Measles & Rubella Weekly Monitoring Report: October 5 to October 11, 2014 (week 41)
Key Points
- In Canada, no new cases of measles were reported during week 41.
- A single player of a 15-person musical group was confirmed to have measles while staying at a hotel in New Jersey from 25-30 September 2014. The other band members were immune to measles from previous vaccinationFootnote 1.
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Organization:
Epidemiological Summary
Figure 1. Number of cases measles (n=127) 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 October 11, 2014. Among these, rash onset is not currently available for 25 cases; they have been excluded from the figure but included in the year-to-date total below.
Figure 1 - Text Description
Epidemiological Week of Rash Onset, 2014 | Number of confirmed measles cases reported | Number of confirmed rubella cases reported |
---|---|---|
1 | 1 | 0 |
2 | 1 | 0 |
3 | 5 | 0 |
4 | 7 | 0 |
5 | 2 | 0 |
6 | 4 | 0 |
7 | 1 | 0 |
8 | 0 | 0 |
9 | 2 | 0 |
10 | 2 | 1 |
11 | 4 | 0 |
12 | 4 | 0 |
13 | 11 | 0 |
14 | 7 | 0 |
15 | 8 | 0 |
16 | 4 | 0 |
17 | 13 | 0 |
18 | 3 | 0 |
19 | 2 | 0 |
20 | 1 | 0 |
21 | 5 | 0 |
22 | 5 | 0 |
23 | 1 | 0 |
24 | 3 | 0 |
25 | 1 | 0 |
26 | 1 | 0 |
27 | 0 | 0 |
28 | 0 | 0 |
29 | 0 | 0 |
30 | 0 | 0 |
31 | 1 | 0 |
32 | 1 | 0 |
33 | 0 | 0 |
34 | 0 | 0 |
35 | 1 | 0 |
36 | 1 | 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 | 25 | 0 |
Cases (year-to-date) | 127 | 1 |
During epidemiological week 41, 2014, no new cases of measles were reported in Canada.
The year-to-date totalFootnote 2 is 127 cases of measles and 1 case of rubella for 2014.
Geographic Distribution
Figure 2: Distribution of confirmed measles and rubella cases by health region. Cases are included if they are considered active.Figure 2 - Footnote *
- Figure 2 - 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 3
Figure 2 - Text Description
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 | 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 |
|
Laboratory Summary
Measles
Genotyping is pending for 0 cases.
For 2014, measles genotype information is available for 111 of 127 reported cases and the genotypes were: B3 (n=65), D8 (n=36), D9 (n=5), H1 (n=3), and D4 (n=2).
Figure 3: Distribution of measles genotypes detected in 2014 (n=111) by week of rash onset (if available, n=85) or specimen collection (n=26). 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)
† Genotype D8 sequences identical to sequence variant MVs/Taunton.GBR/27.12 (GenBank accession number JX984461)
Figure 3 - Text Description
Epi week | B3 | B3 - Harare | D4 | D8 | D8 - Taunton | D9 | H1 | Total |
---|---|---|---|---|---|---|---|---|
1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
2 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 5 |
3 | 0 | 7 | 0 | 0 | 0 | 0 | 0 | 7 |
4 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 3 |
5 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 3 |
6 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
8 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 2 |
9 | 1 | 2 | 0 | 0 | 3 | 0 | 0 | 6 |
10 | 0 | 1 | 0 | 0 | 6 | 0 | 0 | 7 |
11 | 1 | 1 | 0 | 0 | 7 | 0 | 0 | 9 |
12 | 2 | 5 | 0 | 0 | 7 | 0 | 0 | 14 |
13 | 1 | 0 | 0 | 1 | 5 | 0 | 0 | 7 |
14 | 2 | 2 | 1 | 0 | 1 | 4 | 0 | 10 |
15 | 0 | 4 | 0 | 0 | 0 | 1 | 1 | 6 |
16 | 1 | 3 | 1 | 1 | 4 | 0 | 1 | 11 |
17 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 2 |
18 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 2 |
19 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
20 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 5 |
21 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 3 |
22 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
23 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
24 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
25 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
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 | 1 | 1 |
31 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
32 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
34 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
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 |
53 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Total | 10 | 55 | 2 | 2 | 34 | 5 | 3 | 111 |
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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