{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:09:55Z","timestamp":1747181395960,"version":"3.40.5"},"reference-count":33,"publisher":"Microbiology Society","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,12]]},"abstract":"<jats:p>\n                  <jats:bold>Introduction.<\/jats:bold> At the end of 2019 and the year before, there was a significant spread of measles in the World Health Organization (WHO) European Region.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Gap statement.<\/jats:bold> Among the countries that reported, a measles outbreak was Bosnia and Herzegovina (BiH).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Aim.<\/jats:bold> To describe the measles outbreak in BiH (an entity of the Federation of BiH, FBiH) in 2019.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Methodology.<\/jats:bold> Confirmatory IgM serology, measles nucleic acid detection by real-time RT-PCR and virus genotyping were done in the WHO-accredited laboratory for measles and rubella at the Clinical Center of the University of Sarajevo, Unit for Clinical Microbiology. Genotype was determined in all measles-RNA-positive cases by sequence analysis of the 450 nt fragment coding the C-terminal of measles virus nucleoprotein (N).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results.<\/jats:bold> From 1 January to 31 December 2019, 1332 measles cases were reported, with the peak observed in April 2019 (413\/1332, 31.01\u200a%). Sarajevo Canton had the highest incidence, number of cases and percentage (206.4; 868\/1332; 65.17\u200a%) of measles cases. Around four-fifths of infected persons were unvaccinated (1086\/1332, 81.53\u200a%), while 4.58\u200a% of the patients (61\/1332) were immunized with one dose of measles-containing vaccine. The highest proportion of cases was found in children 0\u20136\u2009years of age (738\/1332, 55.41\u200a%). Measles IgM positivity was determined in 75.88\u200a% (346\/456), while virus RNA was detected in 82.46\u200a% (47\/57) of the swab samples. All measles virus sequences belonged to genotype B3. SNP (position 216: C=&gt;T) was detected in 1 of the 40 sequences obtained during this outbreak.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusion.<\/jats:bold> Due to suboptimal immunization coverage, BiH belongs to countries at a high risk for measles outbreaks. Post-COVID-19 (coronavirus disease 2019) pandemic, targeted and tailored strategies are required to ensure routine vaccination demand and acceptance and broad partner and stakeholder group participation.<\/jats:p>","DOI":"10.1099\/jmm.0.001855","type":"journal-article","created":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T16:16:22Z","timestamp":1720800982000},"source":"Crossref","is-referenced-by-count":1,"title":["Measles outbreak in 2019: a warning for the post-COVID-19 pandemic period"],"prefix":"10.1099","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3793-2154","authenticated-orcid":false,"given":"Irma","family":"Salimovi\u0107-Be\u0161i\u0107","sequence":"first","affiliation":[{"name":"Faculty of Health Studies, University of Sarajevo, Stjepana Tomi\u0107a 1, 71000 Sarajevo, Bosnia and Herzegovina"},{"name":"Clinical Center of the University of Sarajevo, Unit for Clinical Microbiology, Bolni\u010dka 25, 71000 Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7611-2162","authenticated-orcid":false,"given":"Sanjin","family":"Musa","sequence":"additional","affiliation":[{"name":"Sarajevo Medical School, Sarajevo School of Science and Technology, Hrasni\u010dka cesta 3a, Sarajevo, 71000, Bosnia and Herzegovina"},{"name":"Institute for Public Health of the Federation of Bosnia and Herzegovina, Ul. 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