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Countries in the WHO European Region continue to battle large measles outbreaks that are spreading between countries and to other regions of the world. To date, 24 countries in Region have reported measles cases in 2011. Outbreak in France exported to other countries France has experienced the largest outbreak, with 3 749 measles cases officially reported in January and February 2011 – eight people have suffered neurological complications and one person has died due to measles-related pneumonia. The national immunization system is implementing measures to get children vaccinated during the outbreak, including vaccinating infants at nine months of age, in line with WHO recommendations for a measles outbreak, and offering vaccine to all unimmunized and under-immunized people over the age of nine months.