An analysis of the incidence of measles in Turkey since 1960

An analysis of the incidence of measles in Turkey since 1960

Background/aim: The aims of this study were to evaluate measles incidence and the effect of elimination strategy interventions on the disease from 1960 to 2014 in Turkey. The administration of measles vaccine started in the rural regions in 1970; it was carried out as a campaign along with the National Vaccine Campaign in 1985, and it has been employed as combined measles, mumps, and rubella under the scope of the Measles Elimination Program (MEP) since 2006 in Turkey. While a dramatic decrease in the reporting of measles was observed between 2000 and 2010, the number of the cases has increased since 2011. Materials and methods: The time series of measles incidence was evaluated for possible structural changes with regression models using dummy variables, autocorrelated with error terms. Results: The incidence of measles showed a statistically significant decline between 1985 and 1988 (P = 0.0072) and between 2005 and 2011 (P < 0.0001). However, a statistically significant increase in incidence was noted after 2013 (P = 0.0008). Conclusion: Over the last 54 years, the pattern of measles cases demonstrated a significant decline in incidence. However, the increase in incidence in 2013 should be carefully analyzed and interpreted in terms of the MEP.

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  • 1. Hinman AR, Orenstein WA, Schuchat A. Vaccine-preventable diseases, immunizations, and MMWR 1961–2011. MMWR Surveill Summ 2011; Supp 60: 49-57.
  • 2. Keegan R, Dabbagh A, Strebel PM, Cochi SL. Comparing measles with previous eradication programs: enabling and constraining factors. JID 2011; Supp l1: 54-61.
  • 3. Measles & Rubella Initiative: The Problem. http://www. measlesrubellainitiative.org/learn/the-problem/.
  • 4. Measles & Rubella Initiative Annual Report 2012. http://www. measlesrubellainitiative.org/wp-content/uploads/2013/07/ MRI-2012-Annual-Report.pdf.
  • 5. WHO Regional Office for Europe .Eliminating measles and rubella framework for the verification process in the WHO European Region http://www.euro.who.int/__data/assets/pdf_ file/0005/156776/e96153-Eng-final-version.pdf.
  • 6. WHO. Global eradication of measles, report by the secretariat, Sixty-Third World Health Assembly, A63/18. http://apps.who. int/gb/ebwha/pdf_files/WHA63/A63_18-en.pdf.
  • 7. Cutts FT, Henao-Restrepo AM, Olive JM. Measles elimination: progress and challenges. Vaccine 1999; 17: 47-52.
  • 8. Kelly H, Riddell M, Heywood A, Lambert S. WHO criteria for measles elimination: a critique with reference to criteria for polio elimination. Euro Surveill 2009; 14: pii=19445.
  • 9. Martínez A, Torner N, Domínguez A, Barrabeig I, Rovira A, Rius C, Caylà JA, Plasencia E , Minguell S, Parrón I et al. Measles outbreak in the elimination era. The Open Vaccine Journal 2010; 3: 42-47.
  • 10. Centers for Disease Control and Prevention. Global control and regional elimination of measles, 2000–2011. MMWR Morb Mortal Wkly Rep 2013; 62: 27-31.
  • 11. Orenstein WA, Strebe PM, Papani, M. Measles eradication: is it in our future. Am J Public Health 2000; 90: 1521-1525.
  • 12. Quadros CA, Andrus JK, Danovaro-Holliday MC, CastilloSolórzano C. Feasibility of global measles eradication after interruption of transmission in the Americas. Expert Review of Vaccines 2008; 7:3,355-362.
  • 13. WHO. Global measles and rubella strategic plan: 2012-2020. http://whqlibdoc.who.int/publications/2012/9789241503396_ eng.pdf.
  • 14. Henao-Restrepo AM, Strebel P, Hoekstra EJ, Birmingham M, Bilous J. Experience in Global Measles Control, 1990–2001, JID 2003; Supp 11: 15-21.
  • 15. Simons E, Ferrari M, Fricks J, Wannemuehler K, Anand A, Burton A, Strebel P. Assessment of the 2010 global measles mortality reduction goal: results from a model of surveillance data. Lancet 2012; 379: 2173-2178.
  • 16. WHO Regional Office for Europe. WHO EpiBrief A report on the epidemiology of selected vaccine-preventable diseases in the European Region 2013; No:2.
  • 17. SAGE Working group on measles and rubella. Status report on progress towards measles and rubella elimination http://www. who.int/immunization/sage/meetings/2012/november/1_ Status_Report_Measles_Rubella_22_Oct.pdf.
  • 18. The Ministry of Health of Turkey Headquarters of Contagious and Epidemic Diseases Control Departments with VaccinePreventable Diseases. Measles elimination program presentation 2014 (in Turkish) www.kayseri.hsm.saglik.gov.tr/ images/dosyalar/20140610081729_3.pptx.
  • 19. The Ministry of Health of Turkey General Directory of Primary Health Services Headquarters of Contagious and Epidemic Diseases Control. Measles Elimination Program, Measles field guide (in Turkish). http://www.mersinsaglik.gov. tr/Download%5C231_10_kizamik_saha_rehberi.pdf.
  • 20. Buzgan T. History of vaccination policies, in Turkey. J Pediatr Inf 2011; Suppl 1: 235-238 (in Turkish).
  • 21. Ceyhan M. Measles vaccination in Turkey. (in Turkish) Çocuk Sağlığı ve Hastalıkları Dergisi 2005; 48: 206-208. http://cshd. org.tr/csh/pdf/pdf_CSH_152.pdf.
  • 22. Kurugöl Z. Measles in Turkey: a continuing problem. Türkiye Klinikleri J Pediatr 2006; 15: 52-58 (article in Turkish with an abstract in English).
  • 23. The Ministry of Health of Turkey General Directory of Primary Health Services. Measles rubella and congenital rubella syndrome surveillance circular. (in Turkish) http://www. saglik.gov.tr/HM/dosya/1-62449/h/kizamik-kizamikcikkkssurveyansigenelgesi2010.pdf.
  • 24. Pankratz A. Forecasting with univariate Box-Jenkins Models: concepts and cases. New York, NY, USA: John Wiley; 1983.
  • 25. Taylor JMG. The retransformed mean after a fitted power transformation. Journal of the American Statistical Association 1986; 81: 114-118.
  • 26. The Ministry of Health of Turkey Public Health Agency of Turkey. Response to written question No. 21001706 dated 12.09.2013 (in Turkish) http://www2.tbmm.gov.tr/d24/7/7- 22609sgc.pdf.
  • 27. The Ministry of Health of Turkey Public Health Agency of Turkey. Measles subject press release dated 23.11.2013 (in Turkish).
  • 28. The Ministry of Health of Turkey. Measles knowledge of notes for physician 2015 (in Turkish) http://www.duzcehalksagligi. gov.tr/index.php/duyurular-menu-top/220-k-zam-k-bilginotu.
  • 29. Public Health Specialist Association Communicable Diseases Working Group (2013) Measles report (in Turkish) http:// hasuder.org.tr/anasayfa/jupgrade/images/HASUDER_ KIZAMIK_RAPORU.pdf.
  • 30. Republic of Turkey Prime Ministry Disaster and Emergency Management Presidency. Syrian Refugees in Turkey, 2013 https://www.afad.gov.tr/Dokuman/TR/61-2013123015505- syrian-refugees-in-turkey-2013_print_12.11.2013_eng.pdf.
  • 31. The UN Refugee Agency. http://www.unhcr.org/ pages/49e48e0fa7f.html.
  • 32. WHO. Response to measles outbreaks in measles mortality reduction settings. http://whqlibdoc.who.int/hq/2009/who_ ivb_09.03_eng.pdf.
  • 33. WHO Regional Office for Europe. Surveillance guidelines for measles, rubella and congenital rubella syndrome in the WHO European Region update December 2012.
  • 34. WHO European Region. Surveillance guidelines for measles, rubella and congenital rubella syndrome in the WHO European Region http://www.ncbi.nlm.nih.gov/books/NBK143264/pdf/ TOC.pdf.
  • 35. Delaporte E, Wyler Lazarevic CA, Iten A, Sudre P. Large measles outbreak in Geneva, Switzerland, January to August 2011: descriptive epidemiology and demonstration of quarantine effectiveness. Euro Surveill 2013; 8: pii=20395.
  • 36. Delgado de los Reyes JA, Arencibia Jimenez M, Navarro Gracia JF, Alonso Echabe E, Garcia Puente P, Banqueri Guerrero EM, Pérez Torregrosa G , Calle Barreto JD, Zurriaga Carda R. Ongoing measles outbreak in Elche, Spain, 29 January to 9 March 2012. Euro Surveill 2012; 17: pii=20119.
  • 37. Vivancos R, Keenan A, Farmer S, Atkinson J, Coffey E, Dardamissis E, Dillon J, Drew RJ, Fallon M, Huyton R et al. An ongoing large outbreak of measles in Merseyside, England, January to June 2012. Euro Surveill 2012; 17: pii=20226.
  • 38. Antona D, Lévy-Bruhl D, Baudon C, Freymuth F, Lamy M, Maine C, Floret D, Parent du Chatelet I. Measles elimination efforts and 2008-2011 outbreak, France. Emerg Infect Dis 2013; 19: 357-364.
  • 39. Centers for Disease Control and Prevention. Increased transmission and outbreaks of measles, European Region, 2011. MMWR Morb Mortal Wkly Rep 2011 http://www.cdc. gov/mmwr/pdf/wk/mm6047.pdf.
  • 40. Bandyopadhyay AS., Utpala Bandy U. Emerging global epidemiology of measles and public health response to confirmed case in Rhode Island. Rhode Island Medical Journal 2013; 96: 41-44.