# Regional measles risk and vaccination concerns

> Developing situation record from CLSTR: https://clstr.news/situations/regional-measles-risk-and-vaccination-concerns
> Updated: 2026-11-02T10:52:18.000Z. Sources: 9. Developments: 3.

Health authorities in various regions are warning of increased measles risks due to insufficient vaccination coverage. 

In Campo Grande, Brazil, officials noted that Triple Viral vaccine coverage for children is at 78.53%, falling short of the 95% target required for population protection. This alert follows a period of increased measles circulation across the Americas, with the CDC reporting the highest annual case count in over 35 years. Brazil has recorded 52 imported cases as of early October 2026.

In North Macedonia, the Institute of Public Health (IJZ) has issued an urgent appeal for parents and citizens to verify immunization status and receive any missed doses of the MMR vaccine. This warning highlights insufficient coverage and the presence of reported measles cases in neighboring nations. 

As of November 2026, North Macedonia has confirmed four measles cases, involving one foreign national and three Macedonian citizens from Veles, Stip, and Skopje. The domestic cases include two infants under 12 months old and one individual over 40 years of age, all of whom were unvaccinated. Health Minister Sasho Klevkovski stated that while conditions for declaring an epidemic are not currently met, epidemiological analyses are underway to determine if the cases are linked. He noted that similar epidemic conditions exist in neighboring Kosovo and Bulgaria. Officials continue to emphasize that the virus is highly contagious and can remain in the air for up to two hours.

## Claims

- There are four confirmed cases of measles in North Macedonia. (reported by 2 sources)
- One of the confirmed cases is a foreign national. (reported by 2 sources)
- Three Macedonian citizens from Veles, Stip, and Skopje are among the cases. (reported by 2 sources)
- Two of the domestic cases are infants under 12 months old. (reported by 2 sources)
- One domestic case involves an individual over 40 years of age. (reported by 2 sources)
- The domestic cases involve unvaccinated individuals. (reported by 2 sources)
- Current conditions do not meet the requirements to declare an epidemic. (reported by 2 sources)
- The Institute of Public Health is conducting epidemiological analyses to check for links between cases. (reported by 2 sources)

## Timeline

### 2026-11-02: North Macedonia reports four confirmed measles cases

North Macedonia has confirmed four measles cases, including two unvaccinated infants. Health officials urge citizens to check MMR vaccination status amid rising regional cases.

7 sources. https://clstr.news/cluster/north-macedonia-reports-four-confirmed-measles-cases

### 2026-10-30: North Macedonia Institute of Public Health warns of measles threat

North Macedonia's Institute of Public Health warns of measles risks due to low MMR vaccination rates and regional outbreaks, urging parents to ensure children receive both required doses.

2 sources. https://clstr.news/cluster/north-macedonia-institute-of-public-health-warns-of-measles-threat

### 2026-10-16: Campo Grande health officials warn of measles risk due to low vaccination

Campo Grande reports a measles vaccination rate of 78.53% for children, falling short of the 95% target amid rising measles cases across the Americas.

4 sources. https://clstr.news/cluster/campo-grande-health-officials-warn-of-measles-risk-due-to-low-vaccination

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Cite as: Regional measles risk and vaccination concerns. CLSTR, https://clstr.news/situations/regional-measles-risk-and-vaccination-concerns