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spread of measles virus d4-hamburg, europe, 2008-2011.a new strain of measles virus, d4-hamburg, was imported from london to hamburg in december 2008 and subsequently spread to bulgaria, where an outbreak of >24,300 cases was observed. we analyzed spread of the virus to demonstrate the importance of addressing hard-to-reach communities within the world health organization european region regarding access to medical care and vaccination campaigns. the d4-hamburg strain appeared during 2009-2011 in poland, ireland, northern ireland, austria, greece, ...201121801615
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