Faculty of Medicine, Lebanese University, Beirut, Lebanon.
Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
BMC Infect Dis. 2020 Mar 26;20(1):244. doi: 10.1186/s12879-020-04956-1.
Lebanon has experienced several measles and mumps outbreaks in the past 20 years. In this article, a case-based surveillance of both measles and mumps outbreaks in Lebanon was carried out in an attempt to outline factors contributing to the failure of elimination plans and to provide potential solutions. The relationship between the outbreaks of both diseases was described and explored.
A retrospective descriptive study of confirmed cases of measles and mumps in Lebanon between 2003 and 2018 collected from the Lebanese Ministry of Public Health Epidemiological Surveillance Unit public database was carried out. The information collected was graphically represented taking into consideration dates of reported cases, age groups affected, and vaccination status.
The mean number of measles cases was 150.25 cases/year in the 1-4 years age group, 87 cases/year in individuals aging between 5 and 14, and 63.68 cases/year in those > 14 years old. In the latter group, only 18.05% were unvaccinated. The mean number of mumps cases was 30.4 cases/year in the < 4 year age group and 53.8 cases/year in the 10-19 years age group. During the study period, every spike in measles cases was followed by a similar spike in mumps. 9.66% of measles cases occurred in individuals who received at least 2 doses of the vaccine, 52.26% in the unvaccinated, and 38% in those whose vaccination status was undetermined.
Measles in Lebanon is a disease of the pediatric population, but adults remain at risk. Outbreaks of mumps followed those of measles and were mainly among adolescents. Presence of a large number of Syrian refugees in the country may further complicate the situation. Vaccination activities need to be intensified.
黎巴嫩在过去 20 年中经历了几次麻疹和腮腺炎暴发。本文对黎巴嫩麻疹和腮腺炎暴发进行了基于病例的监测，试图概述导致消除计划失败的因素，并提供潜在的解决方案。描述并探讨了这两种疾病暴发之间的关系。
对黎巴嫩 2003 年至 2018 年期间公共卫生部流行病学监测部门从公共数据库中收集的麻疹和腮腺炎确诊病例进行了回顾性描述性研究。所收集的信息考虑到报告病例的日期、受影响的年龄组和疫苗接种状况以图形方式表示。
1-4 岁年龄组麻疹病例的平均数量为 150.25 例/年，5-14 岁年龄组为 87 例/年，>14 岁年龄组为 63.68 例/年。在后一组中，只有 18.05%的人未接种疫苗。<4 岁年龄组腮腺炎病例的平均数量为 30.4 例/年，10-19 岁年龄组为 53.8 例/年。在研究期间，麻疹病例的每一次激增都伴随着腮腺炎病例的类似激增。9.66%的麻疹病例发生在至少接种 2 剂疫苗的人群中，52.26%发生在未接种疫苗的人群中，38%发生在疫苗接种状况不明的人群中。
黎巴嫩的麻疹是一种儿童疾病，但成年人仍有感染风险。腮腺炎暴发紧随麻疹之后，主要发生在青少年中。大量叙利亚难民的存在可能使情况进一步复杂化。需要加强疫苗接种活动。
