Measles & Rubella Weekly Monitoring Report: February 8 to February 14, 2015 (week 6)
- In Canada, 8 new cases of measles were reported during week 06, by Ontario (n=5) and by Quebec (n=3).
- Three provinces have reported recent measles activity; these events are not linked as the genotypes are different (D4 in Ontario, B3 in Quebec, D8 in Manitoba).
- A total of 27 cases of measles, and 0 cases of rubella have been reported in Canada for 2015.
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Figure 1. Number of cases measles (n=27) 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 February 14, 2015.
During epidemiological week 06, 2015, 8 measles cases were reported, by Ontario (n=5) and Quebec (n=3). Rash onset for these cases occurred during week 04 (n= 1) and week 06 (n= 7). Rash onset for 6 previously reported cases from Quebec occurred during week 02 (n=1), week 03 (n=3) and week 06 (n=2).
The year-to-date total is 27 cases of measles and 0 cases of rubella for 2015.
Figure 2: Distribution of confirmed measles and rubella cases by health region. Cases are included if they are considered activeFigure 2 - Footnote *
To date in 2015, 15 measles cases have been genotyped and the genotypes were: D4 (n=9), B3 (n=5) and D8 (n=1).
Of the 13 reported measles cases in Ontario, 9 cases have been genotyped. All have an identical genotype D4 strain, based on the standard N-450 sequence that was not identical to any sequence variant found in the WHO measles sequence database (MeaNS). The National Microbiology Laboratory continues to investigate the source of the virus.
From Quebec, 5 cases were genotyped and were genotype B3, identical to the MVi/Harare.ZWE/38.09 sequence variant (GenBank accession number JF973033), and identical to the virus reported in a multi-state outbreak in the United States.
Finally, 1 case from Manitoba, with travel history to India, was genotype D8 which is endemic in IndiaFootnote 2.
Figure 3: Distribution of measles genotypes detected in 2015 (n=15) by week of rash onset (if available, n=10) or specimen collection (n=5). Epidemiological weeks are assigned in accordance with WHO guidelines (WHO.WER.2012;9(87):73) with week 1 beginning on the first Monday of the year.
* Genotype B3 sequences identical to sequence variant MVi/Harare.ZWE/38.09 (GenBank accession number JF973033)
The current global distribution of measles genotypes can be found on the WHO Measles Nucleotide Surveillance (MeaNS) 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.
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