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Measles: Global Update

Updated: March 8, 2011

 

Travel Health Notice

Measles cases occur around the world.

The Public Health Agency of Canada (PHAC) reminds travellers to make sure their measles vaccination is up-to-date.

Measles is a highly contagious disease. It is the leading cause of vaccine-preventable deaths in children worldwide.

Where is Measles a concern?

In 2010, cases were reported in many developing countries (parts of Africa and Asia) and in some countries in Eastern and Western Europe. 

  • A number of countries in Africa such as Angola, Botswana, Ethiopia, Lesotho, Mali, Malawi, Nepal, Nigeria, South Africa, Zambia and Zimbabwe reported large numbers of measles cases in 2010.
  • In Asia, large numbers of confirmed cases were reported in Afghanistan, Bangladesh, India, Indonesia, Pakistan, Thailand and the Philippines. 
  • European countries including Bulgaria, Bosnia and Herzegovina and France reported outbreaks of measles.
  • In 2010, there were a small number of cases reported in Brazil and Argentina. Prior to these cases, there has not been a case of measles that originated in either of those countries since 2000.

In 2011, recently confirmed cases have been reported in a number of countries including the United States, Argentina and New Zealand.

  • In Europe, a number of countries are reporting a large number of measles cases including: Denmark, Germany, the Netherlands, Norway, Serbia, Switzerland, the former Yugoslav Republic of Macedonia, Turkey, Russian Federation and France.

More information on the number of worldwide confirmed measles cases (External link) External link PDF Version is available from the website of the World Health Organization (WHO).

Recommendations

Consult a doctor, nurse or health care provider, or visit a travel health clinic at least six weeks before you travel.

1)  Get vaccinated

Canadians are reminded to keep all vaccinations up-to-date.  See provincial/territorial immunization schedules for further information.   

Travellers should be up-to-date on measles immunization regardless of their travel destination. 

  • Infants and Children:
    • Two doses of a measles-containing vaccine are recommended for children.
      • The first dose should be given on or after the first birthday and the second dose should be given after 15 months of age.
      • During outbreaks or for travel to regions where measles is a concern, the vaccine may be given as early as six months of age.  Under these circumstances, the routine two dose series must be then restarted on or after the first birthday, for a total of three doses.
  • Adolescents and Adults: 
    • Adults born in or after 1970 should ensure that they have received two doses of measles-containing vaccine. 
  • You may be protected against measles if:
    • You were born before 1970; or
    • You have proof of immunity (e.g. through blood testing).

2) Monitor your health

  • If you develop symptoms similar to measles when you return to Canada, you should see a health care provider.
  • Describe your symptoms to your health care provider before your appointment. That way he/she can arrange to see you without exposing others to measles.