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2017年1月至8月底,意大利麻疹病例持续爆发,超过4000例——是什么让消除麻疹如此困难?

Ongoing outbreak with well over 4,000 measles cases in Italy from January to end August 2017 - what is making elimination so difficult?

作者信息

Filia Antonietta, Bella Antonino, Del Manso Martina, Baggieri Melissa, Magurano Fabio, Rota Maria Cristina

机构信息

Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.

These authors contributed equally to this article and share first authorship.

出版信息

Euro Surveill. 2017 Sep 14;22(37). doi: 10.2807/1560-7917.ES.2017.22.37.30614.

Abstract

We report an ongoing measles outbreak in Italy, with over 4,400 cases reported in 20 Regions from January to August 2017. Median age was 27 years, 88% of the cases were unvaccinated. The highest incidence was in infants below one year of age and 7% of cases occurred among healthcare workers. Three deaths occurred and two cases of encephalitis were reported. Wide immunity gaps and nosocomial transmission are major challenges to measles elimination in Italy.

摘要

我们报告了意大利正在发生的麻疹疫情,2017年1月至8月期间,20个地区报告了4400多例病例。中位年龄为27岁,88%的病例未接种疫苗。发病率最高的是一岁以下婴儿,7%的病例发生在医护人员中。有3人死亡,报告了2例脑炎病例。广泛的免疫差距和医院内传播是意大利消除麻疹面临的主要挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb88/5607657/21ca693cd8b3/eurosurv-22-30614-f1.jpg

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