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However, the RVC was extremely concerned over the continuing low vaccination coverage reported for this country. In this study, we describe the most recent measles epidemic in Montenegro using the epidemiological data collected from January 1\u00a0to July 31, 2018. The outbreak is largely attributable to a dangerous accumulation of susceptible subjects across the country and represents a high\u2010risk factor for re\u2010establishing endemic transmission in the Balkan area. This study showed how a vaccine\u2010preventable communicable disease outbreak can have a dramatic impact and severe consequences on regional public health system performance in terms of the sanitary spending point of view. A detailed update is provided on the epidemiological situation in this Central European area, not available until now.<\/jats:p>","DOI":"10.1002\/jmv.27377","type":"journal-article","created":{"date-parts":[[2021,10,8]],"date-time":"2021-10-08T23:16:39Z","timestamp":1633734999000},"page":"514-520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Measles outbreak, Montenegro January\u2013July 2018: Lessons learned"],"prefix":"10.1002","volume":"94","author":[{"given":"Boban","family":"Mugo\u0161a","sequence":"first","affiliation":[{"name":"Institute of Public Health of Montenegro  Podgorica Montenegro"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5921-3180","authenticated-orcid":false,"given":"Giancarlo","family":"Ceccarelli","sequence":"additional","affiliation":[{"name":"Department of Public Health and Infectious Diseases University of Rome \u201cSapienza\u201d  Rome Italy"},{"name":"Migrant and Global Health Research Organization (Mi\u2010HeRo)  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senad","family":"Begi\u0107","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Montenegro  Podgorica Montenegro"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danijela","family":"Vujo\u0161evi\u0107","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Montenegro  Podgorica Montenegro"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeljka","family":"Zekovic","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Montenegro  Podgorica Montenegro"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3866-9239","authenticated-orcid":false,"given":"Massimo","family":"Ciccozzi","sequence":"additional","affiliation":[{"name":"Unit of Medical Statistics and Molecular Epidemiology University of Biomedical Campus Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoran","family":"Vratnica","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Montenegro  Podgorica Montenegro"},{"name":"PZU Diagnostica  Podgorica Montenegro"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00430-010-0153-2"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.348.6238.958"},{"key":"e_1_2_11_4_1","first-page":"1042","volume-title":"Fields Virology","author":"Griffin DE","year":"2013"},{"issue":"1","key":"e_1_2_11_5_1","first-page":"S18","article-title":"Measles mortality reduction contributes substantially to reduction of all\u2010cause mortality among children less than five years of age, 1990\u20132008","volume":"204","author":"Ent MM","year":"2011","journal-title":"J Infect Dis"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1179\/2046904714Z.000000000218"},{"key":"e_1_2_11_7_1","unstructured":"World Health Organization. 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