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.


Voor volledige artikel klik hier: Eurosurveillance, Volume 21, Issue 13, 31 March 2016

Authors: L Nic Lochlainn (1,2), S Mandal (3), R de Sousa (1,4), K Paranthaman (5), R van Binnendijk (1), M Ramsay (3), S Hahné (1), KE Brown (6)

Affiliations: 
1. National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, the Netherlands
2. European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, Stockholm, Sweden
3. Centre for Infectious Disease Surveillance and Control, Public Health England, London, United Kingdom
4. European Programme for Public Health Microbiology Training (EUPHEM), European Centre for Disease Prevention and Control, Stockholm, Sweden
5. Public Health England South East, Ashford, Kent, United Kingdom
6. Virus Reference Department, Public Health England, London, United Kingdom

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