM, Salimović-Besić I, Dedeić-Ljubović A, Rakić-Adrović S, Sausy A, Muller CP. Measles elimination in the World Health Organization European Region in light of recent outbreaks: Spotlight on the Balkans. in Journal of Clinical Virology. 2015;70:S20-S20.
doi:10.1016/j.jcv.2015.07.053 .

Huebschen, Judith M., Salimović-Besić, I., Dedeić-Ljubović, A., Rakić-Adrović, Slavica, Sausy, A., Muller, Claude P., "Measles elimination in the World Health Organization European Region in light of recent outbreaks: Spotlight on the Balkans" in Journal of Clinical Virology, 70 (2015):S20-S20,
https://doi.org/10.1016/j.jcv.2015.07.053 . .

TY  - JOUR
AU  - Nedeljković, Jasminka
AU  - Rakić-Adrović, Slavica
AU  - Lazić, Branislav
AU  - Kovačević, V.
AU  - Lončarević, Goranka
AU  - Kanazir, Milena
AU  - Šeguljev, Zorica
AU  - Petrović, Vladimir
AU  - Milošević, V.
AU  - Žakula, N.
AU  - Begović, I.
AU  - Muller, Claude P.
AU  - Huebschen, Judith M.
PY  - 2013
UR  - http://intor.torlakinstitut.com/handle/123456789/367
AB  - Following the introduction of measles immunization in Serbia in 1971, measles outbreaks were recorded every 3 to 5 years until 1997. The outbreak in 1997 with 4000 cases was the last large outbreak in Serbia. In 2007, an outbreak with 191 laboratory confirmed or epidemiologically linked cases was reported in Vojvodina. In 2008 and 2009, only 3 cases were confirmed. From 2007-2009, measles infections were most frequently detected in the Roma population but also in non-immunized or partially immunized persons from the general population.
PB  - Srpsko biološko društvo, Beograd, i dr.
T2  - Archives of Biological Sciences
T1  - Measles situation in Serbia in an era of measles elimination (2007-2009)
EP  - 1173
IS  - 3
SP  - 1169
VL  - 65
DO  - 10.2298/ABS1303169N
ER  - 

@article{
author = "Nedeljković, Jasminka and Rakić-Adrović, Slavica and Lazić, Branislav and Kovačević, V. and Lončarević, Goranka and Kanazir, Milena and Šeguljev, Zorica and Petrović, Vladimir and Milošević, V. and Žakula, N. and Begović, I. and Muller, Claude P. and Huebschen, Judith M.",
year = "2013",
abstract = "Following the introduction of measles immunization in Serbia in 1971, measles outbreaks were recorded every 3 to 5 years until 1997. The outbreak in 1997 with 4000 cases was the last large outbreak in Serbia. In 2007, an outbreak with 191 laboratory confirmed or epidemiologically linked cases was reported in Vojvodina. In 2008 and 2009, only 3 cases were confirmed. From 2007-2009, measles infections were most frequently detected in the Roma population but also in non-immunized or partially immunized persons from the general population.",
publisher = "Srpsko biološko društvo, Beograd, i dr.",
journal = "Archives of Biological Sciences",
title = "Measles situation in Serbia in an era of measles elimination (2007-2009)",
pages = "1173-1169",
number = "3",
volume = "65",
doi = "10.2298/ABS1303169N"
}

Nedeljković, J., Rakić-Adrović, S., Lazić, B., Kovačević, V., Lončarević, G., Kanazir, M., Šeguljev, Z., Petrović, V., Milošević, V., Žakula, N., Begović, I., Muller, C. P.,& Huebschen, J. M.. (2013). Measles situation in Serbia in an era of measles elimination (2007-2009). in Archives of Biological Sciences
Srpsko biološko društvo, Beograd, i dr.., 65(3), 1169-1173.
https://doi.org/10.2298/ABS1303169N

Nedeljković J, Rakić-Adrović S, Lazić B, Kovačević V, Lončarević G, Kanazir M, Šeguljev Z, Petrović V, Milošević V, Žakula N, Begović I, Muller CP, Huebschen JM. Measles situation in Serbia in an era of measles elimination (2007-2009). in Archives of Biological Sciences. 2013;65(3):1169-1173.
doi:10.2298/ABS1303169N .

Nedeljković, Jasminka, Rakić-Adrović, Slavica, Lazić, Branislav, Kovačević, V., Lončarević, Goranka, Kanazir, Milena, Šeguljev, Zorica, Petrović, Vladimir, Milošević, V., Žakula, N., Begović, I., Muller, Claude P., Huebschen, Judith M., "Measles situation in Serbia in an era of measles elimination (2007-2009)" in Archives of Biological Sciences, 65, no. 3 (2013):1169-1173,
https://doi.org/10.2298/ABS1303169N . .