Measles & Rubella Weekly Monitoring Report - Week 9, 2018: February 25 to March 3, 2018

Key Points

In Canada, no new cases of measles or rubella were reported in week 09, 2018.
Three cases of measles and no cases of rubella have been reported in Canada in 2018.
Globally, there are large measles outbreaks reported in Europe which have affected a large number of countries. Canadians travelling to Europe are invited to consult the travel health notice for more information.

During epidemiological week 09, 2018 no new laboratory-confirmed case of measles was reported in Canada¹.

It has been 105 epidemiological weeks since the last rubella case was reported and one epidemiological week since the last measles case was reported.

Organization: Public Health Agency of Canada

Date published: 2018-03-08

Figure 1: Number of cases of measles (n=3) and rubella (n=0), by week of rash onset, as reported to the Canadian Measles/ Rubella Surveillance System (CMRSS) and Measles and Rubella Surveillance System (MARS), for the period ending March 3, 2018.
Epidemiological Week of Rash Onset, 2018	Number of confirmed measles cases reported	Number of confirmed rubella cases reported
1	0	0
2	0	0
3	0	0
4	1	0
5	0	0
6	1	0
7	1	0
8	0	0
Missing Rash Onset	0	0
Cases (year-to-date)	3	0

There is currently one active^{Figure 2 - Footnote *} case of measles reported in Canada.

There are no reported active cases of rubella in Canada.

Figure 2: Distribution of active^{Figure 2 - Footnote *}, confirmed measles cases by health region.

Figure 2 - Long Description

Figure 2: Distribution of active^{Figure 2 - Footnote *}, confirmed measles cases by health region. of rash onset.
Health Region	Measles Cases	Rubella Cases
Eastern Regional Integrated Health Authority	0	0
Central Regional Integrated Health Authority	0	0
Western Regional Integrated Health Authority	0	0
Labrador-Grenfell Regional Integrated Health Authority	0	0
Prince Edward Island	0	0
South Shore District Health Authority	0	0
South West Nova District Health Authority	0	0
Annapolis Valley District Health Authority	0	0
Colchester East Hants Health Authority	0	0
Cumberland Health Authority	0	0
Pictou County Health Authority	0	0
Guysborough Antigonish Strait Health Authority	0	0
Cape Breton District Health Authority	0	0
Capital District Health Authority	0	0
Zone 1 (NB)	0	0
Zone 2 (NB)	0	0
Zone 3 (NB)	0	0
Zone 4 (NB)	0	0
Zone 5 (NB)	0	0
Zone 6 (NB)	0	0
Zone 7 (NB)	0	0
Québec et Chaudières-Appalaches	0	0
Centre-du-Québec	0	0
Montréal et Laval	0	0
Ouest-du-Québec	0	0
Montérégie	0	0
Nord-Est	0	0
Ontario Central East	0	0
Ontario Central West	0	0
Ontario Eastern	0	0
Ontario North East	0	0
Ontario North West	0	0
Ontario South West	0	0
City of Toronto Health Unit	1	0
Winnipeg Regional Health Authority	0	0
Prairie Mountain Health	0	0
Interlake-Eastern Regional Health Authority	0	0
Northern Regional Health Authority	0	0
Southern Health	0	0
Saskatchewan South	0	0
Saskatchewan Central	0	0
Saskatchewan North	0	0
South Zone	0	0
Calgary Zone	0	0
Central Zone	0	0
Edmonton Zone	0	0
North Zone	0	0
British Columbia	0	0
Yukon	0	0
Northwest Territories	0	0
Nunavut	0	0

Measles

In 2018, three cases of measles have been genotyped and the genotypes were D8 (n=3) (Figure 3).

Figure 3: Distribution of measles genotypes detected in 2018 (n=3) by week^{Figure 3 - Footnote †} of rash onset.

Figure 3 - Long Description

**Figure 3: Distribution of measles genotypes detected in 2018 (n=3) by week^{Figure 3 - Footnote †} of rash onset.**
Epi week	D8	Total
1	0	0
2	0	0
3	0	0
4	1	1
5	0	0
6	1	1
7	1	0
8	0	0
Total	3	3

The current global distribution of measles genotypes can be found on the WHO Measles Surveillance website.

For information regarding the interpretation and use of measles genotyping (including a discussion of genotypes and sequence variants), refer to Hiebert J and Severini A. Canada Communicable Disease Report. 2014; 40-12: 257- 260.