Air travel as a risk factor for introduction of measles in a highly vaccinated population

Robert S van Binnendijk, Susan Hahné, Aura Timen, Gijs van Kempen, Robert H G Kohl, Hein J Boot, Katja C Wolthers, José C F M Wetsteijn, Anne de Vries, Krista Westert, Kevin E Brown, Rik L de Swart

Research output: Contribution to JournalArticleAcademicpeer-review


Epidemiological and molecular investigation of two small measles clusters in The Netherlands in July/August 2007 revealed an association with travel by air of the index cases and nosocomial spread in the first cluster. Although these importations did not result in an outbreak among unvaccinated subjects, the observations illustrate the challenges for measles control in a country with high measles vaccination coverage (> 95%) but with pockets of low coverage.

Original languageEnglish
Pages (from-to)5775-7
Number of pages3
Issue number46
Publication statusPublished - 29 Oct 2008
Externally publishedYes


  • Adult
  • Aviation/statistics & numerical data
  • Brazil
  • Female
  • Humans
  • Immunoglobulin M/analysis
  • Infectious Disease Transmission, Patient-to-Professional
  • Male
  • Mass Vaccination/statistics & numerical data
  • Measles/diagnosis
  • Measles-Mumps-Rubella Vaccine/immunology
  • Molecular Epidemiology
  • Netherlands/epidemiology
  • Occupational Exposure
  • Reverse Transcriptase Polymerase Chain Reaction
  • Risk Factors
  • Travel/statistics & numerical data


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