In 2017, Italy experienced one of the largest outbreaks of recent years with 5 404 notified and 4 347 confirmed cases [1]. Further 2 029 cases were notified during the first six months of 2018, and 1516 of them were laboratory confirmed. B3 and D8 genotypes were identified as the ones responsible of the outbreak. Possible transmission routes can be established by monitoring the circulating MV strains in support of the national health authorities to warn people and travelers.