Measles epidemic in Brazil in the post-elimination period: Coordinated response and containment strategies

Highlights • The measles epidemic in Ceará confirmed the capacity to spread among susceptible people, even in a community with high administrative vaccination coverage. • The experience of this epidemic showed that administrative vaccination coverage, considering the city as an evaluation unit, were not enough to identify pockets of susceptible. • The main challenge for the sustainability of measles elimination is to maintain a highly sensitive surveillance system, even with the concomitant occurrence of other rash diseases.