During June 2022, Spain was one of the countries most affected worldwide by a multicountry monkeypox outbreak with chains of transmission without identified links to disease-endemic countries. We provide epidemiologic features of cases reported in Spain and the coordinated measures taken to respond to this outbreak.
On 13 October 2010, the Andalusian Epidemiological Surveillance Network was notified of one case of measles. By 15 November 2010, 25 confirmed cases of measles had been reported from Granada, southern Spain, of whom 22 were unvaccinated children under the age of 15 years. This ongoing outbreak involved a subpopulation with low vaccination coverage and parents with ideological objections to vaccination. As of 7 December the number of cases has reached 59.
������������������������������� ������������������������In April 2009, in response to the WHO s alert due to the existence of human infection cases with a new AH1N1 influenza virus, known as swine flu, Andalusian Health Authorities trigger an specific action plan. The surveillance actions developped provided us with appropriate clinical, epidemiological and virological characteristics of the disease.During the first few days, contingency plans were set up based on epidemiological surveillance and outbreak control measures were adopted through early alert and rapid response systems. After phase 6 was declared, influenza sentinel and severe cases surveillance were used in order to plan healthcare services, to reduce transmission and to identify and protect the most vulnerable population groups.Behaviour of pandemic influenza in Andalusia was similar to that observed in the rest of the world. Atack rate was similar to a seasonal flu and the peak was reached at the 46th/2009 week. Most of them were mild cases and affected particularly to young people. The average age of hospitalised patients was 32.Prior pulmonary disease, smoking and morbid obesity (BMI>40) were the most common pathologies and risk factors in severe cases. An impact scenario of pandemic wave in Andalusia, with an expected attack rate from 2 to 5%, was prepared considering watt observed in the southern hemisphere. Characteristics of the epidemic concerning its extent, severity and mortality rate were adjusted to this scenario. ���������� Epidemiology. Sentinel surveillance. Disease Outbreaks. Influenza A virus, H1N1 subtype. Grippe. Influenza, human. Spain.
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