A unique measles B3 cluster in the United Kingdom and the Netherlands linked to air travel and transit at a large international airport, February to April 2014

This report describes a joint measles outbreak investigation between public health officials in the United Kingdom (UK) and the Netherlands following detection of a measles cluster with a unique measles virus strain. From 1 February to 30 April 2014, 33 measles cases with a unique measles virus stra...

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Vydané v:Euro surveillance : bulletin européen sur les maladies transmissibles Ročník 21; číslo 13; s. 1
Hlavní autori: Nic Lochlainn, Laura, Mandal, Sema, de Sousa, Rita, Paranthaman, Karthik, van Binnendijk, Rob, Ramsay, Mary, Hahné, Susan, Brown, Kevin E.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Sweden Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS) 31.03.2016
Predmet:
Adolescent
Adult
Air Travel
Airports
Child
Child, Preschool
Cluster Analysis
Contact Tracing
Disease Outbreaks
Epidemics
Epidemiology
Genotype
Humans
Infant
Internationality
Male
Measles
Measles - epidemiology
Measles - transmission
Measles virus - classification
Measles virus - isolation & purification
Middle Aged
Netherlands - epidemiology
Polymerase Chain Reaction
Sequence Analysis
United Kingdom - epidemiology
Viral infections
Viruses
Young Adult
United Kingdom > UK
Netherlands
Philippines
Outbreaks
vaccine-preventable diseases
travel
Measles/prevention & control
Measles/epidemiology
Measles/transmission
ISSN:1560-7917, 1025-496X, 1560-7917
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Shrnutí:This report describes a joint measles outbreak investigation between public health officials in the United Kingdom (UK) and the Netherlands following detection of a measles cluster with a unique measles virus strain. From 1 February to 30 April 2014, 33 measles cases with a unique measles virus strain of genotype B3 were detected in the UK and the Netherlands, of which nine secondary cases were epidemiologically linked to an infectious measles case travelling from the Philippines. Through a combination of epidemiological investigation and sequence analysis, we found that measles transmission occurred in flight, airport and household settings. The secondary measles cases included airport workers, passengers in transit at the same airport or travelling on the same flight as the infectious case and also household contacts. This investigation highlighted the particular importance of measles genotyping in identifying transmission networks and the need to improve vaccination, public health follow-up and management of travellers and airport staff exposed to measles.
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ISSN:1560-7917
1025-496X
1560-7917
DOI:10.2807/1560-7917.ES.2016.21.13.30177