Measles Outbreaks in Pacific Countries

According to media a measles outbreak in Samoa has now been declared an emergency. Schools have been closed and compulsory mass vaccination has been ordered. Over 700 cases have been reported, including 15 deaths.

The outbreak is believed to have started in New Zealand, where there have been more than 2 000 measles cases. Other Pacific countries currently affected by measles outbreaks include Australia, Fiji, Tonga and American Samoa.

Advice for Healthcare Professionals

Travel may increase an individual’s risk of exposure to measles virus, and facilitate the spread of disease to unvaccinated and susceptible populations. The travel consultation provides healthcare practitioners with a valuable opportunity to ensure individuals are protected against the measles virus. Consider vaccinating:

• All travellers who have not previously had two doses of a measles containing vaccine or prior measles infection.
• Particularly children and those who will be living or working closely with the local population at their destination, in countries with high endemnicity or recent outbreaks.

Advice for Travellers

It should be confirmed that children have received their recommended doses of MMR at 12-13 months of age and again pre-school around 3 years 4 months. Consider vaccinating all unimmunised adults who have not had the disease themselves, particularly if they are going to be at higher risk. Two doses of MMR vaccine, at least one month apart, are required to give adequate protection.

For further information see Measles.