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Surveillance data

Main developments

This page was updated on 16 May 2016

 Get the latest surveillance data on measles from EU and EEA countries through the Surveillance Atlas of Infectious Diseases. 

  • Between 1 April 2015 and 31 March 2016, 30 EU/EEA Member States reported 2 572 cases. Twenty-six Member States reported consistently throughout the 12-month period, delays in reporting were observed for four countries only during the last month.  
  • Germany reported 1 088 cases, accounting for 42% of the EU/EEA cases in the 12-month period, most of these cases (1 023) were reported between 1 April 2015 and 31 July 2015. Other countries high numbers of cases were France (388), Italy (351) and Austria (193). These cases were mainly observed between 1 April 2015 and 31 July 2015, with the exception of the Italian cases, of which 216 were observed between 1 November 2015 and 29 February 2016.
  • In 14 Member States, the measles notification rate was less than the elimination target of one case per million population during the last 12 months. Eight of these Member States reported zero cases. The highest notification rates were observed in Austria (22.7) and Croatia (17.4). 
  • The diagnosis of measles was confirmed by positive laboratory results (serology, virus detection or isolation) in 64% of all cases.
  • Of all cases with known age (n=2 570), 598 (23%) were children less than 5 years of age, while 988 (38%) were aged 20 years or over. 
  • Of the cases with known age, 75% were unvaccinated, 9% were vaccinated with one dose, 4% were vaccinated with two or more doses, 1% were vaccinated with an unknown number of doses and 11% had an unknown vaccination status. 
  • The proportion of cases with unknown vaccination status was highest in adults aged 30 years and over, reaching 22% in this age group. The proportion of unvaccinated was highest in children below one year; these children are most often too young to be protected by vaccination, however they can be protected by herd immunity when vaccination coverage for the second dose is at least 95%.
  • In the target group for routine childhood MMR vaccination (1-4 year-olds), 75% of the cases were unvaccinated, 15% were vaccinated with one dose, 2% with two doses or more, 1% with an unknown number of doses and 7% had an unknown vaccination status.
  • Four cases were complicated by acute measles encephalitis. These cases were 14, 16, 19 and 41 years old.
  • An outbreak of measles is currently affecting the northern district of Bistrita-Nasaud in Romania. The outbreak started at the end of January 2016. As of 28 April 2016, 129 cases have been notified, the majority of which are unvaccinated young children. Fifty-eight cases were laboratory confirmed; measles genotype B3 was identified. As of 28 April 2016, 144 children have been immunised in the affected area and vaccination activities are ongoing. 
  • On 26 April 2016, Public Health England (PHE) posted a press release regarding a measles outbreak in London. There have been over 60 cases of measles reported in the last two months with 48 of these aged 15 years or over. PHE is calling on parents and young adults to consider the MMR vaccine.

 This section


Monitoring reports
These reports are based on enhanced surveillance from ECDC, national websites, the Early Warning and Response System (EWRS), validated media reports, and communication for national authorities.

Measles maps
Maps of measles cases on a monthly basis,reported by EU/EEA countries to ECDC via The European Surveillance System (TESSy).

Archive: reports
Surveillance reports of selected vaccine-preventable diseases published by EUVAC.Net from 1999 to 2011.


 Measles and rubella monitoring reports

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