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====Brazil==== The spread of measles had been interrupted in Brazil in 2016, with the last-known case twelve months earlier.<ref name="G1-2016">{{cite web|first=Mariana|last=Lenharo|url=http://g1.globo.com/bemestar/noticia/2016/07/sarampo-esta-eliminado-do-brasil-segundo-comite-internacional.html|title=Sarampo está eliminado do Brasil, segundo comitê internacional|publisher=[[G1 (website)|G1]]|date=26 July 2016|access-date=26 July 2016|language=pt|archive-date=27 July 2016|archive-url=https://web.archive.org/web/20160727142754/http://g1.globo.com/bemestar/noticia/2016/07/sarampo-esta-eliminado-do-brasil-segundo-comite-internacional.html|url-status=live}}</ref> This last case was in the state of [[Ceará]].<ref>{{Cite journal|date=26 July 2016|title=Sarampo está eliminado do Brasil, segundo comitê internacional|url=http://g1.globo.com/bemestar/noticia/2016/07/sarampo-esta-eliminado-do-brasil-segundo-comite-internacional.html|journal=Bem Estar|language=pt-BR|access-date=19 December 2018|archive-date=27 July 2016|archive-url=https://web.archive.org/web/20160727142754/http://g1.globo.com/bemestar/noticia/2016/07/sarampo-esta-eliminado-do-brasil-segundo-comite-internacional.html|url-status=live}}</ref> Brazil won a measles elimination certificate by the [[Pan American Health Organization]] in 2016, but the [[Ministry of Health (Brazil)|Ministry of Health]] has proclaimed that the country has struggled to keep this certificate, since two outbreaks had already been identified in 2018, one in the state of [[Amazonas (Brazilian state)|Amazonas]] and another one in [[Roraima]], in addition to cases in other states ([[Rio de Janeiro (state)|Rio de Janeiro]], [[Rio Grande do Sul]], [[Pará]], [[São Paulo (state)|São Paulo]] and [[Rondônia]]), totaling 1,053 confirmed cases until 1 August 2018.<ref name=":0">{{Cite journal|title=Brasil já tem mais de mil casos de sarampo em 2018, segundo Ministério da Saúde|url=https://g1.globo.com/bemestar/noticia/2018/08/02/brasil-ja-tem-mais-de-mil-casos-de-sarampo-em-2018-segundo-ministerio-da-saude.ghtml|journal=[[G1 (website)|G1]]|date=2 August 2018 |language=pt-BR|access-date=19 December 2018|archive-date=9 November 2020|archive-url=https://web.archive.org/web/20201109021531/https://g1.globo.com/bemestar/noticia/2018/08/02/brasil-ja-tem-mais-de-mil-casos-de-sarampo-em-2018-segundo-ministerio-da-saude.ghtml|url-status=live}}</ref><ref name=":1">{{cite web|url=http://portalms.saude.gov.br/noticias/agencia-saude/43946-ministerio-da-saude-atualiza-casos-de-sarampo-2|title=Ministério da Saúde atualiza casos de sarampo|access-date=2 August 2018|work=portalms.saude.gov.br|last=Saúde|first=Ministério da|language=pt-br|archive-date=20 April 2019|archive-url=https://web.archive.org/web/20190420130416/http://portalms.saude.gov.br/noticias/agencia-saude/43946-ministerio-da-saude-atualiza-casos-de-sarampo-2|url-status=live}}</ref> In these outbreaks, and in most other cases, the contagion was related to the importation of the virus, especially from Venezuela.<ref name=":0"/> This was confirmed by the genotype of the virus (D8) that was identified, which is the same that circulates in Venezuela.<ref name=":1"/>
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