Spatiotemporal distribution and determinants of measles incidence during a large outbreak, Italy, September 2016 to July 2018.

ABSTRACT: BackgroundMeasles is still endemic in Italy and outbreaks are frequent. From 2016 to 2018, more than 7,000 measles cases were reported to the national integrated measles and rubella surveillance system, the largest outbreak since implementation of this system.AimWe aimed to describe the characteristics and spatiotemporal distribution of measles cases in Italy and explore determinants of incidence at municipality level.MethodsWe performed a retrospective observational study, mapping by municipalityall measles cases reported to the national surveillance system with symptom onset between 1 September 2016 and 31 July 2018. We also analysed measles-mumps-rubella (MMR) vaccination coverage (VC) data (2000-2017) for the first and second dose, collected from the Ministry of Health. We used regress

SUBMITTER: Andrianou XD 

PROVIDER: S-EPMC6628759 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature