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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
Abstract:
In 2007 eight epidemic clusters (more than 15 cases in each) and other sporadic cases of measles occurred in Hokkaido district, Japan. A total of 850 cases were identified. Approximately half of them were > or = 15 years of age, resulting in a huge public health problem in the community associated with school closings, and 31% of the cases reported that they already had a history of vaccination. Of 28 isolates of the measles virus detected, all were identified as genotype D5, identical to the type isolated in other areas of Japan, suggesting that a highly homologous measles virus circulated in Japan. The occurrence pattern of measles patients and molecular epidemiology indicated that the measles virus that spread in Hokkaido district might not be indigenous.
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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