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Volume 7, Issue 5 (Suppl)
Epidemiology (Sunnyvale), an open access journal
ISSN: 2161-1165
Epidemiology 2017
October 23-25, 2017
EPIDEMIOLOGY & PUBLIC HEALTH
October 23-25, 2017 | Paris, France
6
th
International Conference on
Epidemiology (Sunnyvale) 2017, 7:5(Suppl)
DOI: 10.4172/2161-1165-C1-018
MEASLES EPIDEMIC IN BRAZIL IN THE POST-ELIMINATION PERIOD: COORDINATED
RESPONSE AND CONTAINMENT STRATEGIES
Daniele Rocha Queiroz Lemos
a
a
Health Secretariat of the State of Ceará, Brazil
T
he measles virus circulation was halted in Brazil in 2001 and the country has routine vaccination coverage against measles,
mumps and rubella higher than 95%. In Ceará, the last confirmed case was in 1999.
This article describes the strategies adopted and the effectiveness of surveillance and control measures implemented during
a measles epidemic in the post-elimination period. The epidemic started in December 2013 and lasted 20 months, reaching
38 cities and 1,052 confirmed cases. The D8 genotype was identified. More than 50,000 samples were tested for measles and
86.4% of the confirmed cases had a laboratory diagnosis. The beginning of a campaign vaccination was delayed in part by the
availability of vaccine.
The classic control measures were not enough to control the epidemic. The creation of a committee of experts, the agreement
signed between managers of the three spheres of government, the conducting of an institutional active search of suspected
cases, vaccination door to door at alternative times, the use of micro planning, a broad advertising campaign at local media and
technical operative support contributed to containing the epidemic. It is important to recognize the possibility of epidemics at
this stage of post-elimination and prepare a sensitive surveillance system for timely response.