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Published on: April 6, 2019
Measles outbreak and response--Fiji, February-May 2006
Abstract:
In September 2005, the 37 countries and areas of the World Health Organization (WHO) Western Pacific Region (WPR) established a goal to eliminate measles in the region by 2012. After multiple outbreaks in 1996 and 1997, measles supplementary immunization activities (SIAs) in 1997 and 1998 resulted in apparent interruption of measles transmission in WPR. Since then, importations have resulted in limited outbreaks in French Polynesia and Guam, a large outbreak in the Marshall Islands in 2003, and an outbreak in Fiji during February-May 2006. This report describes the epidemiologic findings, public health response, and potential causes of the 2006 outbreak that produced 132 measles cases in Fiji (2006 estimated population: 832,432), the most populous country in the South Pacific.
Insights
A 2006 measles outbreak in Fiji infected 132 people, despite regional elimination goals. This highlights challenges in maintaining measles-free status and the need for robust public health responses to imported cases.
Area of Science:
- Epidemiology
- Public Health
- Infectious Disease Control
Background:
- The World Health Organization Western Pacific Region aimed to eliminate measles by 2012.
- Previous supplementary immunization activities (SIAs) appeared to interrupt transmission in the region.
- Importations led to sporadic outbreaks, including a significant one in the Marshall Islands in 2003.
Purpose of the Study:
- To describe the epidemiologic findings of the 2006 measles outbreak in Fiji.
- To detail the public health response implemented during the outbreak.
- To identify potential causes contributing to the measles resurgence.
Main Methods:
- Retrospective analysis of case data.
- Review of public health interventions and vaccination records.
- Investigation of epidemiological links and transmission dynamics.
Main Results:
- Fiji experienced a measles outbreak with 132 cases between February and May 2006.
- The outbreak occurred in the most populous country in the South Pacific.
- Analysis focused on understanding the outbreak's characteristics and response effectiveness.
Conclusions:
- The Fiji outbreak underscores the persistent risk of measles importation and resurgence.
- Sustained surveillance and rapid response are critical for maintaining measles elimination goals.
- Lessons learned can inform strategies to prevent future outbreaks in the region.
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