A measles outbreak in Romania has been ongoing since February 2016 and cases continue to be reported despite ongoing response measures that have been implemented at national level through reinforced vaccination activities. Between 1 January 2016 and 21 April 2017, Romania reported 4 881 cases. In 2016, a number of additional EU/EEA countries reported measles outbreaks, and an increase in the number of cases continues to be observed in 2017. Some previous and ongoing measles outbreaks in other EU countries have been epidemiologically linked to the current outbreak in Romania.
An outbreak of chikungunya in the Caribbean region was reported from the French part of the island of Saint Martin on 6 December 2013. Since then, autochthonous transmission of chikungunya has been reported from several islands in the Caribbean. For the first time, local cases of chikungunya were reported in South America (French Guiana).
The risk of transmission of chikungunya virus is the result of simultaneous presence of the virus, the competent mosquitoes and susceptible human hosts, and contact between these three entities.
Individuals living in or travelling to endemic regions should take the following protective measures against mosquito bites, especially during the day,when the mosquitos are active