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Measles & Rubella Weekly Monitoring Report - Week 26, 2016: June 26 to July 2, 2016

Organization: Public Health Agency of Canada

Date published: 2016-08-29

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Epidemiological Summary

During epidemiological week 26, 2016, no new cases of measles or rubella were reported in CanadaFootnote 1.

It has been 4 epidemiological weeks since the last reported measles case (week 22, 2016) and 20 epidemiological weeks since the last reported rubella case (week 06, 2016).

The year-to-date total is 8 cases of measles and 1 case of rubella for 2016 (Figure 1).

FIGURE 1: Number of cases of measles (n=8) and rubella (n=1), 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 July 2, 2016.

Figure 1
Figure 1 - Text Description
Figure 1: Number of cases measles (n=8) and rubella (n=1), 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 July 2, 2016.
Epidemiological Week of Rash Onset, 2016 Number of confirmed measles cases reported Number of confirmed rubella cases reported
1 1 0
2 0 0
3 1 0
4 0 0
5 0 0
6 0 1
7 0 0
8 0 0
9 2 0
10 0 0
11 2 0
12 0 0
13 0 0
14 0 0
15 0 0
16 0 0
17 0 0
18 0 0
19 1 0
20 0 0
21 0 0
22 1 0
23 0 0
24 0 0
25 0 0
26 0 0
27 0 0
28 0 0
29 0 0
30 0 0
31 0 0
32 0 0
33 0 0
34 0 0
35 0 0
36 0 0
37 0 0
38 0 0
39 0 0
40 0 0
41 0 0
42 0 0
43 0 0
44 0 0
45 0 0
46 0 0
47 0 0
48 0 0
49 0 0
50 0 0
51 0 0
52 0 0
Missing Rash Onset 0 0
Cases (year-to-date) 8 1

Geographic Distribution

There are currently no reported activeFigure 2 - Footnote * cases of measles or rubella in Canada, (

Figure 2: Distribution of activeFigure 2 - Footnote *, confirmed measles cases by health region.

Figure 2
Figure 2 - Footnote *

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 reportFootnote 2.

Return to Figure 2 - Footnote * referrer

Figure 2 - Text Description
Figure 2: Distribution of active Figure 2 Table - Footnote * confirmed measles cases by health region.
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 and Chaudières-Appalaches 0 0
Centre-du-Québec 0 0
Montréal and 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 0 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 Interior 0 0
British Columbia Fraser 0 0
British Columbia Vancouver Coastal 0 0
British Columbia Vancouver Island 0 0
British Columbia Northern 0 0
Yukon 0 0
Northwest Territories 0 0
Nunavut 0 0
Figure 2 Table - Footnote *

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.

Return to Figure 2 Table - Footnote * referrer

Laboratory Summary

Measles

To date in 2016, 7 measles cases have been genotyped and the genotypes were B3 (n=4) and D8 (n=3) (Figure 3).

Figure 3: Distribution of measles genotypes detected in 2016 (n=7) by weekFigure 3 - Footnote † of rash onset (if available, n=7) or specimen collection (n=0).

Figure 3
Figure 3 - Footnote †

Epidemiological weeks for laboratory specimens are assigned in accordance with WHO guidelines (WHO.WER.2012;9(87):73) with week 1 beginning on the first Monday of the year.

Return to Figure 3 - Footnote † referrer

Figure 3 - Footnote *

Genotype B3 sequences identical to sequence variant / named strain MVi/Harare.ZWE/38.09 (GenBank accession number JF973033)

Return to Figure 3 - Footnote * referrer

Figure 3 - Text Description
Figure 3: Distribution of measles genotypes detected in 2016 (n=7) by week Figure 3 Table - Footnote † of rash onset (if available, n=7) or specimen collection (n=0).
Epi week B3 B3 - HarareFigure 3 Table - Footnote * D4 D8 D8 - Taunton D9 H1 Total
1 1 0 0 0 0 0 0 1
2 0 0 0 0 0 0 0 0
3 0 0 0 1 0 0 0 1
4 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0
9 1 1 0 0 0 0 0 2
10 0 1 0 0 0 0 0 1
11 0 0 0 1 0 0 0 1
12 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0
17 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0
19 0 0 0 1 0 0 0 1
20 0 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0
23 0 0 0 0 0 0 0 0
24 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0
26 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 0
42 0 0 0 0 0 0 0 0
43 0 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0 0
47 0 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0 0
49 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0
51 0 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0 0
Total 2 2 0 3 0 0 0 7
Figure 3 Table - Footnote †

Epidemiological weeks for laboratory specimens are assigned in accordance with WHO guidelines (WHO.WER.2012;9(87):73) with week 1 beginning on the first Monday of the year.

Return to Figure 3 Table - Footnote † referrer

Figure 3 Table - Footnote *

Genotype B3 sequences identical to sequence variant / named strain MVi/Harare.ZWE/38.09 (GenBank accession number JF973033)

Return to Figure 3 Table - Footnote * referrer

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.

Rubella

No genotype information is available for the rubella case reported in 2016.

Footnotes

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