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Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Measles cluster at a university in the United Kingdom
Jenny Gamblin, Jane Maund, Iain Blair
1Public Health England, Hampshire and Isle of Wight Health Protection Unit, Fareham, Hampshire, UK. s.c.clarke@soton.ac.uk.
Background:
Measles remains an infection of public health importance. We describe a cluster of measles in a university setting between April and May 2007.
Case Presentation:
The outbreak took place over a period of six weeks and involved nine students, eight of whom lived in halls of residence. Due to the potential for significant spread in an institutional setting, a public health investigation was initiated to identify the source of the outbreak. Follow up of cases was undertaken proactively with the university and local general practitioners. Salivary fluid test kits and questionnaires were sent to suspected cases. Seven salivary test kits were returned, but only one questionnaire was returned. Four cases were confirmed as measles. Although seven students had been previously immunised, immunity was only demonstrated in three.
Conclusions:
Public health investigations were hampered by the poor return rate of questionnaire and oral fluid sampling kits despite proactive follow up by public health staff, as well as the break for summer vacation. Nevertheless, our report highlights the public health effort in investigating such outbreaks and the importance of reinforcing immunisation to college and university students.
Insights
A measles outbreak in a university setting affected nine students. Public health efforts to control the spread were challenged by low participant response rates and the need for improved student immunization strategies.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Control
Background:
- Measles remains a significant public health concern globally.
- University settings present unique challenges for infectious disease containment.
- This report details a measles outbreak in a university environment.
Observation:
- An outbreak occurred over six weeks involving nine students, with most residing in dormitories.
- A public health investigation was launched to trace the outbreak's source.
- Diagnostic efforts included salivary fluid tests and questionnaires, but faced low return rates.
Findings:
- Four cases of measles were confirmed.
- Of seven previously immunized students, only three showed demonstrated immunity.
- Investigation effectiveness was limited by poor response to sampling kits and questionnaires.
Implications:
- Effective public health surveillance requires robust participant engagement.
- Reinforcing immunization programs for university students is crucial for preventing outbreaks.
- This case highlights the need for proactive measles prevention in higher education institutions.
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