Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015

The province of Ontario continues to experience measles virus transmissions despite the elimination of measles in Canada. We describe an unusual outbreak of measles in Ontario, Canada, in early 2015 that involved cases with a unique strain of virus and no known association among primary case-patient...

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Main Authors: Shari Thomas, Joanne Hiebert, Jonathan B. Gubbay, Effie Gournis, Jennifer Sharron, Alberto Severini, Manisa Jiaravuthisan, Amanda Shane, Valerie Jaeger, Natasha S. Crowcroft, Jill Fediurek, Beate Sander, Tony Mazzulli, Helene Schulz, Shelley L. Deeks
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2017-07-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/23/7/16-1145_article
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author Shari Thomas
Joanne Hiebert
Jonathan B. Gubbay
Effie Gournis
Jennifer Sharron
Alberto Severini
Manisa Jiaravuthisan
Amanda Shane
Valerie Jaeger
Natasha S. Crowcroft
Jill Fediurek
Beate Sander
Tony Mazzulli
Helene Schulz
Shelley L. Deeks
author_facet Shari Thomas
Joanne Hiebert
Jonathan B. Gubbay
Effie Gournis
Jennifer Sharron
Alberto Severini
Manisa Jiaravuthisan
Amanda Shane
Valerie Jaeger
Natasha S. Crowcroft
Jill Fediurek
Beate Sander
Tony Mazzulli
Helene Schulz
Shelley L. Deeks
author_sort Shari Thomas
collection DOAJ
description The province of Ontario continues to experience measles virus transmissions despite the elimination of measles in Canada. We describe an unusual outbreak of measles in Ontario, Canada, in early 2015 that involved cases with a unique strain of virus and no known association among primary case-patients. A total of 18 cases of measles were reported from 4 public health units during the outbreak period (January 25–March 23, 2015); none of these cases occurred in persons who had recently traveled. Despite enhancements to case-patient interview methods and epidemiologic analyses, a source patient was not identified. However, the molecular epidemiologic analysis, which included extended sequencing, strongly suggested that all cases derived from a single importation of measles virus genotype D4. The use of timely genotype sequencing, rigorous epidemiologic investigation, and a better understanding of the gaps in surveillance are needed to maintain Ontario’s measles elimination status.
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spelling doaj.art-b96e275efba04389a54fb3e42885b7ac2022-12-21T19:06:02ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592017-07-012371063106910.3201/eid2307.161145Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015Shari ThomasJoanne HiebertJonathan B. GubbayEffie GournisJennifer SharronAlberto SeveriniManisa JiaravuthisanAmanda ShaneValerie JaegerNatasha S. CrowcroftJill FediurekBeate SanderTony MazzulliHelene SchulzShelley L. DeeksThe province of Ontario continues to experience measles virus transmissions despite the elimination of measles in Canada. We describe an unusual outbreak of measles in Ontario, Canada, in early 2015 that involved cases with a unique strain of virus and no known association among primary case-patients. A total of 18 cases of measles were reported from 4 public health units during the outbreak period (January 25–March 23, 2015); none of these cases occurred in persons who had recently traveled. Despite enhancements to case-patient interview methods and epidemiologic analyses, a source patient was not identified. However, the molecular epidemiologic analysis, which included extended sequencing, strongly suggested that all cases derived from a single importation of measles virus genotype D4. The use of timely genotype sequencing, rigorous epidemiologic investigation, and a better understanding of the gaps in surveillance are needed to maintain Ontario’s measles elimination status.https://wwwnc.cdc.gov/eid/article/23/7/16-1145_articlemeaslesoutbreakpublic healthCanadaOntariogenotyping
spellingShingle Shari Thomas
Joanne Hiebert
Jonathan B. Gubbay
Effie Gournis
Jennifer Sharron
Alberto Severini
Manisa Jiaravuthisan
Amanda Shane
Valerie Jaeger
Natasha S. Crowcroft
Jill Fediurek
Beate Sander
Tony Mazzulli
Helene Schulz
Shelley L. Deeks
Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015
Emerging Infectious Diseases
measles
outbreak
public health
Canada
Ontario
genotyping
title Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015
title_full Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015
title_fullStr Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015
title_full_unstemmed Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015
title_short Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015
title_sort measles outbreak with unique virus genotyping ontario canada 2015
topic measles
outbreak
public health
Canada
Ontario
genotyping
url https://wwwnc.cdc.gov/eid/article/23/7/16-1145_article
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