Though the increased distribution of vaccines has nearly eradicated measles around the world, countries have recently seen returning outbreaks. Bulgaria’s outbreak is one of the worst. However, the nation is working to control the measles outbreak with the help of vaccinations and strict government procedures. Here are the top 7 facts about measles in Bulgaria.

7 Facts About Measles in Bulgaria

1. Between 2009 and 2011, Bulgaria faced a sizable measles outbreak after not reporting any cases since 2001. This outbreak was the largest in Bulgaria since 1992. All regions in Bulgaria were affected and a total of 24,364 cases were reported during this time.
2. The Ministry of Health (MoH) and the Bulgarian National Programme for the Elimination of Measles and Congenital Rubella Infection managed the outbreak well. Both teams contacted physicians who reached out to families and educated them on the importance of timely vaccinations. These teams also advised the hospitalization of patients with measles to avoid spreading the disease to the community.
3. Following the outbreak, the MoH distributed information about measles prevention to the national media. MoH also distributed educational materials on measles to all Bulgarians. These efforts made families in remote areas aware of the vaccinations their children should receive.
4. Bulgaria’s measles vaccine was introduced in 1969, and the second dose was introduced in 1983. Between 2003 and 2008, more than 94 percent of the Bulgarian population had received the first dose, and more than 89 percent had received the second. Following the 2009 outbreak, health officials distributed the vaccine to those aged 13 months to 20 years who had not yet received the two doses. It also became available to those over the age of 30 who were in need of it.
5. Children that have parents with low education levels have less access to vaccinations. This was found by a study performed by the European Journal of Public Health. Although Bulgaria has consistent access to measles vaccinations, the education level of parents appears to have an impact on vaccination access. In a survey of 206 Bulgarians from the region of Burgas, the mean number of years of education mothers completed was 5.20, while fathers on average completed 7.02. 40.8 percent of children surveyed had no measles vaccination, 45.1 percent received a single dose and only 12.1 percent received a second dose.
6. Along with other standard, up-to-date vaccinations, measles vaccines are required by the CDC for all travelers visiting Bulgaria. This measure is to protect not only the traveler but also vulnerable Bulgarians. It also helps ensure that measles does not make its way to other countries.
7. Bulgarians are required to notify health officials if they have measles. The Regional Inspection for Prevention and Control of Public Health (RIPCPH) and the National Center for Infectious and Parasitic Diseases (NCIPD) are then notified. The sooner individuals report cases, the sooner national health organizations can prevent outbreaks. Health officials also proactively study the demographics of measles patients to figure out where the disease came from and other risk factors.

Though Bulgaria’s recent measles outbreaks are distressing, the country has worked hard to protect as many people as possible. Additional efforts are aimed towards preparedness for the possibility of future outbreaks of measles in Bulgaria. With an increase in vaccines and a focus on the disease by medical professionals, Bulgaria will be able to keep measles under control.

– Alyson Kaufman
Photo: Pexels