TY - JOUR
T1 - A Measles Outbreak in the Tel Aviv District, Israel, 2018-2019
AU - Salama, Matanelle
AU - Indenbaum, Vicki
AU - Nuss, Naama
AU - Savion, Michal
AU - Mor, Zohar
AU - Amitai, Ziva
AU - Yoabob, Irina
AU - Sheffer, Rivka
N1 - Publisher Copyright:
© 2020 The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved.
PY - 2021/5/1
Y1 - 2021/5/1
N2 - During a national measles outbreak in 2018-2019, the Tel Aviv District suffered a major upsurge of cases, with 413 patients reported. Among them, 100 (24%) were <1 year, 92 (22%) patients were aged 12 months to 4 years, 47 (11%) were 5-18 years, 169 (41%) were 19-60 years, and 5 (1%) patients were older than 61 years (born before 1957). Among all cases, 230 (56%) were part of the Ultra-Orthodox Jewish community, 55 (13%) were among undocumented African immigrants. Despite high vaccination coverage, sustained measles transmission occurred, due in part to importations and numerous exposures in medical settings by a susceptible birth cohort. The Ultra-Orthodox Jewish community was particularly afflicted due to its condense population, high birth rates, and multiple exposures in crowded religious settings. This outbreak demonstrates the necessity of addressing immunity gaps as well optimal healthcare planning in order to prevent future outbreaks.
AB - During a national measles outbreak in 2018-2019, the Tel Aviv District suffered a major upsurge of cases, with 413 patients reported. Among them, 100 (24%) were <1 year, 92 (22%) patients were aged 12 months to 4 years, 47 (11%) were 5-18 years, 169 (41%) were 19-60 years, and 5 (1%) patients were older than 61 years (born before 1957). Among all cases, 230 (56%) were part of the Ultra-Orthodox Jewish community, 55 (13%) were among undocumented African immigrants. Despite high vaccination coverage, sustained measles transmission occurred, due in part to importations and numerous exposures in medical settings by a susceptible birth cohort. The Ultra-Orthodox Jewish community was particularly afflicted due to its condense population, high birth rates, and multiple exposures in crowded religious settings. This outbreak demonstrates the necessity of addressing immunity gaps as well optimal healthcare planning in order to prevent future outbreaks.
KW - Measles
KW - Measles outbreak
KW - Vaccine-preventable disease
UR - http://www.scopus.com/inward/record.url?scp=85099971623&partnerID=8YFLogxK
U2 - 10.1093/cid/ciaa931
DO - 10.1093/cid/ciaa931
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C2 - 32619227
AN - SCOPUS:85099971623
SN - 1058-4838
VL - 72
SP - 1649
EP - 1656
JO - Clinical Infectious Diseases
JF - Clinical Infectious Diseases
IS - 9
ER -
