Abstract
We report an ongoing outbreak of measles with five laboratory-confirmed and four epidemiologically linked cases in Northern Ireland as at 26 October 2010. The index case was an unvaccinated non-Northern Ireland resident with subsequent genotyping suggesting that infection originated in the usual country of residence of this case. Confirmed cases include one patient with a history of two measles-mumps-rubella vaccine doses.
Highlights
We report an ongoing outbreak of measles with five laboratory-confirmed and four epidemiologically linked cases in Northern Ireland as at 26 October 2010
The index case was an unvaccinated non-Northern Ireland resident with subsequent genotyping suggesting that infection originated in the usual country of residence of this case
As elsewhere in the United Kingdom (UK), MMR uptake in Northern Ireland declined as a result of the controversy surrounding the alleged link between the MMR vaccine and autism and inflammatory bowel disease
Summary
Spotlight on measles 2010: Ongoing measles outbreak in Northern Ireland following an imported case, September-October 2010. We report an ongoing outbreak of measles with five laboratory-confirmed and four epidemiologically linked cases in Northern Ireland as at 26 October 2010. Between December 2009 and March 2010, 24 cases associated with the Irish Traveller community were reported All occurred in unvaccinated children and young adults (median age seven years, range three months – 23 years) and involved two different D4 genotypes This occurred against the background of the ongoing outbreak of measles mainly affecting the Traveller community in the Republic of Ireland [4]. This is the second outbreak to have been identified this year, following the report of the index case on 17 September 2010. A case is defined as epidemiologically linked when a clinically suspected case has, within 7-18 days of onset of symptoms, been in contact with a laboratory-confirmed case during the infectious period
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