Outbreaks of Measles in Albania

Measles is an infection target to be eliminated from the European region. Despite the very high immunization coverage for MMR two measles outbreaks, occurred in Albania during 2006-2007. Epidemiological investigation was carried out to identify sources of infection, transmission routes, and assess operational implications for elimination of the disease. Data were obtained from the infectious diseases surveillance systems and field epidemiological investigations. Overall 68 measles cases were reported, sustained by two different genotypes. Genotype D4 was likely imported from Greece by a Roma family and subsequently spread to the rest of roma population in several districts. There was a common link among the outbreaks within the Roma community of Saranda, Elbasani, Tirana, Kurbin, and Durres. Half of the children infected within the Roma population were unvaccinated. The outbreak in Shkodra which started in a day care center was unique and a separate outbreak from the others. Genotype B3 was responsible for the second outbreak and was imported by an Italian nun who cared for the children.