[Measles in Poland in 2010].

INTRODUCTION: Since 2001 Poland has endorsed measles elimination programme which is coordinated by the World Health Organization (WHO). To accomplish measles elimination in the country, achievement of vaccination coverage at 95% in the population is needed, as is the monitoring of the epidemiological situation, i.e.: reporting on cases suspected of measles and conducting laboratory diagnostics in WHO Reference Laboratory. Polish Reference Laboratory is located at the Department of Virology (NIPH-NIH).

OBJECTIVES: The aim of the article is to analyze the epidemiological situation of measles in Poland in 2010 with presenting the measles vaccination coverage and the progress of the measles elimination programme in Poland.

MATERIAL AND METHODS: The epidemiological situation of measles in Poland was analyzed on the basis of the case-based questionnaires of cases suspected of measles sent to NIPH-NIH by the Sanitary and Epidemiological Stations, data from the publications: "Infectious diseases and poisonings in Poland in 2010" and "Vaccinations in Poland in 2010" (MP. Czarkowski et al., Warsaw 2011, NIPH-NIH, Chief Sanitary Inspectorate).

RESULTS: In 2010, 13 cases of measles were notified to the surveillance system in Poland (incidence 0.03 per 100 000 population) and only six of them (46.1%) were laboratory confirmed. The highest incidence was observed in the age group 0-4 and was estimated at 0.3 per 100 000 population. Out of all cases, 9 (69.2%) were hospitalized. No fatal cases due to the measles were reported. In 2010 the maintenance of high vaccination coverage among children aged 2 and 11 years old was observed--from 84.9% to 99.7% (primary vaccination, children born in 2009-2004) and from 0.6 % to 96.6% (booster vaccination, children born in 2003-1999). A total of 38 measles cases and cases suspected of measles were reported (10% of the expected notifications).

CONCLUSIONS: The epidemiological situation of measles in 2010 in comparison with the situation in 2009, has improved (decline in the incidence amounting to 87%). The low number of measles notifications reflects the low sensitivity of the measles surveillance system. Irrespective of that, the vaccination coverage was sustained at the satisfactory level. In order to achieve the improvement of the measles surveillance system, promoting of the measles elimination programme among the physicians is necessary with focusing on the necessity to report and laboratory confirm all measles cases and the cases suspected of measles.