Epidemiological and molecular studies of measles at different clusters in hokkaido district, Japan, 2007

Hideki Nagano1, Masaru Jinushi, Hiroki Tanabe

  • 1Center for Infectious Diseases Control, Hokkaido Institute of Public Health, Sapporo 060-0819, Japan. nagano@iph.pref.hokkaido.jp

Insights

In 2007, Hokkaido, Japan experienced a large measles outbreak with 850 cases, impacting public health. Molecular analysis revealed the measles virus strain was genotype D5, common in Japan, but its origin in Hokkaido was likely not indigenous.

Area of Science:

  • * Epidemiology and Virology
  • * Public Health and Infectious Diseases

Background:

  • * Measles outbreaks pose significant public health challenges, particularly in communities with school-aged populations.
  • * In 2007, Hokkaido district, Japan, experienced a substantial measles epidemic, highlighting the need to understand transmission dynamics.

Purpose of the Study:

  • * To investigate the epidemiological characteristics of the 2007 measles outbreak in Hokkaido.
  • * To determine the molecular epidemiology of the measles virus strains involved.
  • * To assess the potential origin and spread of the measles virus in the region.

Main Methods:

  • * Retrospective analysis of 850 identified measles cases in Hokkaido during 2007.
  • * Genotyping of 28 measles virus isolates.
  • * Comparison of viral genotypes with those found in other Japanese regions.

Main Results:

  • * The outbreak involved 850 cases, with approximately half affecting individuals aged 15 years or older, leading to school closures.
  • * 31% of cases had a documented history of measles vaccination.
  • * All 28 detected measles virus isolates were identified as genotype D5, consistent with strains circulating elsewhere in Japan.

Conclusions:

  • * The 2007 Hokkaido measles outbreak represented a significant public health issue, affecting a large, mixed-age population.
  • * The widespread circulation of a highly homologous measles virus genotype (D5) across Japan was confirmed.
  • * Epidemiological patterns and molecular data suggest the measles virus strain responsible for the Hokkaido outbreak may not have originated locally.

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