Measles Elimination Efforts and 2008–2011 Outbreak, France
- Denise Antona
- Daniel Lévy-Bruhl
- Claire Baudon
- François Freymuth
- Mathieu Lamy
- Catherine Maine
- Daniel Floret
- Isabelle Parent du Chatelet
DOIAbstract
Although few measles cases were reported in France during 2006 and 2007, suggesting the country might have been close to eliminating the disease, a dramatic outbreak of >20,000 cases occurred during 2008–2011. Adolescents and young adults accounted for more than half of cases; median patient age increased from 12 to 16 years during the outbreak. The highest incidence rate was observed in children <1 year of age, reaching 135 cases/100,000 infants during the last epidemic wave. Almost 5,000 patients were hospitalized, including 1,023 for severe pneumonia and 27 for encephalitis/myelitis; 10 patients died. More than 80% of the cases during this period occurred in unvaccinated persons, reflecting heterogeneous vaccination coverage, where pocke...
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