Surge in Measles Cases in Italy from August 2023 to January 2025: Characteristics of Cases and Public Health Relevance

<b>Background/Objectives:</b> A resurgence of measles has been observed in Europe and worldwide since 2023. The aim of this article is to describe characteristics of cases reported to the Italian national measles surveillance system and discuss reasons for the outbreak and its public hea...

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Main Authors: Antonietta Filia, Martina Del Manso, Daniele Petrone, Fabio Magurano, Silvia Gioacchini, Patrizio Pezzotti, Anna Teresa Palamara, Antonino Bella
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/13/7/663
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author Antonietta Filia
Martina Del Manso
Daniele Petrone
Fabio Magurano
Silvia Gioacchini
Patrizio Pezzotti
Anna Teresa Palamara
Antonino Bella
author_facet Antonietta Filia
Martina Del Manso
Daniele Petrone
Fabio Magurano
Silvia Gioacchini
Patrizio Pezzotti
Anna Teresa Palamara
Antonino Bella
author_sort Antonietta Filia
collection DOAJ
description <b>Background/Objectives:</b> A resurgence of measles has been observed in Europe and worldwide since 2023. The aim of this article is to describe characteristics of cases reported to the Italian national measles surveillance system and discuss reasons for the outbreak and its public health relevance. <b>Methods</b>: We analyzed measles cases reported to the Italian national measles surveillance system with a symptom onset from August 2023 to January 2025. <b>Results</b>: Overall, 1164 cases were reported, of which 1065 (91.5%) were laboratory confirmed. The median age was 30 years, but the highest incidence was in children under one year of age. Transmission occurred mainly in families and nosocomial settings. Multiple importations occurred during 2023, which initially led to localized outbreaks with limited spread but was subsequently followed by increasing local transmission in 2024. <b>Conclusions</b>: These findings suggest lingering immunity gaps in children and adults in Italy, highlighting the potential severity of measles and the ease with which measles crosses country borders. Besides improving routine immunization coverage, targeted vaccination opportunities should be provided to susceptible population groups. Communication activities are also needed to increase awareness about disease severity, especially among young adults. In view of the upcoming travel season, travel clinics should encourage persons without evidence of measles immunity to be vaccinated before any international travel.
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spelling doaj-art-7b6b23f184e0438c911e4fd4f54de1b52025-07-25T13:38:12ZengMDPI AGVaccines2076-393X2025-06-0113766310.3390/vaccines13070663Surge in Measles Cases in Italy from August 2023 to January 2025: Characteristics of Cases and Public Health RelevanceAntonietta Filia0Martina Del Manso1Daniele Petrone2Fabio Magurano3Silvia Gioacchini4Patrizio Pezzotti5Anna Teresa Palamara6Antonino Bella7Department of Infectious Diseases, National Health Institute, 00161 Rome, ItalyDepartment of Infectious Diseases, National Health Institute, 00161 Rome, ItalyDepartment of Infectious Diseases, National Health Institute, 00161 Rome, ItalyDepartment of Infectious Diseases, National Health Institute, 00161 Rome, ItalyDepartment of Infectious Diseases, National Health Institute, 00161 Rome, ItalyDepartment of Infectious Diseases, National Health Institute, 00161 Rome, ItalyDepartment of Infectious Diseases, National Health Institute, 00161 Rome, ItalyDepartment of Infectious Diseases, National Health Institute, 00161 Rome, Italy<b>Background/Objectives:</b> A resurgence of measles has been observed in Europe and worldwide since 2023. The aim of this article is to describe characteristics of cases reported to the Italian national measles surveillance system and discuss reasons for the outbreak and its public health relevance. <b>Methods</b>: We analyzed measles cases reported to the Italian national measles surveillance system with a symptom onset from August 2023 to January 2025. <b>Results</b>: Overall, 1164 cases were reported, of which 1065 (91.5%) were laboratory confirmed. The median age was 30 years, but the highest incidence was in children under one year of age. Transmission occurred mainly in families and nosocomial settings. Multiple importations occurred during 2023, which initially led to localized outbreaks with limited spread but was subsequently followed by increasing local transmission in 2024. <b>Conclusions</b>: These findings suggest lingering immunity gaps in children and adults in Italy, highlighting the potential severity of measles and the ease with which measles crosses country borders. Besides improving routine immunization coverage, targeted vaccination opportunities should be provided to susceptible population groups. Communication activities are also needed to increase awareness about disease severity, especially among young adults. In view of the upcoming travel season, travel clinics should encourage persons without evidence of measles immunity to be vaccinated before any international travel.https://www.mdpi.com/2076-393X/13/7/663measlesoutbreakEuropeItalyimmunity gaps
spellingShingle Antonietta Filia
Martina Del Manso
Daniele Petrone
Fabio Magurano
Silvia Gioacchini
Patrizio Pezzotti
Anna Teresa Palamara
Antonino Bella
Surge in Measles Cases in Italy from August 2023 to January 2025: Characteristics of Cases and Public Health Relevance
Vaccines
measles
outbreak
Europe
Italy
immunity gaps
title Surge in Measles Cases in Italy from August 2023 to January 2025: Characteristics of Cases and Public Health Relevance
title_full Surge in Measles Cases in Italy from August 2023 to January 2025: Characteristics of Cases and Public Health Relevance
title_fullStr Surge in Measles Cases in Italy from August 2023 to January 2025: Characteristics of Cases and Public Health Relevance
title_full_unstemmed Surge in Measles Cases in Italy from August 2023 to January 2025: Characteristics of Cases and Public Health Relevance
title_short Surge in Measles Cases in Italy from August 2023 to January 2025: Characteristics of Cases and Public Health Relevance
title_sort surge in measles cases in italy from august 2023 to january 2025 characteristics of cases and public health relevance
topic measles
outbreak
Europe
Italy
immunity gaps
url https://www.mdpi.com/2076-393X/13/7/663
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