{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T12:45:58Z","timestamp":1777207558211,"version":"3.51.4"},"reference-count":0,"publisher":"World Health Organization Regional Office for the Eastern Mediterranean (WHO\/EMRO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["East Mediterr Health J."],"published-print":{"date-parts":[[2026,4,26]]},"abstract":"<jats:p>Background: Sarajevo Canton reported large measles outbreaks in 2019 and 2024, highlighting the impact of the persistent gaps in immunisation coverage.\nAim: To analyse 2 measles outbreaks in Sarajevo Canton in Bosnia and Herzegovina, identify populations at risk and assess the impact of vaccination coverage on disease transmission.\nMethods: We collected publicly available weekly case counts data for 45 weeks from the Public Health Institute of Sarajevo Canton and examined the vaccination coverage for 5 years to assess the impact of immunisation on outbreak dynamics. We conducted descriptive analyses using RStudio version 2024 and evaluated the differences between outbreaks using Mann-Whitney U test. P &lt; 0.05 was considered statistically significant.\nResults: A total of 869 cases were reported in 2019 and 4505 in 2024, and children aged 1\u20134 years were mostly affected (42.1%). Most of the cases were either unvaccinated or had unknown vaccination status; 92.3% of cases in 2019 were unvaccinated, and 87.7% in 2024 were unvaccinated, while 9.9% had unknown vaccination status. The 2024 outbreak had a higher and longer peak (416 vs 91 cases) occurence than 2019, and one death was reported in each year.\nConclusion: The declining vaccination coverage in Sarajevo Canton contributed to increased measles incidence. Strengthening mandatory immunisation, targeted catch-up campaigns and public communication are essential to achieve herd immunity, prevent future outbreaks and progress towards Universal Health Coverage.<\/jats:p>","DOI":"10.26719\/2026.32.4.219","type":"journal-article","created":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T12:08:47Z","timestamp":1777205327000},"page":"219-224","source":"Crossref","is-referenced-by-count":0,"title":["Resurgence of measles in Bosnia and Herzegovina amid declining vaccination coverage"],"prefix":"10.26719","volume":"32","author":[{"given":"Anes","family":"Jogun\u010di\u0107","sequence":"first","affiliation":[{"name":"Public Health Institute of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asaf","family":"Sal\u010dinovi\u0107","sequence":"additional","affiliation":[{"name":"Public Health Institute of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aida","family":"Po\u0161kovi\u0107-Bajraktarevi\u0107","sequence":"additional","affiliation":[{"name":"Public Health Institute of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnesa","family":"Porovi\u0107-Hod\u017ei\u0107","sequence":"additional","affiliation":[{"name":"Public Health Institute of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anisa","family":"Bajramovi\u0107","sequence":"additional","affiliation":[{"name":"Public Health Institute of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alma","family":"Bungur","sequence":"additional","affiliation":[{"name":"Public Health Institute of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emina Kurtagi\u0107","family":"Pepi\u0107","sequence":"additional","affiliation":[{"name":"Public Health Institute of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sne\u017eana Bursa\u010d","family":"Aran\u0111elovi\u0107","sequence":"additional","affiliation":[{"name":"Public Health Institute of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zlatan","family":"Hamza","sequence":"additional","affiliation":[{"name":"Public Health Institute of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11263","published-online":{"date-parts":[[2026,4,26]]},"container-title":["Eastern Mediterranean Health Journal"],"original-title":[],"link":[{"URL":"https:\/\/applications.emro.who.int\/EMHJ\/V32\/04\/1020-3397-2026-3204-219-224-eng.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T12:08:48Z","timestamp":1777205328000},"score":1,"resource":{"primary":{"URL":"https:\/\/applications.emro.who.int\/EMHJ\/V32\/04\/1020-3397-2026-3204-219-224-eng.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,26]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4,26]]},"published-print":{"date-parts":[[2026,4,26]]}},"URL":"https:\/\/doi.org\/10.26719\/2026.32.4.219","relation":{},"ISSN":["1020-3397","1687-1634"],"issn-type":[{"value":"1020-3397","type":"print"},{"value":"1687-1634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,26]]}}}