UNASSIGNED: The Czech Republic is a measles free country where only isolated, mostly imported cases have been reported. A measles @entity3082 that occurred in the   st   nad Labem Region is presented, with the first case diagnosed early in February 2014 and the last one reported in August 2014. The index case and source of @entity281 to other susceptible @entity1 was an adult male with a history of travel to India. The diagnosis of measles was difficult to make as the @entity1 presented with feverish condition due to @entity325 with @entity779 , @entity12517 , and measles. The primary measles outbreak occurred in contacts and spread to health workers of the Masaryk Hospital in   st   nad Labem. The @entity281 further spread to the general population of adults. In total, 305 @entity1 presented with suspected measles. One hundred and eighty-six and of them (61 %) met the criteria for a confirmed case (positive clinical symptoms and laboratory test). Fifty (16.4 %) @entity1 developed typical clinical symptoms and were epidemiologically linked to confirmed cases, but turned out to be antibody negative. In 69 (22.6 %) @entity1 , measles were ruled out. Cases were confirmed by the detection of IgM and IgG antibodies against the @entity805 or by RT--PCR. Nearly all cases were verified by the National Reference @entity2462 , Measles, Mumps, and @entity8344 of the National Institute of Public Health in Prague. In response to the @entity3082 , apart from common anti- @entity3082 measures, emergency vaccination was provided to health professionals of the Masaryk Hospital in   st   nad Labem. Within two weeks after vaccination, a considerable decline in cases was seen in the vaccinated group. Measles most often occurred in @entity1 born in 1970-1980, but were also observed in the smallest, non-vaccinated @entity1 (32 cases). Isolated cases also emerged in duly vaccinated @entity1 and adolescents. General recommendations are provided based on practical experience from the @entity3082 .

[Report on a measles XXXX in the   st   nad Labem Region].

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient', 'persons'] @entity12517 :: ('MESH:D065632', 'Disease') :: ['chikungunya'] @entity3082 :: ('MESH:D004671', 'Disease') :: ['epidemic'] @entity8344 :: ('10798', 'Species') :: ['Parvovirus B 19'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity805 :: ('11234', 'Species') :: ['measles virus'] @entity325 :: ('MESH:D060085', 'Disease') :: ['co-infection'] @entity2462 :: ('MESH:D012409', 'Disease') :: ['Laboratory for Rubella'] @entity779 :: ('MESH:D003715', 'Disease') :: ['dengue fever']
@entity3082 :: (MESH:D004671,Disease) :: ['epidemic']
