This paper describes the epidemiology and management of a prolonged outbreak of measles across the 2.7 million conurbation of Greater Manchester in the United Kingdom. Over a period of one year (from October 2012 to September 2013), over a thousand suspected measles cases (n = 1,073) were notified across Greater Manchester; of these, 395 (37%) were laboratory-confirmed, 91 (8%) were classed as ...

Background: The status of measles elimination is best summarized by evaluation of the effective reproduction number R; maintaining R < 1 is necessary and sufficient to achieve elimination. In the present article, we estimated reproduction number  for the measles data reported for the Fars province of Iran in 2001–03. Methods: We estimated by using sizes and durations of chains of measles transm...

BACKGROUND A large measles outbreak occurred in Quebec, Canada, in 2011. Although nearly two-thirds of the cases occurred in only two health districts, a mass vaccination campaign targeting all Quebec elementary and high school students without valid two-dose history was undertaken to prevent future outbreaks. We compared rates of non-vaccination and age at first measles vaccine dose among stud...

During August 10-November 23, 1998, 33 confirmed measles cases were reported to the Anchorage Department of Health and Human Services and the Alaska Department of Health and Social Services (ADHSS). Of these, 26 cases were confirmed by positive rubeola IgM antibody test, and seven met the clinical case definition. This was the largest outbreak of measles in the United States since 1996. This re...

OBJECTIVE To estimate the case-fatality ratio (CFR) for measles in Nepal, determine the role of risk factors, such as political instability, for measles mortality, and compare the use of a nationally representative sample of outbreaks versus routine surveillance or a localized study to establish the national CFR (nCFR). METHODS This was a retrospective study of measles cases and deaths in Nep...

Measles is a vaccine-preventable disease but occasionally it poses risk of serious and life-threatening illnesswith high rate communicability if contracted by unvaccinated persons. At the end Edo period (1603–1867) in 1862, major outbreak measles occurred. that time, many ukiyo-e (color woodblock prints) artworks were produced called “measles pictures”, which described how to deal with measles....

Rapid communications Pertussis outbreak in northwest Ireland, January – June 2010 3 by AS Barret, A Ryan, A Breslin, L Cullen, A Murray, J Grogan, S Bourke, S Cotter Spotlight on measles 2010: Excretion of vaccine strain measles virus in urine and pharyngeal secretions of a child with vaccine associated febrile rash illness, Croatia, March 2010 8 by B Kaic, I Gjenero-Margan, B Aleraj, T Vilibic...

An outbreak of laboratory confirmed measles involving 30 young adults and an infant is reported. Of the young adult cases, 17 (57%) were hospitalised. After a trip to India, the primary case returned to Sydney early in January 2001 and then visited Melbourne infecting several individuals. Secondary spread appears to have occurred at a nightclub. On the basis of RNA typing the measles strain inv...

In March 2014 an outbreak of measles commenced in a small religious school attended by around 350 children from families with extremely low MMR vaccination uptake. Within 4 weeks almost 400 cases were observed within the 1200 member congregation. Only four cases occurred unlinked to the congregation. While importations of measles into Canada are expected and rapid spread is possible in unimmuni...