Montaño Remacha Carmen, Gallardo García Virtudes, Mochón Ochoa M Mar, García Fernández Marcelino, Mayoral Cortés José María, Ruiz Fernández Josefa
Rev Esp Salud Publica. 2015 Jul-Aug;89(4):407-18. doi: 10.4321/S1135-57272015000400009.
The Andalusian Surveillance Epidemiological System (SVEA) controls and investigates any notification of measles or any other communicable disease. The aim of this article is to describe the epidemiological characteristics of measles outbreaks occurred in Andalusia in the last five years (2010-2015) and their control measures. In this period three outbreaks were reported: the first one started in Granada in 2010 in a community of objectors to vaccination. Control measures of measles protocol of SVEA were adopted (case isolation, identification and contacts immunization), including judicial measures among the group who refused the vaccination. The second outbreak started in Seville in 2011 in an "area in need of social transformation" and it spread throughout the region. The routine vaccination coverage review was introduced within the surveillance system after those outbreaks, identifying the most vulnerable people. During the first six months of 2015, a small outbreak, of 15 cases, occurred in Granada. The outbreak was controlled mainly due to the early intervention, the health measures adopted in the schools and health centres involved and the high vaccination coverage achieved in the population.
安达卢西亚监测流行病学系统（SVEA）对麻疹或任何其他传染病的通报进行管控和调查。本文旨在描述过去五年（2010 - 2015年）在安达卢西亚发生的麻疹疫情的流行病学特征及其控制措施。在此期间报告了三起疫情：第一起于2010年在格拉纳达的一个反对接种疫苗的社区爆发。采取了SVEA麻疹防控方案的控制措施（病例隔离、识别及接触者免疫），包括对拒绝接种疫苗群体采取司法措施。第二起疫情于2011年在塞维利亚的一个“需要社会转型的地区”爆发，并蔓延至整个地区。在这些疫情之后，监测系统内引入了常规疫苗接种覆盖率审查，以识别最脆弱人群。2015年上半年，格拉纳达发生了一起15例病例的小规模疫情。该疫情得到控制主要得益于早期干预、涉事学校和卫生中心采取的卫生措施以及人群中实现的高疫苗接种覆盖率。
