Abstract
We describe the epidemiology of the first nationwide outbreak of measles infection in the UK since the implementation of a mass vaccination campaign. Notifications of infectious diseases, interview and postal questionnaire identified 293 clinical cases, 138 of which were confirmed by salivary IgM, measles virus isolation and PCR. Twelve were epidemiologically linked to confirmed cases. The outbreak began in London, after contact with measles infection probably imported from Italy. Measles genotyping determined by sequence analysis confirmed spread to other unimmunized anthroposophic communities in the north, south west and south coast of England. Only two cases had been vaccinated against measles infection, and 90% of cases were aged under 15 years. Measles virus can selectively target non-immune groups in countries with high vaccine uptake and broader herd immunity. Without harmonization of vaccination policies and uniform high coverage across Europe, the importation and spread of measles virus amongst non-immune groups may prevent the elimination of measles.
Original language | English |
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Pages (from-to) | 377-383 |
Number of pages | 7 |
Journal | Epidemiology and Infection |
Volume | 125 |
Issue number | 2 |
DOIs | |
Publication status | Published - 2000 |
Bibliographical note
Funding Information:Zymo Research Corporation, Irvine, CA provided their kits as well as its 16S sequencing service for use in this study. S.K.F. were supported by the German Research Foundation (DFG, Renoprotection CRC1365).