Spread of Measles in Europe and Implications for US Travelers |
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What to Know: From January to June of 2018, World Health Organization (WHO) European region countries reported more than 41,000 measles cases, including 37 deaths — a record high since the 1990s. Ukraine reported the majority of cases, but France, Georgia, Greece, Italy, the Russian Federation, and Serbia also reported high case counts. Low vaccination coverage in previous years is the biggest contributing factor to the increase in cases. More information.
How to Counsel Your Patients:
How to Counsel Your Patients:
Before Travel: Check that patients 6 months of age or older traveling internationally have presumptive evidence of immunity against measles before departure. A self-report of a vaccination or disease history is not adequate evidence of protection. Vaccinate any traveler who does not have written documentation of vaccination or other presumptive evidence of measles immunity.
After Travel: Consider measles in the differential diagnosis of patients presenting with fever and rash, especially those who have recently traveled internationally or who have close contacts who have recently traveled.
After Travel: Consider measles in the differential diagnosis of patients presenting with fever and rash, especially those who have recently traveled internationally or who have close contacts who have recently traveled.
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