In 2013 and 2014, the Netherlands experienced a measles outbreak in orthodox Protestant communities with low measles-mumps-rubella vaccination coverage. Assessing total outbreak costs is needed for public health outbreak preparedness and control. Total costs of this outbreak were an estimated $4.7 million.
Keywords: cost analysis; costs; disease outbreak; encephalitis; health care economics; measles; measles-mumps-rubella vaccine; primary prevention; religion and medicine; the Netherlands; vaccination; viruses.