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Euro Surveill. 2019 Jan;24(2). doi: 10.2807/1560-7917.ES.2019.24.2.1800663.

Measles outbreak: preliminary report on a case series of the first 8,070 suspected cases, Manaus, Amazonas state, Brazil, February to November 2018.

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Secretariat of Health Surveillance, Ministry of Health, Brasília, Brazil.
Municipal Health Secretariat of Manaus, Amazonas, Brazil.
Fundação de Vigilância em Saúde do Estado do Amazonas, Manaus, Brazil.
Department of Epidemiology & Public Health, University College London, London, UK.
Post-Graduation Program in Health Sciences, University of Brasília, Brasília, Brazil.


We report an ongoing measles outbreak in Manaus, Amazonas state, Brazil. As at 3 November 2018, 1,631 cases were confirmed corresponding to an incidence of 75.3 per 100,000 inhabitants; all five sanitary districts presented confirmed cases. Reintroduction of measles virus in Manaus is likely related to the current outbreak in Venezuela and due to recent decline in measles vaccine coverage. Given the current scenario, prevention and control measures should target individuals aged 15-29 years.


America; Brazil; airborne infections; communicable diseases; disease outbreaks; epidemiology; measles; outbreaks; viral infections

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