In the period from 09,08-.16,08.2019,, a total of 3 cases of measles were reported. 2 from Skopje and 1 from Gostivar. During this week, 1 case in children from 1-4 years, and 2 case from over 30 years. According to the vaccine status, 3cases are unvaccinated.

In total, since the onset of the epidemic in December 2018 as of August 16, 2019, 1892 cases of measles have been registered in the Republic of North Macedonia with a disease rate of 91.4 per 100,000 inhabitants.

Due to the epidemiological criteria, a measles epidemic is ongoing on the entire territory of the Republic of North Macedonia.

According to the place of permanent living, measles cases are registered in 24 towns, withThe highest incidence in Skopje (160.8/100 000 n=991, Struga (165.1/100 000  n=112, Kumanovo 162.6/100 000, n=232) Chart 1.

Chart 1. Geographic distribution of measles in N. Macedonia, December 2018 – August 2019

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The largest number of cases are from the age group over 30 years -849 (44.9%),

325 (17.2%) children under the age of one year were registered and a disease rate of 1390.5 per 100,000 inhabitants.

Children aged 1-4 years are registered with 284 cases (15%) and the second highest incidence of 306.0 per 100,000 inhabitants (Chart 2).

Chart 2. Distribution of measles patients in N.Macedonia by age, December 2018-August 2019 (n=1.889)

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According to the vaccine status, 1523 or 80.5% of diseased people are unvaccinated, incompletely vaccinated or with unknown vaccine status. From the non-vaccinated persons, 325 (21.3%) are under the age of 12 months and are not subject to vaccination, according to the Immunization Calendar.

From the reported cases, 850 or 44.9% were hospitalized, and 299 (15.8%) had complications. Of these, the highest number of complications – 136 or 45.5% were in children from 0-4 –

Of the total 1,892 cases of measles, 655 or 34.6% were laboratory confirmed, 691 or 36.5% were epidemiologically related, while 546 cases (28.9%) are clinical measles.

According to the results obtained from the samples sent to Luxembourg’s reference measles laboratory, the B3 Dublin genotype circulates in the country, which circulating also in the neighboring countries.

In Skopje from the beginning of the epidemic, a total of 16519 children were vaccinated to 14 years of age.

In the rest of the country, a total of 18694 children were vaccinated up to 14 years.

The total number of immunized people aged 14 years with MRP vaccine since the start of the epidemic in the republic is 35213.

From the beginning of the epidemic to present date, in the Centers for Public Health, a total of 6177 people have been vaccinated, of which more than 60% are health workers, students and pupils in secondary medical schools, the rest are persons over 14 years of age.