Measles & Rubella Weekly Monitoring Report – Week 6, 2019: February 3 to February 9, 2019
- In Canada, two new cases of measles and no new cases of rubella were reported in week 6, 2019.
- Currently, there are four activeFootnote 1 cases of measles in Canada.
- Five (5) cases of measles and no cases of rubella have been reported in Canada in 2019.
- A number of confirmed cases of measles were reported in mid-February in British Columbia, most of which were associated with a cluster of related school-based outbreaks in Vancouver that were linked to importation of measles from outside of North America. Measles cases related to this cluster will be included in subsequent reports.
- Globally, there are large measles outbreaks reported across Europe which have affected a large number of countries. Canadians travelling to Europe and Venezuela are invited to consult the travel health notices for more information.
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During epidemiological week 6, 2019 two new laboratory-confirmed cases of measles and no new cases of rubella were reported in CanadaFootnote 2. Both measles cases were reported by the province of British Columbia. The first case was in a traveller returning from the Philippines, with rash onset in epidemiological week 5. The second case was in an individual with no travel history outside of British Columbia, with rash onset in epidemiological week 6
To date in 2019, five cases of measles and no cases of rubella have been reported. The last case of rubella was reported in 2016 and the last case of congenital rubella syndrome/infection was reported in September 2018.
Figure 1: Number of cases of measles (n=5), rubella (n=0), and congenital rubella syndrome (n=0)Footnote 3 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 February 9, 2019.
Figure 1 - Text equivalent
|Epidemiological Week of Rash Onset, 2019||Number of confirmed measles cases reported||Number of confirmed rubella cases reported||Number of confirmed congenital rubella syndrome/infection cases reported|
|Missing Rash Onset||0||0||0|
There are currently four activeFootnote * cases of measles reported in Canada.
Figure 2: Distribution of activeFootnote *, confirmed measles cases by health region.
Figure 2 - Text equivalent
|Health Region||Measles Active Cases|
|Eastern Regional Integrated Health Authority||0|
|Central Regional Integrated Health Authority||0|
|Western Regional Integrated Health Authority||0|
|Labrador-Grenfell Regional Integrated Health Authority||0|
|Prince Edward Island||0|
|South Shore District Health Authority||0|
|South West Nova District Health Authority||0|
|Annapolis Valley District Health Authority||0|
|Colchester East Hants Health Authority||0|
|Cumberland Health Authority||0|
|Pictou County Health Authority||0|
|Guysborough Antigonish Strait Health Authority||0|
|Cape Breton District Health Authority||0|
|Capital District Health Authority||0|
|Zone 1 (NB)||0|
|Zone 2 (NB)||0|
|Zone 3 (NB)||0|
|Zone 4 (NB)||0|
|Zone 5 (NB)||0|
|Zone 6 (NB)||0|
|Zone 7 (NB)||0|
|Québec et Chaudières-Appalaches||0|
|Montréal et Laval||1|
|Ontario Central East||0|
|Ontario Central West||0|
|Ontario North East||0|
|Ontario North West||0|
|Ontario South West||0|
|City of Toronto Health Unit||0|
|Winnipeg Regional Health Authority||0|
|Prairie Mountain Health||0|
|Interlake-Eastern Regional Health Authority||0|
|Northern Regional Health Authority||0|
In 2019, three cases of measles have been genotyped and the genotypes were B3 (n=1) and D8 (n=2).
The measles case that was acquired while travelling to Ukraine with rash onset in week 5 was genotype D8, identical to the WHO named strain MVs/Gir Somnath.IND/42.16/ (GenBank accession number KY120864). This measles strain has been reported globally from many countries.
Figure 3: Distribution of measles genotypes detected in 2019 (n=3) by week† of rash onset.
Figure 3 - Text equivalent
|Epi week||B3||B3 - Harare||D4||D8||D8 - Taunton||D9||H1||Total|
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 named strains), refer to Hiebert J and Severini A. Canada Communicable Disease Report. 2014; 40-12: 257-260.
- Footnote 1
Active cases or outbreaks are those in which the onset date of the most recent case/outbreak-associated case falls within 32 days of the issue date of this report.
- Footnote 2
Only cases with rash onset up to the indicated end date are included in this report. Any additional cases will be described in future reports.
- Footnote 3
Epidemiological week of birth is used for congenital rubella syndrome cases.
- Footnote 4
Public Health Agency of Canada. Guidelines for the prevention and control of measles outbreaks in Canada. Canadian Communicable Disease Report. 2013. Vol. 39: Definitions: conclusion of an outbreak (p. 5).
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