Measles Outbreak Among Healthcare Professionals: Operational Response and Remedial Measures

Measles Outbreak Among Healthcare Professionals: Operational Response and Remedial Measures

Authors

  • Silvia Dari Coordination of Vaccination Programs, Department of Prevention, ASL Viterbo, Italy
  • Anna Maria Cassano Health Management Belcolle Hospital, ASL Viterbo, Italy
  • Sabrina Di Lorenzo Health Management Belcolle Hospital, ASL Viterbo, Italy
  • Raffaela Napoli Competent physician, ASL Viterbo, Italy
  • Elisabetta Manini Management control, ASL Viterbo, Italy
  • Valentina Simeone Department of Neuroscience, Mental Health and Organs of Sense NEMOS, University of La Sapienza, Rome, Italy
  • Fabrizio De Paolis Free-lance physiotherapist, Rome, Italy
  • Silvia Aquilani Coordination of Vaccination Programs, Department of Prevention, ASL Viterbo, Italy

DOI:

https://doi.org/10.7175/cmi.v13i1.1433

Keywords:

Measles, Outbreak, Healthcare Professionals, Vaccine, Index Case, Adults

Abstract

Given the numerous cases recorded in 2017, a descriptive epidemiological study was conducted in the Viterbo Local Health Unit (LHU) area, Italy. Hospital Discharge Sheets (HDSs) and the notifications of infectious diseases (NOIDs) were used.

We were able to trace the distribution of the disease both in the general population and, in particular, among the staff of Belcolle Hospital in Viterbo. In 2017, 50 cases of measles were detected among the population in the area of Viterbo. Of these, 10 concerned healthcare professionals and 3 employees of the Viterbo LHU.

Due to the education and information campaign on the measles, mumps, and rubella (MMR) vaccine and the close monitoring of the vaccination coverage among the employees of the hospital (performed for the first time), only 4 cases were registered from January 1, 2018 to December 31, 2018 in the same area, and no healthcare workers were involved.

References

Bartolozzi G. Vaccini e Vaccinazioni. Amsterdam: Elsevier, 2012

Antonelli G, Clementi M, Pozzi G, et al. Principi di Microbiologia Medica. Rozzano (MI): Casa Editrice Ambrosiana, 2017

European Centre for Disease prevention and Control (ECDC). Monthly measles and rubella monitoring report February 2018. Available at https://ecdc.europa.eu/sites/portal/files/documents/Monthly%20Measles%20and%20Rubella%20monitoring%20report%20%20February%202018.pdf (last accessed September 2019)

Istituto Superiore di Sanità (ISS). Morbillo & Rosolia News. Rapporto n. 37 Gennaio 2018 Available at https://www.epicentro.iss.it/morbillo/bollettino/RM_News_2018_37%20def.pdf (last accessed September 2019)

Legge 31 luglio 2017, n. 119. Conversione in legge, con modificazioni, del decreto-legge 7 giugno 2017, n. 73, recante disposizioni urgenti in materia di prevenzione vaccinale 119/2017. G.U. Serie Generale, n. 182 del 05 agosto 2017

Carta di Pisa delle vaccinazioni negli operatori sanitari. Atti della Conferenza Nazionale “Medice cura te ipsum”, Pisa 27 e 28 marzo 2017. Available at http://www.quotidianosanita.it/allegati/allegato5825015.pdf (last accessed September 2019)

Epicentro, il portale dell’epidemiologia per la Sanità Pubblica, Morbillo in Italia: bollettino settimanale. Available at http://www.epicentro.iss.it/morbillo/Infografica2017 (last accessed September 2019)

Ministero della Salute, Direzione Generale della Prevenzione Sanitaria, Ufficio 5 - prevenzione delle malattie trasmissibili e profilassi internazionale. Situazione epidemiologica del morbillo -Indicazioni operative per la gestione dell’epidemia in atto. Available at http://www.trovanorme.salute.gov.it/norme/renderNormsanPdf?anno=2017&codLeg=58889&parte=1%20&serie=null (last accessed September 2019)

Geo demo ISTAT. Demografia in cifre. Available at http://demo.istat.it/index.html (last accessed September 2019)

Ministero della Salute, Piano Nazionale per l’eliminazione del Morbillo e della Rosolia congenita 2010-2015. Available at http://www.salute.gov.it/imgs/C_17_pubblicazioni_1519_allegato.pdf (last accessed September 2019)

Istituto Superiore di Sanità, Morbillo & Rosolia News. Rapporto n. 48 Gennaio 2019. Available at http://www.epicentro.iss.it/morbillo/bollettino/RM_News_2018_48%20def.pdf (last accessed September 2019)

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Published

2019-10-09

Issue

Vol. 13 No. 1 (2019)

Section

Clinical management

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