Ongoing measles outbreak, the Federation of Bosnia and Herzegovina, December 2023 to February 2024

Author:

Musa Sanjin12ORCID,Salimović-Bešić Irma34,Džambić Jasmina Brkić5,Tihić Nijaz67,Bajramović Anisa8,Arapčić Suzana4,Dedeić-Ljubović Amela34,Skočibušić Siniša2

Affiliation:

1. Sarajevo School of Science and Technology Sarajevo Medical School, Sarajevo, Bosnia and Herzegovina

2. Department of Infectious Disease Epidemiology, Institute for Public Health of the Federation of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina

3. Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina

4. Unit for Clinical Microbiology, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina

5. Department of Epidemiology, Institute for Public Health of Tuzla Canton, Tuzla, Bosnia and Herzegovina

6. Faculty of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina

7. Department of Microbiology, Polyclinic for Laboratory Diagnostics, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina

8. Department of Epidemiology, Institute for Public Health of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina

Abstract

We report on an ongoing measles outbreak in the Federation of Bosnia and Herzegovina with 141 cases notified between week 52 2023 and week 6 2024. Among those with known vaccination status, 97% were unvaccinated and the most affected group is children under the age of 5 years (n = 87) who were not vaccinated during the pandemic years. Sixty-eight cases were hospitalised, the most common complications were measles-related pneumonia and diarrhoea. The sequenced measles viruses from four cases belonged to genotype D8.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Reference19 articles.

1. European Commission (EC). Commission Implementing Decision 2018/945 of 22 June 2018 on the communicable diseases and related special health issues to be covered by epidemiological surveillance as well as relevant case definitions. Brussels: EC; 22 Jun 2018. Available from: https://eur-lex.europa.eu/legal-content/HR/TXT/?uri=CELEX%3A32018D0945

2. World Health Organization (WHO). The WHO Manual for the Laboratory-based Surveillance of Measles, Rubella, and Congenital Rubella Syndrome. (3rd Ed). Geneva: WHO; Jun 2018. Available from: https://www.technet-21.org/en/hot-topics-items/15272-manual-for-the-laboratory-based-surveillance-of-measles-rubella-and-congenital-rubella-syndrome

3. Ongoing measles outbreaks in Romania, March 2023 to August 2023.;Lazar;Euro Surveill,2023

4. Epidemiologic and laboratory surveillance of the measles outbreak in the Federation of Bosnia and Herzegovina, February 2014-April 2015.;Salimović-Bešić;Clin Microbiol Infect,2016

5. World Health Organization Regional Office for Europe (WHO/Europe). A 30-fold rise of measles cases in 2023 in the WHO European Region warrants urgent action. Copenhagen: WHO/Europe; 14 Dec 2023. Available from: https://www.who.int/europe/news/item/14-12-2023-a-30-fold-rise-of-measles-cases-in-2023-in-the-who-european-region-warrants-urgent-action

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