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. 2024 Feb;29(9):2400107.
doi: 10.2807/1560-7917.ES.2024.29.9.2400107.

Ongoing measles outbreak, the Federation of Bosnia and Herzegovina, December 2023 to February 2024

Sanjin Musa  1   2 , Irma Salimović-Bešić  3   4 , Jasmina Brkić Džambić  5 , Nijaz Tihić  6   7 , Anisa Bajramović  8 , Suzana Arapčić  3 , Amela Dedeić-Ljubović  3   4 , Siniša Skočibušić  1
Affiliations

Ongoing measles outbreak, the Federation of Bosnia and Herzegovina, December 2023 to February 2024

Sanjin Musa et al. Euro Surveill. 2024 Feb.

Abstract

We report on an ongoing measles outbreak in the Federation of Bosnia and Herzegovina with 141 cases notified between week 52 2023 and week 6 2024. Among those with known vaccination status, 97% were unvaccinated and the most affected group is children under the age of 5 years (n = 87) who were not vaccinated during the pandemic years. Sixty-eight cases were hospitalised, the most common complications were measles-related pneumonia and diarrhoea. The sequenced measles viruses from four cases belonged to genotype D8.

Keywords: Bosnia and Herzegovina; Federation of Bosnia and Herzegovina; MMR vaccine; measles outbreak.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Notified measles cases and coverage of measles-mumps-rubella vaccination in children, the Federation of Bosnia and Herzegovina, 2009–2023 (n = 6,662)
Figure 2
Figure 2
Notification of measles cases by cantons, the Federation of Bosnia and Herzegovina, week 52 2023–week 6 2024 (n = 141)
Figure 3
Figure 3
Possible, probable and confirmed measles cases by week, the Federation of Bosnia and Herzegovina, week 52 2023–week 6 2024 (n = 141)
Figure 4
Figure 4
Age distribution of notified measles cases, the Federation of Bosnia and Herzegovina, week 52 2023–week 6 2024 (n = 141)
Figure 5
Figure 5
Phylogenetic analysis of measles viruses involved in a measles outbreak, the Federation of Bosnia and Herzegovina, week 52 2023–week 6 2024
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