{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T22:47:10Z","timestamp":1771454830793,"version":"3.50.1"},"reference-count":17,"publisher":"European Centre for Disease Control and Prevention (ECDC)","issue":"20","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,5,17]]},"abstract":"<jats:p>A measles outbreak has been occurring in a healthcare setting in Porto, Portugal, since early March 2018, posing public health challenges for a central hospital and the community. Up to 22 April, 96 cases were confirmed, 67 in vaccinated healthcare workers, mostly between 18-39 years old. Following identification of the first cases, control measures were rapidly implemented. Concomitantly, other measles cases were notified in the Northern Region of the country. No common epidemiological link was identified.<\/jats:p>","DOI":"10.2807\/1560-7917.es.2018.23.20.18-00224","type":"journal-article","created":{"date-parts":[[2018,5,17]],"date-time":"2018-05-17T14:55:18Z","timestamp":1526568918000},"update-policy":"https:\/\/doi.org\/10.2807\/1560-7917.es.crp2020","source":"Crossref","is-referenced-by-count":29,"title":["Measles outbreak in a tertiary level hospital, Porto, Portugal, 2018: challenges in the post-elimination era"],"prefix":"10.2807","volume":"23","author":[{"given":"Rita","family":"S\u00e1 Machado","sequence":"first","affiliation":[{"name":"Public Health Unit, ACeS Porto Ocidental, ARS Norte, Porto, Portugal"}]},{"given":"Mariana","family":"Perez Duque","sequence":"additional","affiliation":[{"name":"Public Health Unit, ACeS Porto Ocidental, ARS Norte, Porto, Portugal"}]},{"given":"Soraia","family":"Almeida","sequence":"additional","affiliation":[{"name":"Emergency Department, Centro Hospitalar do Porto, Porto, Portugal"}]},{"given":"Ivo","family":"Cruz","sequence":"additional","affiliation":[{"name":"Public Health Unit, ACeS Porto Ocidental, ARS Norte, Porto, Portugal"}]},{"given":"Ana","family":"Sottomayor","sequence":"additional","affiliation":[{"name":"Public Health Unit, ACeS Porto Ocidental, ARS Norte, Porto, Portugal"}]},{"given":"Isabel","family":"Almeida","sequence":"additional","affiliation":[{"name":"Emergency Department, Centro Hospitalar do Porto, Porto, Portugal"}]},{"given":"J\u00falio","family":"R Oliveira","sequence":"additional","affiliation":[{"name":"Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Universidade do Porto, Porto, Portugal"},{"name":"Infection Control and Prevention Commission, Centro Hospitalar do Porto, Porto, Portugal"}]},{"given":"Delfina","family":"Antunes","sequence":"additional","affiliation":[{"name":"Public Health Unit, ACeS Porto Ocidental, ARS Norte, Porto, Portugal"}]}],"member":"7995","reference":[{"key":"r1","unstructured":"Republic of Portugal [Directorate-General of Health]. 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Boletim epidemiol\u00f3gico - Sarampo em Portugal. [Epidemiological Bulletin - Measles in Portugal]. Lisbon: DGS; Apr 2018. Portuguese. Available from: https:\/\/www.dgs.pt\/em-destaque\/sarampo-atualizacao-a-23-de-abril-pdf.aspx"},{"key":"r4","doi-asserted-by":"crossref","unstructured":"Strebel PM, Papania MJ, Fiebelkorn AP, Halsey NA. (2013) Measles vaccine (Chapter 20). In: Vaccines 6th Edition (eds. Plotkin SA, Orenstein WA, Offit PA) Elsevier Saunders, pp. 352\u2013387","DOI":"10.1016\/B978-1-4557-0090-5.00028-8"},{"issue":"4","key":"r5","first-page":"CD010056","article-title":"Post-exposure passive immunisation for preventing measles.","author":"Young","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"r6","unstructured":"World Health Organization (WHO). Global Measles and Rubella. Strategic Plan 2012-2020. Geneva: WHO; 2012. 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