Measles among healthcare workers in Italy: is it time to act?

Valentina Baccolini, Alessandro Sindoni, Giovanna Adamo, Annalisa Rosso, Azzurra Massimi, Antonino Bella, Antonietta Filia, Fabio Magurano, Carolina Marzuillo, Paolo Villari, Corrado De Vito

Research output: Contribution to journalReview articlepeer-review


Vaccination of healthcare workers (HCWs) against measles is strongly recommended in Europe. In this study, we examined the impact of measles on Italian HCWs by systematically and quantitatively analyzing measles cases involving HCWs over time and by identifying the epidemiological characteristics of the respective measles outbreaks. We retrieved data on measles cases from the Italian national integrated measles and rubella surveillance system from January 2013 to May 2019. Additionally, we performed a systematic review of the literature and an analysis of the measles and rubella aggregate outbreaks reporting forms from 2014 to 2018. Our review suggests that preventing measles infection among HCWs in disease outbreaks may be crucial for the elimination of measles in Italy. National policies aiming to increase HCW immunization rates are fundamental to the protection of HCWs and patients, will limit the economic impact of outbreaks on the institutions affected and will help achieve the elimination goal.

Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalHuman Vaccines and Immunotherapeutics
Publication statusE-pub ahead of print - Mar 25 2020


  • healthcare workers
  • Italy
  • Measles
  • outbreaks
  • review

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Pharmacology


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