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Measles outbreak in a Roma community in the Eastern region of Slovakia, May to October 2018 Cover

Figures & Tables

Figure 1

Map of the reported measles cases by districts, Slovakia, May 4–October 16, 2018 (n=439). Source: EPIS SR, © Public Health Authority of the Slovak Republic

Figure 2

Measles incidence rate and measles vaccination coverage according to the cohorts 1999-2016, the Michalovce and Sobrance districts in the Košice region, Slovakia, 1997-2018.

Figure 3

The epidemic curve of the total measles cases, May–October 2018, for the Michalovce and Sobrance districts, Slovakia (n=439).

The antibodies against measles, mumps and rubella by age group in the measles outbreak, May–October 2018, the Michalovce and Sobrance districts in the Košice region, Slovakia (n=102)_

Positive and cut-off values (n=102) (%)
Characteristic01-45-910-1415-1920-2425-34
All cases2345121372102

MEASLES

IgM n=6813 (12.7)31 (30.4)8 (7.8)11 (10.8)4 (3.9)1 (1.0)68 (66.7)
IgG n=231 (1.0)7 (6.9)3 (2.9)4 (3.9)6 (5.9)2 (2.0)23 (22.5)

MUMPS

IgG n=6010 (9.8)28 (27.5)8 (7.8)6 (5.9)6 (5.9)2 (2.0)60 (58.8)

RUBELLA

IgG n=202 (2.0)3 (2.9)3 (2.9)4 (3.9)6 (5.9)2 (2.0)20 (19.6)

Positive antibodies against rubella and the type of applied combination vaccines (n=20) (%)

MMR+MMR2 (10.0)3 (15.0)3 (15.0)1 (5.0)009 (45.0)
MM+MMR0003 (15.0)1 (5.0)04 (20.0)
Mo+Mo00005 (25.0)2 (10.0)7 (35.0)
TOTAL2 (10.0)3 (15.0)3 (15.0)4 (20.0)6 (30.0)2 (10.0)20 (100.0)

Negative antibodies against rubella and the type of applied combination vaccines (n=82) (%)

MMR+MMR

MMR+MMR: two doses of trivalent vaccine against measles, mumps and rubella

21 (25.6)42 (51.2)9 (11.0)9 (11.0)0081 (98.8)
MM+MMR

MM+MMR: one dose of bivalent measles-mumps vaccine, and one dose of trivalent measles-mumps-rubella vaccine

0000000
Mo+Mo

Mo+Mo: two doses of monovalent vaccine against measles

00001 (1.2)01 (1.2)
TOTAL21 (25.6)42 (51.2)9 (11.0)9 (11.0)1 (1.2)082 (100.0)

Characteristics of all patients (n=439) and of patients vaccinated with two MCV doses (n=102) in the measles outbreak in Michalovce and Sobrance districts, Slovak Republic 2018_

Characteristics of all patients in the measles outbreak, the Michalovce and Sobrance districts (n=439)
Age group
Characteristic01-45-910-1415-1920-2425-3435-4445-54TOTAL
Males33273035381619104212
Females4833423038131283227
TOTAL (%)81 (18.5)60 (13.7)72 (16.4)65 (14.8)76 (17.3)29 (6.6)31 (7.1)18 (4.1)7 (1.6)439 (100.0)
Hospitalized72 (16.4)51 (11.6)52 (11.8)31 (7.1)47 (10.7)18 (4.1)13 (3.0)2 (0.5)2 (0.5)288 (65.6)
Complications10 (2.3)8 (1.8)6 (1.4)2 (0.5)8 (1.8)1 (0.2)3 (0.7)01 (0.2)39 (8.9)

VACCINATION STATUS (%) (n=439)

MCV1
MMR

TRIMOVAX, PRIORIX, M-M-RVAXPRO

021 (4.8)58 (13.2)15 (3.4)13 (3.0)10 (2.3)6 (1.4)00123 (28.0)
MM

MOPAVAC

0000001 (0.2)001 (0.2)
Mo

MOVIVAC

00000002 (0.5)1 (0.2)3 (0.7)
All MCV1021 (4.8)58 (13.2)15 (3.4)13 (3.0)10 (2.3)7 (1.6)2 (0.5)1 (0.2)127 (28.9)
MCV2
MMR

TRIMOVAX, PRIORIX, M-M-RVAXPRO

00037 (8.4)52 (11.8)17 (3.9)10 (2.3)2 (0.5)0118 (26.9)
MM

MOPAVAC

00000001 (0.2)01 (0.2)
Mo

MOVIVAC

0000009 (2.1)7 (1.6)2 (0.5)18 (4.1)
All MCV200037 (8.4)52 (11.8)17 (3.9)19 (4.3)10 (2.3)2 (0.5)137 (31.2)
All vaccinated021 (4.8)58 (13.2)52 (11.8)65 (14.8)27 (6.2)26 (5.9)12 (2.7)3 (0.7)264 (60.1)
Unvaccinated023 (5.2)14 (3.2)12 (2.7)5 (1.1)1 (0.2)003 (0.7)58 (13.2)
Unvaccinated for age81 (18.5)16 (3.6)000000097 (22.1)
All unvaccinated81 (18.5)39 (8.9)14 (3.2)12 (2.7)5 (1.1)1 (0.2)003 (0.7)155 (35.3)
Unknown0001 (0.2)6 (1.4)1 (0.2)5 (1.1)6 (1.4)1 (0.2)20 (4.6)

Characteristics of patients vaccinated with 2 MCV doses in the measles outbreak in the Michalovce and Sobrance districts (n=102)

Males0001322764153
Females0001023573149
TOTAL (%)00023 (22.5)45 (44.1)12 (11.8)13 (12.8)7 (6.9)2 (2.0)102 (100.0)

VACCINATION STATUS (%) (n=102)

MCV1
MMR

TRIMOVAX, PRIORIX, M-M-RVAXPRO

0000000000
MM

MOPAVAC

0000000000
Mo

MOVIVAC

0000000000
All MCV10000000000
MCV2
MMR

TRIMOVAX, PRIORIX, M-M-RVAXPRO

00023 (22.5)45 (44.1)12 (11.8)13 (12.7)0093 (91.2)
MM

MOPAVAC

0000000000
Mo

MOVIVAC

00000007 (6.9)2 (2.0)9 (8.8)
All MCV200023 (22.5)45 (44.1)12 (11.8)13 (12.7)7 (6.9)2 (2.0)102 (100.0)
DOI: https://doi.org/10.2478/sjph-2020-0028 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 219 - 226
Submitted on: Feb 13, 2020
|
Accepted on: Sep 10, 2020
|
Published on: Oct 18, 2020
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2020 Henrieta Hudečková, Janka Stašková, Ján Mikas, Adriana Mečochová, Edita Staroňová, Alexandra Polčičová, Tibor Baška, Martin Novák, Nora Malinovská, Jana Zibolenová, Viera Švihrová, Elena Nováková, Mária Štefkovičová, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.