Monitoring progress towards the elimination of measles in Iran: supporting evidence from 2014 to 2016 by application of measles outbreaks data

Abstract Background To achieve the goal of measles eradication, all WHO member countries should continuously monitor the status of measles elimination. This work aims to characterize measles outbreaks in Iran from 2014 to 2016 and calculate the effective reproduction number, given that the country h...

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Main Authors: Naser Piri (Author), Manoochehr Karami (Author), Leili Tapak (Author), Seyed Mohsen Zahraei (Author), Younes Mohammadi (Author)
Format: Book
Published: BMC, 2019-06-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Naser Piri  |e author 
700 1 0 |a Manoochehr Karami  |e author 
700 1 0 |a Leili Tapak  |e author 
700 1 0 |a Seyed Mohsen Zahraei  |e author 
700 1 0 |a Younes Mohammadi  |e author 
245 0 0 |a Monitoring progress towards the elimination of measles in Iran: supporting evidence from 2014 to 2016 by application of measles outbreaks data 
260 |b BMC,   |c 2019-06-01T00:00:00Z. 
500 |a 10.1186/s12889-019-7060-2 
500 |a 1471-2458 
520 |a Abstract Background To achieve the goal of measles eradication, all WHO member countries should continuously monitor the status of measles elimination. This work aims to characterize measles outbreaks in Iran from 2014 to 2016 and calculate the effective reproduction number, given that the country has recently eliminated measles. Methods Effective Reproduction Number (R) was estimated to achieve the goal of measles elimination using measles related outbreaks data and epidemiological data from the cases linked to imported cases. Three methods were used to estimate R includes (i) proportion of cases imported, (ii) distribution of outbreak size and (iii) distribution of outbreak generations. Results Of the 153 outbreaks occurring during the three years of the study, 29 outbreaks (19%) were unknown source, 86% of them were single cases. Estimates of R during the study period by proportion of cases imported were 0.79 (95% CI: 0.73-0.86). Corresponding values for distribution of outbreak size and distribution of outbreak generations methods were R = 0.83 (95% CI: 0.68-0.97) and R = 0.76 (95% CI: 0.54-0.90), respectively. Conclusions Estimated values of R represent the important achievement that the outbreaks of measles originating from the indigenous genotype in Iran have been eliminated. Moreover, Iran has also achieved the goal of measles elimination by end of 2015. 
546 |a EN 
690 |a Measles 
690 |a Epidemiology 
690 |a Elimination 
690 |a Effective reproduction rate 
690 |a Outbreak 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n BMC Public Health, Vol 19, Iss 1, Pp 1-7 (2019) 
787 0 |n http://link.springer.com/article/10.1186/s12889-019-7060-2 
787 0 |n https://doaj.org/toc/1471-2458 
856 4 1 |u https://doaj.org/article/eeeb8624e4e1443a8a66d9bc3b802fb8  |z Connect to this object online.