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We report an outbreak of measles which started in April 2016 and which, by 13 June, has resulted in 22 confirmed and five probable measles cases occurring in four regions of Ireland. Genotype B3 was identified. We describe the identification, ongoing investigation and control measures being implemented. This outbreak occurs during a period of very low measles transmission in Ireland, with only one confirmed case (imported) notified in 2016 before this event.


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  1. Health Protection Surveillance Centre (HPSC). Measles, 2004. HPSC Annual Report 2004.Dublin: HPSC. [Accessed 5 Jul 2016]. Available from: http://www.hpsc.ie/A-Z/VaccinePreventable/Measles/Publications/AnnualReportsonMeaslesinIreland/File,2448,en.pdf
  2. Health Protection Surveillance Centre (HPSC). Measles. Annual Epidemiological Report 2014. Dublin: HPSC. [Accessed 5 Jul 2016]. Available from: http://www.hpsc.ie/A-Z/VaccinePreventable/Measles/Publications/AnnualReportsonMeaslesinIreland/File,15435,en.pdf
  3. Gee S, Cotter S, O’Flanagan DNational Incident Management Team. Spotlight on measles 2010: measles outbreak in Ireland 2009-2010. Euro Surveill. 2010;15(9):2-5. PMID: 20214870 
  4. Fitzpatrick G, Ward M, Ennis O, Johnson H, Cotter S, Carr MJ, et al. Use of a geographic information system to map cases of measles in real-time during an outbreak in Dublin, Ireland, 2011. Euro Surveill. 2012;17(49):20330. PMID: 23231894 
  5. Health Service Executive – Health Protection Surveillance Centre (HPSC). Case definitions for notifiable diseases. 2012. Dublin: HPSC. [Accessed 17 Jun 2016]. Available from: http://www.hpsc.ie/NotifiableDiseases/CaseDefinitions/File,823,en.pdf
  6. Health Protection Surveillance Centre (HPSC). Summary Immunisation Uptake Statistics for children in Ireland. Data up to Q4 2015. Dublin: HPSC. 2015. [Accessed 17 Jun 2016]. Available from: http://www.hpsc.ie/A-Z/VaccinePreventable/Vaccination/ImmunisationUptakeStatistics/Immunisationuptakestatisticsat12and24monthsofage/File,954,en.pdf
  7. Measles and Rubella Elimination Committee of the Department of Health and Children. Eliminating measles and rubella and preventing congenital rubella infection – strategy for Ireland. Dublin: Health Service Executive. 2007. [Accessed 17 Jun 2016]. Available from: https://www.hpsc.ie/A-Z/VaccinePreventable/Measles/Publications/File,2511,en.pdf
  8. Health Protection Surveillance Centre (HPSC). Schools immunisation uptake statistics for academic year 2014-2015. Dublin: HPSC. [Accessed 4 Jul 2016]. Available from: http://www.hpsc.ie/A-Z/VaccinePreventable/Vaccination/ImmunisationUptakeStatistics/ImmunisationuptakestatisticsforJuniorInfants/File,15596,en.pdf
  9. Mayoral Cortes J, Perez Morilla E, Gallardo Garcia V, Navarro Mari J, Perez Ruiz M, Hermosilla R, et al. Measles outbreak in Andalusia, Spain, January to August 2011. Euro Surveill. 2012;17(42):20300. PMID: 23098824 
  10. Filia A, Amendola A, Faccini M, Del Manso M, Senatore S, Bianchi S, et al. Outbreak of a new measles B3 variant in the Roma/Sinti population with transmission in the nosocomial setting, Italy, November 2015 to April 2016. Euro Surveill. 2016;21(20):30235.  https://doi.org/10.2807/1560-7917.ES.2016.21.20.30235  PMID: 27240004 
  11. Pervanidou D, Horefti E, Patrinos S, Lytras T, Triantafillou E, Mentis A, et al. Spotlight on measles 2010: ongoing measles outbreak in Greece, January-July 2010. Euro Surveill. 2010;15(30):1-5. PMID: 20684816 
  12. Muscat M. Who gets measles in Europe? J Infect Dis. 2011;204(Suppl 1):S353-65.  https://doi.org/10.1093/infdis/jir067  PMID: 21666185 
  13. European Centre for Disease Prevention and Control (ECDC). Review of outbreaks and barriers to MMR vaccination coverage among hard-to-reach populations in Europe. Stockholm: ECDC. 2013. [Accessed 17 Jun 2016]. Available from: http://ecdc.europa.eu/en/publications/Publications/MMR-vaccination-hard-to-reach-population-review-2013.pdf
  14. Open Society Foundations. Roma Health Mediators. New York: Open Society Foundations. 2011. [Accessed 17 Jun 2016]. Available from: https://www.opensocietyfoundations.org/sites/default/files/roma-health-mediators-20111022.pdf
  15. Chen SY, Anderson S, Kutty PK, Lugo F, McDonald M, Rota PA, et al. Health care-associated measles outbreak in the United States after an importation: challenges and economic impact. J Infect Dis. 2011;203(11):1517-25.  https://doi.org/10.1093/infdis/jir115  PMID: 21531693 
  16. Maltezou HC, Wicker S. Measles in health-care settings. Am J Infect Control. 2013;41(7):661-3.  https://doi.org/10.1016/j.ajic.2012.09.017  PMID: 23352075 
  17. Suijkerbuijk AW, Woudenberg T, Hahné SJ, Nic Lochlainn L, de Melker HE, Ruijs WL, et al. Economic Costs of Measles Outbreak in the Netherlands, 2013-2014. Emerg Infect Dis. 2015;21(11):2067-9.  https://doi.org/10.3201/eid2111.150410  PMID: 26488199 
  18. Flego KL, Belshaw DA, Sheppeard V, Weston KM. Impacts of a measles outbreak in Western Sydney on public health resources. Commun Dis Intell Q Rep. 2013;37(3):E240-5. PMID: 24890960 

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