An 18-month-year-old boy has become the first known fatality in Germany's worst measles outbreak in years.
The boy died in hospital on 18 February, but his death has only just been officially announced.
German media quoted Berlin's Health Senator Mario Czaja as saying the youngster had not been immunised against the disease.
Mr Czaja said it's currently unclear how the child came into contact with the disease, Spiegel Online reported.
More than 570 cases of measles have been recorded in the capital since the outbreak - the worst in Germany since 2001 - erupted in October.
A school in Berlin has been closed after a confirmed case, with students and staff told to bring vaccination certificates when it re-opens on Tuesday.
The outbreak has set Germany back in its goal to eliminate measles by 2015, in line with a World Health Organisation (WHO) target, according to Spiegel Online.
The resurgence of the disease has ignited a debate in Germany about introducing compulsory vaccination, although national health officials say there are no current plans to introduce new legislation.
It follows a movement among some parents in the United States who are refusing to vaccinate their children.
Over the weekend, Germany's Health Minister Hermann Groehe said: "The irrational scaremongering by some of those against vaccinations is irresponsible.
"Whoever denies their child a vaccination is not only putting their child at risk but also others, and this can lead to serious health problems."
A theory that the triple vaccine for measles, mumps and rubella (MMR) could cause autism has been repeatedly disproved.
Measles – which can be fatal – causes a fever and a rash, and can lead to pneumonia or brain swelling.
This latest outbreak has been traced back to asylum seekers from Bosnia and Herzegovina and Serbia.
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