Serbian Ministry of Health

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Serbian Ministry of Health

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Resurgence of measles in Serbia 2010-2011 highlights the need for supplementary immunization activities

Nedeljković, Jasminka; Rakić-Adrović, Slavica; Tasić, G.; Kovačević-Jovanović, Vesna; Lončarević, Goranka; Huebschen, Judith M.; Muller, Claude P.

(Cambridge Univ Press, New York, 2016)

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 . .
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A Mumps Outbreak in Vojvodina, Serbia, in 2012 Underlines the Need for Additional Vaccination Opportunities for Young Adults

Nedeljković, Jasminka; Kovačević-Jovanović, Vesna; Milošević, Vesna; Šeguljev, Zorica; Petrović, Vladimir; Muller, Claude P.; Huebschen, Judith M.

(Public Library Science, San Francisco, 2015)

TY  - JOUR
AU  - Nedeljković, Jasminka
AU  - Kovačević-Jovanović, Vesna
AU  - Milošević, Vesna
AU  - Šeguljev, Zorica
AU  - Petrović, Vladimir
AU  - Muller, Claude P.
AU  - Huebschen, Judith M.
PY  - 2015
UR  - http://intor.torlakinstitut.com/handle/123456789/438
AB  - In 2012, mumps was introduced from Bosnia and Herzegovina to Vojvodina, causing an outbreak with 335 reported cases. The present manuscript analyses the epidemiological and laboratory characteristics of this outbreak, identifies its main causes and suggests potential future preventive measures. Sera of 133 patients were tested for mumps-specific antibodies by ELISA and 15 nose/throat swabs were investigated for mumps virus RNA by RT-PCR. IgG antibodies were found in 127 patients (95.5%). Mumps infection was laboratory-confirmed in 53 patients, including 44 IgM and 9 PCR positive cases. All other 282 cases were classified as epidemiologically-confirmed. More than half of the patients (n = 181, 54%) were 20-29 years old, followed by the 15-19 age bracket (n = 95, 28.4%). Twice as many males as females were affected (67% versus 33%). Disease complications were reported in 13 cases (3.9%), including 9 patients with orchitis and 4 with pancreatitis. According to medical records or anamnestic data, 190 patients (56.7%) were immunized with two doses and 35 (10.4%) with one dose of mumps-containing vaccine. The Serbian sequences corresponded to a minor genotype G variant detected during the 2011/2012 mumps outbreak in Bosnia and Herzegovina. Vaccine failures, the initial one-dose immunization policy and a vaccine shortage between 1999 and 2002 contributed to the outbreak. Additional vaccination opportunities should be offered to young adults during transition periods in their life trajectories.
PB  - Public Library Science, San Francisco
T2  - PLoS One
T1  - A Mumps Outbreak in Vojvodina, Serbia, in 2012 Underlines the Need for Additional Vaccination Opportunities for Young Adults
IS  - 10
VL  - 10
DO  - 10.1371/journal.pone.0139815
ER  - 
@article{
author = "Nedeljković, Jasminka and Kovačević-Jovanović, Vesna and Milošević, Vesna and Šeguljev, Zorica and Petrović, Vladimir and Muller, Claude P. and Huebschen, Judith M.",
year = "2015",
abstract = "In 2012, mumps was introduced from Bosnia and Herzegovina to Vojvodina, causing an outbreak with 335 reported cases. The present manuscript analyses the epidemiological and laboratory characteristics of this outbreak, identifies its main causes and suggests potential future preventive measures. Sera of 133 patients were tested for mumps-specific antibodies by ELISA and 15 nose/throat swabs were investigated for mumps virus RNA by RT-PCR. IgG antibodies were found in 127 patients (95.5%). Mumps infection was laboratory-confirmed in 53 patients, including 44 IgM and 9 PCR positive cases. All other 282 cases were classified as epidemiologically-confirmed. More than half of the patients (n = 181, 54%) were 20-29 years old, followed by the 15-19 age bracket (n = 95, 28.4%). Twice as many males as females were affected (67% versus 33%). Disease complications were reported in 13 cases (3.9%), including 9 patients with orchitis and 4 with pancreatitis. According to medical records or anamnestic data, 190 patients (56.7%) were immunized with two doses and 35 (10.4%) with one dose of mumps-containing vaccine. The Serbian sequences corresponded to a minor genotype G variant detected during the 2011/2012 mumps outbreak in Bosnia and Herzegovina. Vaccine failures, the initial one-dose immunization policy and a vaccine shortage between 1999 and 2002 contributed to the outbreak. Additional vaccination opportunities should be offered to young adults during transition periods in their life trajectories.",
publisher = "Public Library Science, San Francisco",
journal = "PLoS One",
title = "A Mumps Outbreak in Vojvodina, Serbia, in 2012 Underlines the Need for Additional Vaccination Opportunities for Young Adults",
number = "10",
volume = "10",
doi = "10.1371/journal.pone.0139815"
}
Nedeljković, J., Kovačević-Jovanović, V., Milošević, V., Šeguljev, Z., Petrović, V., Muller, C. P.,& Huebschen, J. M.. (2015). A Mumps Outbreak in Vojvodina, Serbia, in 2012 Underlines the Need for Additional Vaccination Opportunities for Young Adults. in PLoS One
Public Library Science, San Francisco., 10(10).
https://doi.org/10.1371/journal.pone.0139815
Nedeljković J, Kovačević-Jovanović V, Milošević V, Šeguljev Z, Petrović V, Muller CP, Huebschen JM. A Mumps Outbreak in Vojvodina, Serbia, in 2012 Underlines the Need for Additional Vaccination Opportunities for Young Adults. in PLoS One. 2015;10(10).
doi:10.1371/journal.pone.0139815 .
Nedeljković, Jasminka, Kovačević-Jovanović, Vesna, Milošević, Vesna, Šeguljev, Zorica, Petrović, Vladimir, Muller, Claude P., Huebschen, Judith M., "A Mumps Outbreak in Vojvodina, Serbia, in 2012 Underlines the Need for Additional Vaccination Opportunities for Young Adults" in PLoS One, 10, no. 10 (2015),
https://doi.org/10.1371/journal.pone.0139815 . .
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