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===Europe=== [[File:Measles in England & Wales1940-2017.png|thumb|350px|Incidence of and deaths due to measles in England and Wales between 1940 and 2017]] In England and Wales, though deaths from measles were uncommon, they averaged about 500 per year in the 1940s. Deaths diminished with the improvement of medical care in the 1950s, but the incidence of the disease did not retreat until vaccination was introduced in the late 1960s. Wider coverage was achieved in the 1980s with the measles, [[mumps]] and [[rubella]], [[MMR vaccine]].<ref>{{cite web |title=50 years of measles vaccination in the UK |url=https://publichealthengland.exposure.co/50-years-of-measles-vaccination-in-the-uk |website=Public Health England |access-date=15 May 2020 |archive-date=4 November 2020 |archive-url=https://web.archive.org/web/20201104095511/https://publichealthengland.exposure.co/50-years-of-measles-vaccination-in-the-uk |url-status=dead }}</ref> In 2013β14, there were almost 10,000 cases in 30 European countries. Most cases occurred in unvaccinated individuals and over 90% of cases occurred in Germany, Italy, Netherlands, Romania, and United Kingdom.<ref name=Ludlow2015/> Between October 2014 and March 2015, a measles outbreak in the German capital of [[Berlin]] resulted in at least 782 cases.<ref name="Elizabeth Whitman">{{cite web|url=http://www.ibtimes.com/who-stefan-lanka-court-orders-german-measles-denier-pay-100000-euros-1846078|title=Who Is Stefan Lanka? Court Orders German Measles Denier To Pay 100,000 Euros|author=Elizabeth Whitman|website=[[International Business Times]]|date=13 March 2015|access-date=31 March 2015|url-status=live|archive-url=https://web.archive.org/web/20150402182617/http://www.ibtimes.com/who-stefan-lanka-court-orders-german-measles-denier-pay-100000-euros-1846078|archive-date=2 April 2015}}</ref> In 2016, a record low of 4,400 cases in Europe were reported. However, from 2017, a [[measles resurgence in Europe]] started to occur with numbers increasing in that year to 21,315 cases, with 35 deaths.<ref>{{cite press release|title=Europe observes a 4-fold increase in measles cases in 2017 compared to previous year|url=http://www.euro.who.int/en/media-centre/sections/press-releases/2018/europe-observes-a-4-fold-increase-in-measles-cases-in-2017-compared-to-previous-year|website=[[World Health Organization]] (WHO)|access-date=22 February 2018|date=19 February 2018|archive-date=21 February 2018|archive-url=https://web.archive.org/web/20180221204224/http://www.euro.who.int/en/media-centre/sections/press-releases/2018/europe-observes-a-4-fold-increase-in-measles-cases-in-2017-compared-to-previous-year|url-status=live}}</ref> In preliminary figures for 2018, reported cases in the region increased 3-fold to 82,596 in 47 countries, with 72 deaths; Ukraine had the most cases (53,218), with the highest incidence rates being in Ukraine (1209 cases per million), Serbia (579), Georgia (564) and Albania (500).<ref>{{cite web |url=http://www.euro.who.int/__data/assets/pdf_file/0004/394060/2019_01_Epi_Data_EN_Jan-Dec-2018.pdf?ua=1 |title=WHO EpiData |publisher=[[World Health Organization]] (WHO) |date=February 2019 |access-date=27 March 2019 |archive-date=29 March 2019 |archive-url=https://web.archive.org/web/20190329133545/http://www.euro.who.int/__data/assets/pdf_file/0004/394060/2019_01_Epi_Data_EN_Jan-Dec-2018.pdf?ua=1 |url-status=live }}</ref><ref name=WHO_Europe_2018_PR>{{cite press release |url=http://www.euro.who.int/en/media-centre/sections/press-releases/2019/measles-in-europe-record-number-of-both-sick-and-immunized |title=Measles in Europe: record number of both sick and immunized |publisher=[[World Health Organization]] (WHO) |date=7 February 2019 |access-date=27 March 2019 |archive-date=10 February 2019 |archive-url=https://web.archive.org/web/20190210022729/http://www.euro.who.int/en/media-centre/sections/press-releases/2019/measles-in-europe-record-number-of-both-sick-and-immunized |url-status=live }}</ref> The previous year (2017) saw an estimated measles vaccine coverage of 95% for the first dose and 90% for the second dose in the region, the latter figure being the highest-ever estimated second-dose coverage.<ref name=WHO_Europe_2018_PR/> In 2019, the United Kingdom, Albania, the Czech Republic, and Greece lost their measles-free status due to ongoing and prolonged spread of the disease in these countries.<ref name=WJO2019EU>{{cite press release |title=European Region loses ground in effort to eliminate measles |url=http://www.euro.who.int/en/media-centre/sections/press-releases/2019/european-region-loses-ground-in-effort-to-eliminate-measles |website=[[World Health Organization]] (WHO) |access-date=31 August 2019 |date=29 August 2019 |archive-url=https://web.archive.org/web/20200414065648/http://www.euro.who.int/en/media-centre/sections/press-releases/2019/european-region-loses-ground-in-effort-to-eliminate-measles | archive-date=14 April 2020}}</ref> In the first 6 months of 2019, 90,000 cases occurred in Europe.<ref name=WJO2019EU/> A significant increase in measles cases in Europe occurred in 2024, with 127,350 being reported. This was the highest caseload in the region since 1997, representing a third of global measles cases. The major centre of the resurgent outbreak appeared to be [[Romania]] where 30,692 cases were reported.<ref name="unicef25">{{cite web |title=European Region reports highest number of measles cases in more than 25 years β UNICEF, WHO/Europe |url=https://www.unicef.org/press-releases/european-region-reports-highest-number-measles-cases-more-25-years-unicef-whoeurope |website=unicef.org |publisher=UNICEF |access-date=15 March 2025 |archive-date=16 March 2025 |archive-url=https://web.archive.org/web/20250316024704/https://www.unicef.org/press-releases/european-region-reports-highest-number-measles-cases-more-25-years-unicef-whoeurope |url-status=live }}</ref>
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