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Surveillance data

Main developments

This page was updated on 7 September 2016

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

  • Between 1 August 2015 and 31 July 2016, 30 EU/EEA Member States reported 1 891 cases of measles. Twenty-eight Member States reported consistently throughout the 12-month period. During the last months, delays in reporting were observed for Belgium and France.   
  • Italy reported 617 cases, accounting for 33% of the EU/EEA cases in the 12-month period. Most of the Italian cases (490) were reported from January to July 2016. Other countries with a high number of cases were the United Kingdom (371), Romania (338), Germany (260)). Eighty-five percent of the cases in the EU/EEA period were reported during the first seven months of 2016. 
  • The increase in number of cases seen since the start of the year is compatible with measles seasonality, which in temperate climates peaks in late winter/early spring.
  • Measles is targeted for elimination in Europe. The measles notification rate was below the elimination target (one case per million population) in 20 of the 30 reporting countries. Nine of these Member States reported zero cases. The highest notification rates were observed in Romania (17.0), Italy (10.2) and Ireland (8.9). 
  • The diagnosis of measles was confirmed by positive laboratory results (serology, virus detection or isolation) in 75% of all cases.
  • Of all cases with known age (n=1 888), 642 (34%) were children less than 5 years of age, while 684 (37%) were aged 20 years or over. 
  • Of the cases with known age, 78% were unvaccinated, 8% were vaccinated with one dose, 4% were vaccinated with two or more doses, 1% were vaccinated with an unknown number of doses and 9% had an unknown vaccination status. 
  • The proportion of cases with unknown vaccination status was highest in adults aged 30 years and over, reaching 15% in this age group. The proportion of unvaccinated cases was highest among children below one year of age (97%). This is expected as these children are too young to have received the first dose of measles vaccine. Infants are particularly vulnerable to complications of measles and are best protected by herd immunity which is achieved when population coverage for the second dose of a measles-containing vaccine is at least 95%.
  • In the target group for routine childhood MMR vaccination (1-4 year-olds), 77% of the cases were unvaccinated, 14% were vaccinated with one dose, 2% with two doses or more, 2% with an unknown number of doses and 5% had an unknown vaccination status.
  • Two deaths due to measles were reported during the 12-month period, one in Romania, one in the United Kingdom. Both were in children under 12 months of age and thus not eligible for vaccination according to their national schedule. 
  • Reports of measles outbreaks in Ireland and in the United Kingdom were detected by epidemic intelligence. Measles outbreaks outside the EU/EEA Member States are also ongoing in Cameroon, Sudan, Nigeria, Uganda, Cambodia and New Zealand. See the latest CDTR.

 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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