Santibanez S, Mankertz A
Fachgebiet Masern, Mumps, Röteln und Viren bei Abwehrschwäche, Nationales Referenzzentrum Masern, Mumps, Röteln, Robert Koch-Institut, Nordufer 20, 13353, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 Sep;56(9):1238-42. doi: 10.1007/s00103-013-1795-1.
Measles is a severe disease caused by infection with the measles virus. Complications after the onset of infection lead to 1-3 fatalities per 1,000 cases in industrialized countries. If more than 95 % of the global population were vaccinated twice with the measles, mumps, and rubella (MMR) vaccine, measles could be eliminated worldwide. The elimination of measles and rubella should be reached in the WHO Europe region in 2015. One important criterion for elimination of the measles virus consists in the analysis of the duration of transmission chains initiated by the import of measles virus. To assign measles viruses to outbreaks and transmission chains, genetic characterization is necessary. These investigations have been performed continually at the National Reference Center Measles, Mumps, Rubella since 1999, when the German Intervention Program was launched. This article summarizes our experiences with measles virus genotyping and new developments with respect to measles elimination in Germany.
麻疹是一种由感染麻疹病毒引起的严重疾病。在工业化国家,感染发病后的并发症导致每1000例中有1至3人死亡。如果全球超过95%的人口接种两剂麻疹、腮腺炎和风疹(MMR)疫苗,麻疹就可以在全球范围内被消灭。世卫组织欧洲区域应在2015年实现消除麻疹和风疹。消除麻疹病毒的一个重要标准在于分析由输入麻疹病毒引发的传播链的持续时间。为了将麻疹病毒与疫情和传播链关联起来,进行基因特征分析是必要的。自1999年德国干预计划启动以来,国家麻疹、腮腺炎、风疹参考中心一直在持续开展这些调查。本文总结了我们在麻疹病毒基因分型方面的经验以及德国在消除麻疹方面的新进展。