head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2018, vol. 24, issue4
Subject Area: Medicine
DOI: 10.5272/jimab.2018244.2232
Published online: 15 November 2018

Original article

J of IMAB. 2018 Oct-Dec;24(4):2232-2235
Elyana P. Ivanova1ORCID logo Corresponding Autoremail, Gabriela St. Tsankova2ORCID logo, Tatina T. Todorova2ORCID logo, Neli M. Ermenlieva2ORCID logo, Rumen P. Konstantinov1, Yanka V. Draganova3, Milena Petkova4,
1) Department of hygiene and epidemiology, Faculty of public health, Medical University Varna, Bulgaria.
2) Department of Preclinical and Clinical Sciences, Faculty Pharmacy, Medical University, Varna, Bulgaria.
3) Regional Health Inspectorate, Varna, Bulgaria
4) TRS Medical laboratory assistant, Medical College, Medical University-Varna, Bulgaria.

Purpose: Measles is a highly contagious disease, and despite the presence of an effective and safe vaccine, it is still a leading cause of child mortality. During 2009-2010, the most serious European outbreak of measles occurred in Bulgaria and killed24 children.
The severity of the recent epidemic outbreak prompts us to investigate the epidemiology of measles in Varna Region from 2005 to 2016. We also tried to assess the prevention measures analyzing the vaccine coverage during the post-outbreak period.
Materials and methods: We performed a retrospective study (2005-2016) on the base of the epidemiological data for the measles incidence from the Regional Health Inspectorate – Varna.
Results: During 2010 the incidence of measles in Varna Region reached 289.47 cases per 100000 inhabitants. The disease showed a typical winter-spring seasonality and affected people of all ages but the highest incidence was reported among children <1 year (4288.90 cases per 100000) and among the Roma ethnic group. The analysis of the number of performed immunizations during the period after the outbreak (2011-2015) showed a low immunization coverage (around and under 90%).
Conclusions: The epidemiological analysis of the recent measles outbreak and its dimension in Varna Region showed alarming results: failure to vaccinate the required number of individuals led to the accumulation of a significant number of unvaccinated people and therefore to possible re-emergence of measles in the near future.

Keywords: Measles, Children mortality, Incidence rate, MMR vaccine, vaccine coverage,

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Please cite this article as: Ivanova EP, Tsankova V, Todorova TT, Ermenlieva NM, Konstantinov RP, Draganova YV, Petkova M. The Epidemiological Characteristics of Measles in Varna Region for 2005-2016. J of IMAB. 2018 Oct-Dec;24(4):2232-2235. DOI: 10.5272/jimab.2018244.2232

Corresponding AutorCorrespondence to: Eliyana Panayotova Ivanova, Department of hygiene and epidemiology, Faculty of public health, Medical University Varna; 3. Bregalniza Str., 9002 Varna, Bulgaria; E-mail: elyiva@gmail.com

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Received: 13 June 2018
Published online: 15 November 2018

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