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A large outbreak of measles in the West Midlands, England, 2017-2018: descriptive epidemiology, control measures and

R Mulchandani1,2, B Sibal3, A Phillips4

  • 1UK Field Epidemiology Training Programme (UK-FETP), Public Health England, London, UK.

Epidemiology and Infection
|April 19, 2021
PubMed

Insights

A measles outbreak in the West Midlands affected 116 individuals, with challenges in control measures. Public health interventions included contact tracing and enhanced vaccination services.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Disease Control

Background:

  • A measles outbreak was identified in November 2017 in the West Midlands.
  • The outbreak initially involved individuals of Romanian origin before spreading to the wider population.

Purpose of the Study:

  • To describe the epidemiology of a measles outbreak.
  • To outline the control measures implemented by an Incident Management Team (IMT).
  • To identify challenges faced during the outbreak response.

Main Methods:

  • Confirmed and likely cases were identified and tracked.
  • An Incident Management Team (IMT) coordinated control measures.
  • Control measures included contact tracing, post-exposure prophylaxis, community engagement, and vaccination campaigns.

Main Results:

  • A total of 116 confirmed and 21 likely measles cases occurred between November 2017 and June 2018.
  • Nearly half of the cases (43%) were over 15 years old.
  • 48% of confirmed cases required hospitalization; no deaths were reported.

Conclusions:

  • The outbreak highlighted challenges in controlling infectious diseases in diverse populations.
  • Effective control required addressing language barriers, improving diagnostic and notification timeliness, and enhancing vaccination data.
  • Multidisciplinary collaboration and targeted public health interventions are crucial for managing outbreaks.
Keywords:
ImmunisationMMRinvestigationmeaslesoutbreaktransmission

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