Measles Outbreak — Minnesota April–May 2017

Hall, Victoria; Banerjee, Emily; Kenyon, Cynthia; Strain, Anna K.; Griffith, Jayne; Como‐Sabetti, Kathryn; Heath, Jennifer; Bahta, Lynn; Martin, Karen; McMahon, Melissa; Johnson, D. L.; Roddy, Margaret; Dunn, Denise; Ehresmann, Kristen

doi:10.15585/mmwr.mm6627a1

Cited by 100 publications

(77 citation statements)

References 4 publications

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“…3 Local personnel who are adequately trained in reporting and investigating outbreaks and are familiar with the affected population, or who have established relationships with leaders in the community, can contribute greatly to the decision-making process. 10 , 12 , 13 …”

Section: Outbreak Response Activitiesmentioning

confidence: 99%

“…Immunization registry data, for example, has recently been used to identify areas and/or groups with low measles vaccine uptake. 13-15 When coverage data are unavailable, the Pan American Health Organization (PAHO) recommends use of Rapid Coverage Monitoring (RCM), an assessment tool that helps local managers identify areas where vaccination may be suboptimal. 16 Other factors that might influence the risk for an outbreak include the size and population density of the affected community, and other contextual issues such as acceptability of vaccination in certain groups.…”

Section: Outbreak Response Activitiesmentioning

confidence: 99%

“…13 , 34 , 35 Although challenging, identification of each measles imported case—at least retrospectively—is of utmost importance in elimination settings. When the source of an outbreak is not detected, the number of generations of spread prior to identification of the index case(s) may be unknown.…”

Section: Containment Strategies — Guidance Evidence Challenges Andmentioning

confidence: 99%

“…When the source of an outbreak is not detected, the number of generations of spread prior to identification of the index case(s) may be unknown. 13 , 34 Detection of measles virus introductions is a requirement for verification of elimination status 34 and is a key indicator of the adequacy of a measles surveillance system (WHO's target is for ≥80% of confirmed cases to have the source of infection identified). 36 …”

Section: Containment Strategies — Guidance Evidence Challenges Andmentioning

confidence: 99%

“…In the latter, delivering outbreak response strategies through culturally suitable approaches (e.g., involving community and spiritual leaders, interpreters, and local public health advisors) is key for their success. 11-13 , 76 , 77 …”

Section: Containment Strategies — Guidance Evidence Challenges Andmentioning

confidence: 99%

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Public health responses during measles outbreaks in elimination settings: Strategies and challenges

Gastañaduy

Banerjee

DeBolt

et al. 2018

Human Vaccines & Immunotherapeutics

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In late September 2016, the Americas became the first region in the world to have eliminated endemic transmission of measles virus. Several other countries have also verified measles elimination, and countries in all six World Health Organization regions have adopted measles elimination goals. The public health strategies used to respond to measles outbreaks in elimination settings are thus becoming relevant to more countries. This review highlights the strategies used to limit measles spread in elimination settings: (1) assembly of an outbreak control committee; (2) isolation of measles cases while infectious; (3) exclusion and quarantining of individuals without evidence of immunity; (4) vaccination of susceptible individuals; (5) use of immunoglobulin to prevent measles in exposed susceptible high-risk persons; (6) and maintaining laboratory proficiency for confirmation of measles. Deciding on the extent of containment efforts should be based on the expected benefit of reactive interventions, balanced against the logistical challenges in implementing them.

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Section: Outbreak Response Activitiesmentioning

confidence: 99%

Section: Outbreak Response Activitiesmentioning

confidence: 99%

Section: Containment Strategies — Guidance Evidence Challenges Andmentioning

confidence: 99%

Section: Containment Strategies — Guidance Evidence Challenges Andmentioning

confidence: 99%

Section: Containment Strategies — Guidance Evidence Challenges Andmentioning

confidence: 99%

See 3 more Smart Citations

Public health responses during measles outbreaks in elimination settings: Strategies and challenges

Gastañaduy

Banerjee

DeBolt

et al. 2018

Human Vaccines & Immunotherapeutics

Self Cite

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Seroprevalence of Measles and Mumps Antibodies Among Individuals With Cancer

et al. 2021

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IMPORTANCE Although patients with cancer are at an increased risk of infection-related complications, few studies have characterized their vulnerability to measles and mumps. Given the recent outbreaks and increased community vaccine hesitancy, understanding measles and mumps immunity within this population is vital. OBJECTIVESTo identify a point prevalence estimate of protective measles and mumps antibodies among ambulatory patients with cancer. DESIGN, SETTING, AND PARTICIPANTS In this cross-sectional study, residual clinical plasma samples were obtained from consecutive patients with cancer at Seattle Cancer Care Alliance/Fred Hutchinson Cancer Research Center in Seattle, Washington, in August 2019. These samples were tested for measles and mumps IgG using a commercial enzyme-linked immunosorbent assay. Patients without cancer were excluded from the analysis. EXPOSURES Patient age, sex, self-reported race and ethnicity, primary disease, receipt of chemotherapy in the past 30 days before sample collection, hematopoietic cell transplant (HCT) history, and date of most recent intravenous immunoglobulin treatment were abstracted from electronic medical records. MAIN OUTCOMES AND MEASURES Measles and mumps IgG seroprevalence, defined as the proportion of patients with positive antibody test results, was measured overall and among the subgroups. RESULTSOf the 959 patients included in the analysis, 510 (53%) were male individuals and the mean (SD) age at sample collection was 60 (15) years. Most patients (576 [60%]) had a malignant solid tumor, and 383 patients (40%) had a hematologic malignant neoplasm; 146 patients (15%) had an HCT history. Overall, the seroprevalence of measles antibodies was 0.75 (95% CI, 0.72-0.78), and the seroprevalence of mumps antibodies was 0.62 (95% CI, 0.59-0.65). The lowest seroprevalences were among patients with a hematologic malignant neoplasm (0.63 for measles and 0.48 for mumps), those with a history of HCT (0.46 for measles and 0.29 for mumps), and those aged 30 to 59 years (0.49-0.63 for measles and 0.41-0.58 for mumps). CONCLUSIONS AND RELEVANCEIn this study, 25% of ambulatory patients with cancer lacked protective antibodies for measles and 38% lacked protective antibodies for mumps. Deficits in protective antibodies underscore patients' increased risk during outbreaks and emphasize the need for community-based efforts to increase herd immunity to protect this population.

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Public Health Consequences of a 2013 Measles Outbreak in New York City

et al. 2018

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IMPORTANCE Internationally imported cases of measles into the United States can lead to outbreaks requiring extensive and rapid control measures. Importation of measles from an unvaccinated adolescent in 2013 led to what has been the largest outbreak of measles in New York City, New York, since 1992. OBJECTIVE To describe the epidemiology and public health burden in terms of resources and cost of the 2013 measles outbreak in New York City. DESIGN, SETTING, AND PARTICIPANTS This epidemiologic assessment and cost analysis conducted between August 15, 2013, and August 5, 2014, examined all outbreak-associated cases of measles among persons residing in New York City in 2013. EXPOSURES Measles virus.MAIN OUTCOMES AND MEASURES Numbers of measles cases and contacts. Total personnel time and total direct cost to the New York City Department of Health and Mental Hygiene (DOHMH), calculated as the sum of inputs (supplies and materials, equipment, and logistics) and personnel time (salary and fringe benefits).

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Measles Outbreak — Minnesota April–May 2017

Cited by 100 publications

References 4 publications

Public health responses during measles outbreaks in elimination settings: Strategies and challenges

Public health responses during measles outbreaks in elimination settings: Strategies and challenges

Seroprevalence of Measles and Mumps Antibodies Among Individuals With Cancer

Public Health Consequences of a 2013 Measles Outbreak in New York City

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