Outbreak of measles in a non-immunizing population, Alberta 2013

Kershaw, Tanis; Suttorp, V; Simmonds, Kimberley; Jean, T St.

doi:10.14745/ccdr.v40i12a04

Cited by 21 publications

(21 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As with all emergency response teams, establishing and maintaining partnerships among members of the committee through routine training and emergency planning activities can help the committee work effectively once an outbreak occurs. 11 At the outset, based on the capacity of the public health infrastructure (e.g., quality of surveillance, laboratory capacity), these committees can help determine the need for additional resources. The committees also assign responsibilities (e.g., identify a team leader for case investigations), decide on the implementation of containment strategies, and update local authorities and each other regularly on control activities.…”

Section: Outbreak Response Activitiesmentioning

confidence: 99%

“…1-4 Public communication should aim to provide consistent and clear information that is timely and frequent. 11 Most of the time, the affected jurisdiction is responsible for leading this communication. When cases or contacts have the potential to involve multiple jurisdictions, including neighboring states or countries through travel, cross border notifications are sent to corresponding health authorities so that appropriate follow-up is done; these may involve international health regulation (IHR) notifications.…”

Section: Outbreak Response Activitiesmentioning

confidence: 99%

“…1 Dedicated measles phone lines may be set up to provide guidance to the public. 11 , 12 Exposed persons are counseled to be watchful for measles compatible symptoms, and are given steps to follow if illness develops (e.g., how and where to seek medical evaluation without unnecessarily exposing other community members, including calling ahead of coming to a healthcare facility so that they can be isolated on arrival). More generally, measles outbreaks serve as a reminder of the risk of not vaccinating, and can be used by health authorities to promote vaccination and increase coverage.…”

Section: Outbreak Response Activitiesmentioning

confidence: 99%

“…11 , 12 , 14 , 30 , 48-50 Limited evidence suggests that using quarantine for non-immune close contacts of cases may considerably reduce the number of secondary cases from these contacts. During an outbreak in Geneva, an 18-day quarantine recommendation resulted in 6 secondary cases from 50 quarantined cases, compared to 81 secondary cases from 173 non-quarantined cases (relative risk: 0.26; 95% CI: 0.06–0.65).…”

Section: Containment Strategies — Guidance Evidence Challenges and mentioning

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 and mentioning

confidence: 99%

See 4 more Smart Citations

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

Gastañaduy

Banerjee

DeBolt

et al. 2018

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

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.

show abstract

Section: Outbreak Response Activitiesmentioning

confidence: 99%

Section: Outbreak Response Activitiesmentioning

confidence: 99%

Section: Outbreak Response Activitiesmentioning

confidence: 99%

Section: Containment Strategies — Guidance Evidence Challenges and mentioning

confidence: 99%

Section: Containment Strategies — Guidance Evidence Challenges and mentioning

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

View full text Add to dashboard Cite

show abstract

Measles – The epidemiology of elimination

Dürrheim

Crowcroft

Strebel

2014

Vaccine

107

View full text Add to dashboard Cite

Tremendous progress has been made globally to reduce the contribution of measles to the burden of childhood deaths and measles cases have dramatically decreased with increased two dose measles-containing vaccine coverage. As a result the Global Vaccine Action Plan, endorsed by the World Health Assembly, has targeted measles elimination in at least five of the six World Health Organisation Regions by 2020. This is an ambitious goal, since measles control requires the highest immunisation coverage of any vaccine preventable disease, which means that the health system must be able to reach every community. Further, while measles remains endemic in any country, importations will result in local transmission and outbreaks in countries and Regions that have interrupted local endemic measles circulation. One of the lines of evidence that countries and Regions must address to confirm measles elimination is a detailed description of measles epidemiology over an extended period. This information is incredibly valuable as predictable epidemiological patterns emerge as measles elimination is approached and achieved. These critical features, including the source, size and duration of outbreaks, the seasonality and age-distribution of cases, genotyping pointers and effective reproduction rate estimates, are discussed with illustrative examples from the Region of the Americas, which eliminated measles in 2002, and the Western Pacific Region, which has established a Regional Verification Commission to review progress towards elimination in all member countries.

show abstract